The nurse is caring for a 7-year-old girl who is undergoing a stem cell transplant. Which of the following would the nurse include in the child's postoperative plan of care?
A) Assessing for petechiae, purpura, bruising, or bleeding
B) Limiting blood draws to the minimum volume required
C) Administering antiemetics around the clock as ordered
D) Monitoring for severe diarrhea and maculopapular rash
D
Feedback:
In the posttransplant phase, monitor closely for symptoms of graft-versus-host disease (GVHD) such as severe diarrhea and maculopapular rash progressing to redness or desquamation of the skin (especially on the palms of the hands or soles of the feet). During chemotherapy in the pretransplant phase, assess for petechiae, purpura, bruising, or bleeding to prevent hemorrhage; administer antiemetics around the clock as ordered to prevent the cycle of nausea, vomiting, and anorexia; and limit blood draws to the minimum volume required to prevent anemia.
You might also like to view...
The nurse manager is preparing for the unit ward clerk's annual evaluation and sends out a short questionnaire requesting feedback on the ward clerk's effectiveness in her job
The nurse manager sent the request to one doctor who uses the unit frequently, to a staff nurse on each shift, to the housekeeping department head, and to the head of the volunteer program. In addition, the nurse manager interviews three patients to determine how courteous the ward clerk is when answering call lights from the unit desk. What is this an example of? A) Peer review B) A 360-degree evaluation C) An overreaching performance review D) An anecdotal performance review
The patient is scheduled for a colonoscopy at 10 AM today. The effectiveness of the nurse's teaching for this procedure is verified by the following statement by the patient:
1. "I know that the lighted tube he will use will help the doctor look at my tumor and he might take a small piece of tissue to look at in the lab." 2. "I know that light on the tube will help to cure my cancer for me." 3. "I know colonoscopy is very painful and embarrassing and I hope no one sees me in that position." 4. "My daughter is coming in to see me today. I am glad to be looking forward to something pleasant."
Medicare Advantage is essentially a managed care plan with a financial incentive to the insurance company to accept seniors, to create competition with the original Medicare. What is notable about Medicare Advantage?
A. As a new program, no one has yet seen any problems with this aspect of Medicare. B. Insurance salespeople have been very careful in explaining this program to seniors. C. More insurance companies are marketing such plans to seniors. D. Unless the senior is very healthy, the plan may cost more than the original Medicare.
The home health nurse is visiting a patient who independently performs PD. Which question does the nurse ask the patient to assess for the major complication associated with PD?
a. "Have you noticed any signs or symptoms of infection." b. "Are you having any patin during the dialysis treatment." c. "Is the dialysis fluid slow or sluggish." d. "Have you noticed any leakage around the catheter."