Nokea
The hematopoietic stem cell transplant (Bone marrow transplant) is used for a patient with which disease?
- A. Iron deficiency anemia
- B. Aplastic anemia
- C. Leukemia
- D. Pernicious anemia
- E. Myelodysplastic syndrome
Correct Answer: B,C,E
Rationale: Bone marrow transplant may be used for aplastic anemia, leukemia and myelodysplastic syndrome. It is not used for iron deficiency anemia or pernicious anemia.
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The nurse expects the plan of care for a patient with leukemia to focus on which aspect of care?
- A. Prevention of abnormal clotting
- B. Promotion of mobility activities
- C. Frequent transfusions of plasma
- D. Prevention of infectious diseases
Correct Answer: D
Rationale: The white blood cells are abnormal and not functioning well with leukemia, therefore, prevention of infection is a priority of care. A lack of platelets is seen with leukemia, causing excessive bleeding, not abnormal clotting. Promoting mobility is not a priority of care with leukemia. Plasma transfusions are not associated with care of a patient with leukemia.
Which must a patient undergo before a bone marrow transplant?
- A. A thorough nutritional plan to support new marrow
- B. Chemotherapy to eradicate malignant bone marrow cells
- C. A physical therapy program to strengthen the body
- D. Inhalation therapy to reduce possible pathogens in the lungs
Correct Answer: B
Rationale: Before the actual marrow transplant, the patient must undergo chemotherapy to kill all the marrow cells and the leukemic cells. The patient is at a major risk for infection at this time.
The presence of excess bands in the peripheral blood that indicate severe infection is indicated in which manner?
- A. shift to the left.
- B. shift to the right.
- C. bone marrow aspiration.
- D. thrombocytosis.
Correct Answer: A
Rationale: The presence of excess bands in the peripheral blood is called a shift to the left (i.e., a shift toward immature cells) and indicates severe infection.
When reinforcing instructions for the patient taking an oral liquid iron preparation, which should the nurse include?
- A. Information relative to taking the iron with milk
- B. Information relative to the bowel movement color changing to dark red
- C. Information relative to taking preparation through a straw to prevent staining of teeth
- D. Information relative to taking a drug with meals or a snack
Correct Answer: C
Rationale: Liquid iron preparations should be drunk through a straw to prevent tooth staining. All oral iron preparations should be taken before meals. Dairy products interfere with the absorption of iron.
A 23-year-old male patient with hemophilia A says, 'How can I keep my children from having hemophilia A?' Which is the most informative response?
- A. You need to select a very dependable mode of birth control.'
- B. You can only pass hemophilia B to your sons.'
- C. Your daughter may be a carrier and her children may have hemophilia A.'
- D. Your sons should have coagulation studies.'
Correct Answer: C
Rationale: Hemophilia A is an X-linked trait. Females are carriers; therefore, the patient's daughter could pass the disease to her sons.