It has been determined that a patient who received hematopoietic stem cell transplantation is having poor functioning of the graft. Which of the following can be done to help this patient?
1. administer corticosteroids
2. administer erythropoietin and plan for a second stem cell infusion
3. administer platelets
4. administer red blood cells
2
Rationale: Management of a patient who experiences graft failure or poor functioning of the graft includes erythropoietin and planning for a second stem cell infusion. Corticosteroids are included in the management of the patient experiencing graft versus host disease. The administration of platelets or red blood cells would be indicated in the management of the patient experiencing severe pancytopenia.
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The nurse assesses a patient who complains of diffuse abdominal pain. There are absent bowel sounds and abdominal distension. These symptoms most closely correspond with which of the following medical diagnoses?
A) Appendicitis B) Bowel obstruction C) Cirrhosis D) Cholelithiasis
The OB-GYN nurse works in a clinic with a culturally diverse group of clients whose specific actions during pregnancy are often determined by cultural beliefs
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A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 24. When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lb) since conception. How would the nurse interpret this?
a. This weight gain indicates possible gestational hypertension. b. This weight gain indicates that the woman's infant is at risk for intrauterine growth restriction (IUGR). c. This weight gain cannot be evaluated until the woman has been observed for several more weeks. d. The woman's weight gain is appropriate for this stage of pregnancy.
Infections are common acute conditions that demand prompt attention. A variety of factors can be responsible for the high risk of infection in the elderly
Gerontological nurses should suspect an infection when which of the following phenomena occurs? A) The patient displays reduced activity and lowered resistance. B) Embolus and thrombus are diagnosed. C) A lower body temperature causes atypical fever. D) Any abrupt, unexplained change in physical or mental function is detected.