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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Convert weight to kg: 11 lbs ÷ 2.2 = 5 kg. Calculate total daily dose: 60 mg/kg/day × 5 kg = 300 mg/day. Divide the total daily dose by the number of doses per day: 300 mg/day ÷ 4 (every 6 hours) = 75 mg per dose
Convert weight to kg: 11 lbs ÷ 2.2 = 5 kg. Calculate total daily dose: 60 mg/kg/day × 5 kg = 300 mg/day. Divide the total daily dose by the number of doses per day: 300 mg/day ÷ 4 (every 6 hours) = 75 mg per dose
Convert weight to kg: 11 lbs ÷ 2.2 = 5 kg. Calculate total daily dose: 60 mg/kg/day × 5 kg = 300 mg/day. Divide the total daily dose by the number of doses per day: 300 mg/day ÷ 4 (every 6 hours) = 75 mg per dose
Convert weight to kg: 11 lbs ÷ 2.2 = 5 kg. Calculate total daily dose: 60 mg/kg/day × 5 kg = 300 mg/day. Divide the total daily dose by the number of doses per day: 300 mg/day ÷ 4 (every 6 hours) = 75 mg per dose
Correct Answer is A
Explanation
A. Applying direct pressure at the site and one inch above the catheterization site is the immediate priority to control the bleeding and prevent further blood loss.
B. Notifying the interventional cardiologist and the catheterization lab is important but should be done after initial bleeding control measures are taken.
C. Placing the bed in the Trendelenburg position is not appropriate for managing active bleeding from a catheterization site.
D. Reinforcing the bandage is not sufficient to control active bleeding; direct pressure is necessary.
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