A 45-year-old client with chronic myelocytic leukemia (CML) is considering a bone marrow transplant from a sibling. How should the nurse assist this client with treatment decisions?
Ensure the patient understands the risks and benefits involved with this treatment
Explain that a cure is not possible with any other type of treatment
Encourage the patient to ask what new and experimental treatments are available.
Emphasize the positive aspects of the procedure for both donor and recipient
The Correct Answer is A
A. Ensure the patient understands the risks and benefits involved with this treatment: Clear information about the risks and benefits of a bone marrow transplant helps the patient make an informed decision based on their health, personal preferences, and understanding of the procedure.
B. Explain that a cure is not possible with any other type of treatment: While bone marrow transplant can be a potential cure, this is not the case for all patients. Other treatments, such as targeted therapy, may be effective, so stating that no other treatments work is not accurate.
C. Encourage the patient to ask what new and experimental treatments are available: The nurse's primary role is to ensure the patient fully understands the established treatment options and their potential outcomes. Experimental treatments may not be suitable for all patients.
D. Emphasize the positive aspects of the procedure for both donor and recipient: Focusing only on the positive aspects without acknowledging the risks could lead to an unrealistic view of the transplant. A balanced approach is needed to ensure informed decision-making.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Physician order for life-sustaining treatment: Life-sustaining treatment is not part of the initial chemotherapy plan unless end-of-life decisions are involved. The focus is on managing side effects and preventing complications.
B. Encourage low residue foods: Low-residue foods are not a priority in the initial chemotherapy plan. The primary concern is managing immunosuppression and preventing infections, which makes neutropenic precautions more important.
C. Neutropenic precautions: Neutropenic precautions are crucial during induction chemotherapy to prevent infections due to the lowered white blood cell count. The nurse should educate the client on hygiene and infection prevention.
D. An advanced directive: While important, an advanced directive is not the immediate focus during chemotherapy. The initial plan centers on managing chemotherapy effects and preventing complications like infections.
Correct Answer is ["25"]
Explanation
Total volume to be infused = 100 mL.
- Identify the infusion time in minutes.
Infusion time = 1 hour
= 60 minutes.
Drip factor of the piggyback tubing = 15 gtts/mL.
- Calculate the flow rate in drops per minute (gtts/min).
Flow rate (gtts/min) = (Total volume (mL) × Drip factor (gtts/mL)) / Infusion time (min)
= (100 mL × 15 gtts/mL) / 60 min
= 1500 / 60 gtts/min
= 25 gtts/min.
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