The nurse is caring for a child post bone marrow transplantation who has been diagnosed with graft versus host disease. The parents ask the nurse how this will be treated. Which of the following would be the nurse's BEST response?

"There is currently no treatment available for graft vs host disease."

"Your child will need to undergo a full cycle of high dose chemotherapy again."

"It is the responsibility of the oncologist to determine the treatment plan."

Typically we start by giving steroids and immunosuppressive drugs."

Answer and Explanation

The Correct Answer is D

A. This statement is incorrect as there are treatments available for graft versus host disease (GVHD).
B. Chemotherapy is not typically used to treat GVHD.
C. While the oncologist will determine the treatment plan, this response does not provide the parents with helpful information.
D. The most common initial treatment for GVHD involves steroids and immunosuppressive drugs. This response provides accurate information and addresses the parents' concerns.

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Correct Answer is D

Explanation

A. This statement is incorrect as current research shows no credible evidence linking immunizations to autism.
B. While it might be necessary to have documentation if a parent refuses immunizations, this is not the most effective first response to the mother's concerns.
C. While it is true that parents have the right to make decisions regarding immunizations, this response does not address the mother's specific concern about autism.
D. Providing accurate, evidence-based information is the best first response. It addresses the mother's concerns directly and helps correct misinformation.

A. Elevated BUN and Creatinine, decreased H & H decreased platelet count B. Hematuria, decreased BUN and elevated Creatinine, negative ASO titer C. Gross hematuria, proteinuria, increased BUN and Creatinine, decreased Sed Rate D. Elevated BUN and Creatinine, Urine specific gravity of 1.030, positive ASO titer

Correct Answer is D

Explanation

A. Decreased H & H and platelet count are not typical findings in glomerulonephritis.
B. Decreased BUN is not expected; BUN typically increases due to impaired kidney function.
C. Decreased Sed Rate is not expected; Sed Rate may increase due to inflammation.
D. Elevated BUN and Creatinine indicate impaired kidney function. Urine specific gravity of 1.030 indicates concentrated urine, and a positive ASO titer suggests a recent streptococcal infection, which is associated with glomerulonephritis.

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The nurse is caring for a child post bone marrow transplantation who has been diagnosed with graft versus host disease. The parents ask the nurse how this will be treated. Which of the following would be the nurse's BEST response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Explanation

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