A child who has undergone a hematopoietic stem cell transplantation (HSCT) is ready for discharge. Which items will the nurse include in the discharge teaching for this child and family?
1. Recognize the signs of graft-versus-host disease.
2. Return the child to school within six weeks.
3. Practice good handwashing.
4. Avoid obtaining influenza vaccinations.
5. Avoid live plants and fresh vegetables.
Correct Answer: 1,3,5
Rationale: A child who is preparing for discharge after a HSCT will require specific interventions to decrease the risk of contracting communicable illnesses. Appropriate teaching points include: recognizing the signs of graft-versus-host disease; practicing good handwashing; and avoiding live plants and fresh vegetables. The child will require home schooling for 6 to 12 months. The child and family members should be encouraged to obtain yearly influenza vaccinations.
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The nurse is caring for a client who has been diagnosed with complex partial seizures. Which symptoms would the client be likely to experience with a complex partial seizure?(Select all that apply.)
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An adolescent patient has recently begun smoking and reports a habit of fewer than five or six cigarettes per day. The patient does not want to quit smoking now but plans to do so after college. The primary care nurse practitioner should:
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