A child comes to the clinic for an assessment 20 days post–bone marrow transplant. Which system should receive the highest priority during the nursing assessment?
1. Integumentary
2. Gastrointestinal
3. Respiratory
4. Cardiovascular
Correct Answer: 1
Rationale: The skin is most commonly affected in graft-versus-host disease after a transplant. A pruritic, macular papular rash and a blistering, burning sensation can occur. The other systems are important to assess, but are not the highest priority.
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The home health nurse is caring for a 77-year-old patient with congestive heart failure. What would the nurse consider a priority to assess to develop the most effective plan of care related to medication administration?
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A novice nurse observes change differences in practice from what was taught in nursing school and expresses confusion to the nurse manager
The nurse manager suggests which of the following methods as the best resource to determine best practice in the clinical setting? a. Ask a former faculty member. b. Review the textbook used during nursing school. c. Research electronic databases such as CINAHL. d. Attend professional conferences.