A client recently started on chemotherapy states, "The doctor told me my stem cells were down. A stem cell sounds like something on a flower! What did the doctor mean?" Which response by the nurse provides the best explanation?
1. "Stem cells are found in your bone marrow. They can turn into red blood cells, white blood cells, or platelets, depending on what your body needs at the time. Right now, your body is producing fewer than it should."
2. "Did the oncology nurse give you a copy of the pamphlet that discusses the unwanted effects of chemotherapy?"
3. "Bone marrow depression is a common side effect of chemotherapy, but it can be treated."
4. "The complete blood count you had yesterday showed a decrease in the number of stem cells. Your doctor is keeping you informed."
Correct Answer: 1
Rationale 1: Stem cells are located in the bone marrow. They can differentiate into several cell lines, depending on the body's requirements.
Rationale 2: Making a query to get more information is a good technique to clarify a client's question if the question itself is unclear. In this case, the client heard what the doctor said but did not understand it.
Rationale 3: It is true that bone marrow depression is common with chemotherapy, but the statement does not answer the client's question.
Rationale 4: Information about the client's complete blood count does not answer the client's question about stem cells.
Global Rationale: Stem cells are located in the bone marrow. They can differentiate into several cell lines, depending on the body's requirements. Making a query to get more information is a good technique to clarify a client's question if the question itself is unclear. In this case, the client heard what the doctor said but did not understand it. It is true that bone marrow depression is common with chemotherapy, but the statement does not answer the client's question. Information about the client's complete blood count does not answer the client's question about stem cells.
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