The nurse is caring for a client is scheduled for chemotherapy followed by autologous stem cell transplant. Which of the following statements by the client indicates a need for further teaching?

"I will receive chemotherapy until most of the cancer is gone, and then I will get my own stem cells back."

‘I hope they find a bone marrow donor who matches."

“I will need to be in protective isolation for up to 3 months after treatment."

"The doctor will remove cells from my bone marrow before beginning chemotherapy."

Answer and Explanation

The Correct Answer is B

A. "I will receive chemotherapy until most of the cancer is gone, and then I will get my own stem cells back.": This correctly describes the autologous transplant process, where the client receives high-dose chemotherapy followed by reinfusion of their own previously harvested stem cells. This approach avoids donor-related complications.
B. "I hope they find a bone marrow donor who matches.": This indicates a misunderstanding, an autologous transplant uses the client’s own stem cells, not donor cells. Mentioning a donor implies confusion with an allogeneic transplant and signals the need for further teaching.
C. "I will need to be in protective isolation for up to 3 months after treatment.": This is accurate because high-dose chemotherapy destroys immune cells, leaving the client highly susceptible to infection. Protective isolation helps reduce the risk of life-threatening opportunistic infections during recovery.
D. "The doctor will remove cells from my bone marrow before beginning chemotherapy.": This statement aligns with the autologous transplant protocol. Stem cells are collected before chemotherapy begins to preserve them for later reinfusion, once the high-dose treatment is complete.

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Correct Answer is A

Explanation

A. Defibrillator: Ventricular arrhythmias, such as ventricular tachycardia or fibrillation, can be life-threatening and require immediate defibrillation if the client is pulseless or unstable. Having a defibrillator ready is the highest priority for emergency response.
B. Cardioversion equipment: Cardioversion is typically used for atrial arrhythmias or stable ventricular tachycardia. It is synchronized with the cardiac rhythm and not appropriate for pulseless ventricular fibrillation, which needs unsynchronized defibrillation.
C. An ECG machine: An ECG is important for diagnosing the specific arrhythmia but does not treat the condition. While useful for assessment, it is not the priority in an emergency involving unstable ventricular rhythms.
D. A suction machine: Suction may be needed later if the client loses consciousness or vomits, but it is not specific to the treatment of ventricular arrhythmias and is not the first piece of equipment to prepare.

A. A grilled chicken sandwich with mayonnaise B. A hot dog with ketchup C. A natural fruit salad with nuts D. A fresh grilled tuna entrée with fresh asparagus

Correct Answer is B

Explanation

A. A grilled chicken sandwich with mayonnaise: While some sodium is present in bread and condiments, grilled chicken and mayonnaise generally contain moderate sodium levels. With portion control and low-sodium ingredients, this can fit into a restricted sodium diet.
B. A hot dog with ketchup: Hot dogs are highly processed and contain high amounts of sodium and preservatives. Ketchup adds even more sodium, making this combination unsuitable for clients on a low sodium diet.
C. A natural fruit salad with nuts: Fresh fruits are naturally low in sodium, and unsalted nuts can be included as well. This option is both heart-healthy and supportive of a low sodium dietary plan.
D. A fresh grilled tuna entrée with fresh asparagus: When prepared without canned or pre-seasoned components, fresh tuna and vegetables are low in sodium. This meal provides lean protein and nutrients without excess salt.

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The nurse is caring for a client is scheduled for chemotherapy followed by autologous stem cell transplant. Which of the following statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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