After a bone marrow transplant, a client develops GVHD and is readmitted to the hospital. The nurse intervenes to prevent which potential complication of treatment for GVHD?
a. Anorexia
b. Bleeding
c. Hypoglycemia
d. Infection
D
The standard treatments for GVHD include high doses of methylprednisolone, antithymocyte globulin, antilymphocyte globulin, cyclosporine, and anti-T-cell immunotoxins. These agents all cause immunosuppression and hence the client must be protected from infection. Hyperglycemia often occurs with high-dose steroid therapy.
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The client is comatose and the healthcare provider orders that the client's temperature is to be taken by the rectal route. The student nurse is assisting the more experienced nurse and volunteers to obtain the client's temperature
Which of the following statements by the student nurse indicate the need for further education? 1. "I will need to turn the client into the prone position.". 2. "The probe for a rectal thermometer is usually red.". 3. "I should insert the thermometer 1.5 to 4 centimeters into the client's anus.". 4. "This is an appropriate way to monitor a client's temperature if they are unable to close the mouth around the oral thermometer.".
A nurse teaches the parents of a toddler about normal sleep patterns for this age group. How many hours of sleep per night is normal near the end of this stage?
A) 7 - 8 hours B) 8 - 10 hours C) 10 - 12 hours D) 12 - 15 hours
The physician has determined the need for forceps. The nurse should explain to the patient that the use of forceps is indicated:
1. Because her support person is exhausted. 2. Due to premature placental separation. 3. To shorten the first stage of labor. 4. To prevent fetal distress.
Various forces affect the movement of water and solutes into and out of blood vessels and cell membranes. Which of the following statements most accurately describes hydrostatic pressure:
a. Hydrostatic pressure pulls fluid by negative pressure into the blood vessel b. Hydrostatic pressure is governed by the effects of the plasma protein content c. Hydrostatic pressure decreases as blood pressure increases d. Hydrostatic pressure is the mechanical pressure against the vessel wall that pulls water out of the