A nurse is caring for a client with acute myeloid leukemia (AML) who is having hematopoietic stem cell transplantation (HSCT) with radiation therapy. In which complication do the donor's lymphocytes recognize the patient's body as foreign and set up reactions to attack the foreign host?

Graft-versus-host disease

Bone marrow depression

Acute respiratory distress syndrome

Remission

Answer and Explanation

The Correct Answer is A

A. Graft-versus-host disease (GVHD): GVHD is a complication that occurs after hematopoietic stem cell transplantation (HSCT), where the donor's immune cells (lymphocytes) recognize the recipient’s body as foreign and attack the recipient's tissues. This is a common concern in HSCT, particularly with allogeneic transplants.

B. Bone marrow depression: Bone marrow depression is a common side effect of both chemotherapy and radiation therapy, but it does not involve the donor’s immune cells attacking the recipient’s body. It refers to the reduced ability of the bone marrow to produce blood cells.

C. Acute respiratory distress syndrome (ARDS): ARDS is a severe lung condition that can result from various causes such as trauma, infection, or inflammation, but it is not specifically related to GVHD or HSCT.

D. Remission: Remission refers to the reduction or disappearance of disease symptoms, especially in cancer. It is not a complication of HSCT, and it does not involve the donor’s immune cells attacking the patient’s body.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Follow the trends of the client's hematocrit: This is the most reliable way to gauge the course of polycythemia vera. The condition is characterized by an increase in red blood cell mass, and tracking changes in hematocrit levels helps assess disease progression and the effectiveness of treatment.

B. Document the color of the client's palms and face during each visit: While polycythemia vera can cause ruddy complexion due to increased red blood cell count, changes in the color of the palms and face are not a consistent or reliable indicator of disease progression. Hematocrit levels are more direct measures.

C. Document the client's response to erythropoietin injections: Erythropoietin is not used in the treatment of polycythemia vera because the disease involves excess RBC production. Primary treatment focuses on reducing RBC count rather than increasing it with erythropoietin.

D. Follow the client's erythrocyte sedimentation rate over time: The erythrocyte sedimentation rate (ESR) measures inflammation but does not specifically reflect the status of polycythemia vera. Hematocrit is a more direct and specific measure of the disease’s progression.

A. Smoking cessation B. Regular moderate exercise C. Maintenance of ideal weight D. Annual influenza immunization

Correct Answer is A

Explanation

A. Smoking cessation: Smoking is the leading cause of chronic bronchitis, and cessation is the most effective intervention to prevent the disorder. Quitting smoking reduces the risk of developing chronic bronchitis and other chronic obstructive pulmonary diseases (COPD).

B. Regular moderate exercise: While exercise can improve overall lung function and health, it is not the primary method for preventing chronic bronchitis. The main risk factor for chronic bronchitis is smoking, so the focus should be on smoking cessation.

C. Maintenance of ideal weight: Maintaining a healthy weight can support overall health, but it is not specifically an effective measure for preventing chronic bronchitis. Smoking cessation is the most important preventive strategy.

D. Annual influenza immunization: While the annual flu vaccine can help prevent respiratory infections, which may exacerbate chronic bronchitis, it is not the direct method for preventing the disorder itself. The primary preventive measure is smoking cessation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client with acute myeloid leukemia (AML) who is having hematopoietic stem cell transplantation (HSCT) with radiation therapy. In which complication do the donor's lymphocytes recognize the patient's body as foreign and set up reactions to attack the foreign host?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A clinic nurse is working with a client who has a long-standing diagnosis of polycythemia vera. How can the nurse best gauge the course of the client's disease?

Correct Answer is A

Explanation

A nurse is giving a presentation at a community center about chronic bronchitis. Which of the following information should the nurse include as effective for preventing this disorder?

Correct Answer is A

Explanation

A nurse is caring for a client who has a tracheostomy. Which of the following interventions should the nurse implement when performing tracheostomy care?

A nurse is auscultating the lungs of a client who has pleurisy. Which of the following adventitious breath sounds should the nurse expect to hear?

A nurse is caring for a client with leukemia who has developed a cough and increased fatigue. What is the primary nursing intervention?

A nurse is admitting a client who has systemic lupus erythematous (SLE). The client reports fatigue, joint tenderness, swelling, and difficulty urinating. Which of the following laboratory findings should the nurse anticipate? (Select all that apply.)

A nurse is caring for a group of clients in an infectious disease unit. The nurse should wear an OSHA-approved N95 respirator mask when caring for a client with which of the following infectious diseases?

A nurse is caring for a client who just had a flexible bronchoscopy. Which of the following nursing actions is appropriate?

When assessing a female client with a disorder of the hematopoietic or the lymphatic system, which assessment is most essential?

A nurse is teaching a client who has chronic obstructive pulmonary disease about ways to facilitate eating. Which of the following statements indicates a need for further teaching?