The nurse is teaching a client who is being discharged to home after bone marrow transplantation. The client asks, "Why is it so important to protect myself from injury?" How does the nurse respond?
a. "Injuries put you at high risk for infec-tion."
b. "Platelet recovery is slow, which makes you at risk for bleeding."
c. "Severe trauma could result in rejection of the transplant."
d. "The medications you are taking will make you bruise easily."
B
Platelets recover more slowly than other blood cells after bone marrow transplantation. Thus the client is still thrombocytopenic at home and remains at risk for excessive bleeding after any trauma or injury. Injured tissue makes a client at risk for infection, and trauma could result in injury to the transplant (but not rejection). However, these are not the best responses to give the client. A steroid regimen may make a client more at risk for bruising, but the most accurate re-sponse pertains to platelet recovery.
You might also like to view...
The majority of drugs are metabolized in the ____________
A) lungs. B) kidneys. C) liver. D) spleen.
The nurse is performing an assessment on a newborn and notes a thin, milky discharge from the infant's nipple. Which conclusion by the nurse based on this data is the most appropriate?
1. The newborn has a congenital anomaly. 2. This is a highly irregular finding. 3. This is a reason to call in a specialist. 4. This is a common finding in a newborn.
Diet and exercise alone may not lower a patient's risk for having high cholesterol. Which of the following medications would help to lower a patient's cholesterol level?
1. Clonidine (Catapres), a central adrenergic inhibitor 2. Simvastatin (Zocor), a reductase inhibitor 3. Nadolol (Cartrol), a beta-adrenergic blocker 4. Terazosin (Hytrin), an alpha1-adrenergic blocker
A terminally ill patient nearing end of life is dehydrated and complains of being thirsty. What can the nurse do to make the patient more comfortable?
1. Provide oral care every 2 hours. 2. Increase intravenous fluids. 3. Raise the head of the bed. 4. Begin enteral feedings.