The nurse is teaching a patient about taking immunosuppressant medications after an allogeneic stem cell transplant to treat leukemia.
What will the nurse teach is the indication for this treatment?

Prevent graft versus host disease.

Prevent graft rejection.

Prevent hospital acquired infections.

Prevent a relapse of the leukemia.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Prevent graft versus host disease (GVHD) is a common complication following an allogeneic stem cell transplant. Immunosuppressant medications are given to prevent the donor immune cells from attacking the recipient's body tissues, which is GVHD. This prevention is crucial for the success of the transplant and the patient's overall recovery.

Choice B rationale

Prevent graft rejection is more commonly associated with solid organ transplants like kidney or liver transplants. In the context of stem cell transplants, preventing GVHD is the primary concern rather than preventing graft rejection.

Choice C rationale

Preventing hospital-acquired infections is important for all patients, especially those with compromised immune systems. However, this is not the primary indication for immunosuppressant medications following an allogeneic stem cell transplant. Other measures, such as infection control protocols, are more directly related to this.

Choice D rationale

Preventing a relapse of leukemia is a key goal of the overall treatment plan for leukemia patients. However, immunosuppressant medications do not directly prevent a relapse; instead, they help manage complications like GVHD that can arise from the transplant process.

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Correct Answer is D

Explanation

Choice A rationale

Estrogen replacement therapy can have various effects on the body but does not significantly impact thyroid diagnostic tests. This information is still relevant for the patient's overall medical care but not directly related to thyroid testing results.

Choice B rationale

Lactose sensitivity is important for dietary considerations but does not affect thyroid diagnostic tests. Documenting dietary restrictions is important for patient care but does not impact the specific diagnostic tests for thyroid function.

Choice C rationale

Anti-seizure medications can affect thyroid function tests, particularly those that affect the metabolism of thyroid hormones. However, the consumption of iodine-rich foods like kelp or seaweed has a more direct and significant impact on thyroid function and diagnostic testing.

Choice D rationale

Frequent consumption of kelp or seaweed, which are high in iodine, can influence thyroid function tests by altering thyroid hormone levels. This dietary habit should be documented and communicated to ensure accurate interpretation of thyroid function test results. .

A. Pain 6/10 from mucositis and oral tissue injury. B. Weakness and fatigue with activity. C. Blood pressure 90/64 mmHg, pulse 102 beats per minute, oral temperature 38.5 degrees C. D. Scattered ecchymosis and petechiae noted on arms.

Correct Answer is C

Explanation

Choice A rationale

Pain from mucositis and oral tissue injury is a significant concern for patients undergoing chemotherapy. However, it is not typically life-threatening and can be managed with appropriate pain relief measures and oral care.

Choice B rationale

Weakness and fatigue with activity are common side effects of chemotherapy and the disease process itself. While these symptoms impact the patient's quality of life, they do not usually require urgent intervention.

Choice C rationale

Blood pressure of 90/64 mmHg, pulse of 102 beats per minute, and oral temperature of 38.5 degrees Celsius suggest possible sepsis or severe infection. These vital signs indicate an urgent need for intervention to prevent further deterioration and potentially life-threatening complications.

Choice D rationale

Scattered ecchymosis and petechiae are signs of thrombocytopenia (low platelet count), which is a common complication of leukemia and its treatment. While important to monitor and manage, these findings are not typically as urgent as signs of sepsis or severe infection.

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The nurse is teaching a patient about taking immunosuppressant medications after an allogeneic stem cell transplant to treat leukemia.What will the nurse teach is the indication for this treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who is scheduled for thyroid diagnostic testing.Which information, that may affect the test results, should be documented on the patient's electronic medical record (EMR) and communicated to the personnel conducting the test?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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The nurse is teaching a patient about taking immunosuppressant medications after an allogeneic stem cell transplant to treat leukemia.
What will the nurse teach is the indication for this treatment?