The nurse caring for a client who has had a bone marrow transplant assesses a rash over a large part of the client's body and discovers, upon questioning, that the client has had diarrhea and vomiting on day 30 following the transplant
The nurse reviews laboratory results and sees liver enzymes are elevated.The nurse suspects that this client has: 1. Veno-occlusive liver disease.
2. Renal insufficiency.
3. Gastrointestinal toxicity.
4. Acute graft-versus-host disease.
4
Rationale: These are classic symptoms of acute graft-versus-host disease following a bone marrow transplant, as the body attempts to destroy the bone marrow seen as a foreign antigen.
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An older pregnant woman has come to the clinic for her first prenatal visit. She asks the nurse about age guidelines for genetic counseling and prenatal testing
The nurse informs the patient that genetic counseling and prenatal testing should be performed for all pregnant women in which age group? A) 18 to 25 B) 25 to 30 C) 35 and older D) 18 and under
A client has been receiving treatment for hypothermia. Which of the following would indicate that interventions have been successful?
1. Current temperature 95°F 2. Continues to shiver 3. Heart rate 72 and regular 4. Blood pressure 88/54 mmHg
Rabi is being prescribed phenytoin for seizures. Monitoring includes assessing:
1. For phenytoin hypersensitivity syndrome 3 to 8 weeks after starting treatment 2. For pedal edema throughout therapy 3. Heart rate at each visit and consider altering therapy if heart rate is less than 60 bpm 4. For vision changes, such as red-green blindness, at least annually
A client complains of slowed body metabolism, slurred speech, bradycardia, weight gain, low body temperature, and intolerance to cold environments. What diagnosis does the nurse expect based on these assessment findings?
1. Type II diabetes 2. Type I diabetes 3. Hypothyroidism 4. Hyperthyroidism