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 C

Explanation

A. The client will have to take higher doses of the antiviral medications: Increasing the dose is not a standard or safe response to missed doses. Higher doses do not compensate for inconsistent use and may increase the risk of toxicity without improving outcomes.
B. The client will have to take the drugs intravenously to ensure compliance: Intravenous administration is not used as a compliance strategy for antiretrovirals. Most antiretroviral drugs are formulated for oral use, and adherence is managed through education and support, not route changes.
C. The client is risking the development of drug resistance and drug failure: Missing doses of antiretroviral therapy allows the virus to replicate, which increases the risk of developing mutations. This can lead to drug resistance, making the current regimen ineffective and limiting future treatment options.
D. The funding for the medications will cease if the client is not taking the meds correctly: Access to medication is not typically revoked due to non-adherence. While adherence is essential, patients are encouraged to be honest so that healthcare providers can support them rather than penalize them.

A. Alveoli B. The pulmonary artery C. The pulmonary vein D. Bronchi

Correct Answer is A

Explanation

A. Alveoli: The alveoli are responsible for gas exchange, including the removal of CO₂. Impaired alveolar function leads to CO₂ retention and respiratory acidosis, commonly seen in conditions like COPD or pneumonia.
B. The pulmonary artery: The pulmonary artery carries deoxygenated blood to the lungs but does not directly participate in gas exchange. Impairment here affects perfusion, not CO₂ elimination.
C. The pulmonary vein: The pulmonary vein returns oxygenated blood to the heart and is not involved in gas exchange. Elevated CO₂ is not typically linked to vein function.
D. Bronchi: The bronchi conduct air but do not facilitate gas exchange. While obstruction can contribute to CO₂ retention, the alveoli are primarily responsible for its removal.

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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 C

Explanation

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Correct Answer is A

Explanation

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