The nurse is working with the interdisciplinary team to care for a patient who has recently been diagnosed with severe combined immunodeficiency disease (SCID). What treatment is likely of most benefit to this patient?
A) Combined radiotherapy and chemotherapy
B) Antibiotic therapy
C) Hematopoietic stem cell transplantation (HSCT)
D) Treatment with colony-stimulating factors (CSFs)
Ans: C
Feedback:
Treatment options for SCID include stem cell and bone marrow transplantation, but HSCT is the definitive therapy for the disease and supersedes the importance of antibiotics. CSFs, radiation therapy, and chemotherapy are not indicated.
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A client exhibiting dependent behaviors says, "Do you think I should move from my parent's house and get a job?" Which nursing response is most appropriate?
1. "It would be best to do that in order to increase independence." 2. "Why would you want to leave a secure home?" 3. "Let's discuss and explore all of your options." 4. "I'm afraid you would feel very guilty leaving your parents."
On routine screening you notice that the cup-to-disc ratio of the patient's right eye is 1:2. What ocular condition should you suspect?
A) Macular degeneration B) Diabetic retinopathy C) Hypertensive retinopathy D) Glaucoma
The nurse is caring for a patient who is taking digoxin to treat heart failure. The patient's electrocardiogram shows a ventricular dysrhythmia. The nurse will notify the provider and will anticipate an order for which medication?
a. Digoxin immune Fab (Digibind) b. Furosemide (Lasix) c. Phenytoin (Dilantin) d. Potassium
The nurse is reviewing the menstrual cycle with a client who is experiencing menstrual irregularities. The nurse teaches that during the menstrual cycle, the majority of progesterone is secreted by the:
1. hypothalamus. 2. corpus luteum. 3. ovarian follicle. 4. anterior pituitary gland.