Which nursing action is implemented first when a child is admitted to the transplant center for a hematopoietic stem cell transplant?
1. Prepare the child and family for an intensive ablative dose of chemotherapy.
2. Place the child in protective isolation.
3. Maintain a central line catheter.
4. Serve irradiated food and water to the child.
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1. The preparation of the child and the caregivers for the weeks of hospitalization and social isolation required is a priority. A discussion with the child and caregivers will include the factors of the critical period of recovery for the client from the removal of cancer cells, transfusing histocompatible stem cells, and monitoring for signs of rejection.
2. Isolation is not the top priority at this time.
3. It is not stated that the child has a central line at this time, thus it is not a priority.
4. The concentration should be on the preparation of what is going to occur and how goals will be met.
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