Which of the following nursing diagnoses (nursing problem) would be of highest priority for the patient hospitalized for a bone marrow transplant to treat relapse of acute myelocytic leukemia?
Disturbed body image
Anxiety
Ineffective protection
Imbalanced nutrition: less than body requirements
The Correct Answer is C
Choice A reason: While disturbed body image is a concern, it is not the highest priority for a patient undergoing a bone marrow transplant.
Choice B reason: Anxiety is important to address but does not take precedence over physical health concerns in the immediate post-transplant period.
Choice C reason: Ineffective protection is the highest priority because patients undergoing bone marrow transplants have compromised immune systems and are at high risk for infection.
Choice D reason: Imbalanced nutrition is a concern but is secondary to the risk of infection in the immediate care of a patient post bone marrow transplant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: An embolic stroke is caused by an embolus traveling to the brain and blocking a blood vessel. The symptoms described do not specifically indicate an embolic stroke.
Choice B reason: A hemorrhagic stroke, which is bleeding within the brain, often presents with a sudden, severe headache, vomiting, and a change in consciousness, aligning with the symptoms described.
Choice C reason: A thrombotic stroke is caused by a thrombus forming in a blood vessel in the brain. While it can cause similar symptoms, the sudden severe headache is more characteristic of a hemorrhagic stroke.
Choice D reason: A transient ischemic attack (TIA) is a temporary blockage of blood flow to the brain. The symptoms usually resolve within minutes to hours and do not typically include a severe headache or vomiting.
Correct Answer is D
Explanation
Choice A reason: The annual pneumococcal vaccine is recommended for preventing pneumococcal disease, which can be a complication of COPD, but it is not a primary prevention method for COPD itself.
Choice B reason: Maintaining ideal weight is important for overall health but is not directly related to the prevention of COPD.
Choice C reason: The annual influenza vaccine can help prevent flu-related complications in individuals with COPD but is not a primary prevention method for COPD.
Choice D reason: Stopping or cutting back on smoking is the most effective way to prevent COPD, as smoking is the leading cause of the disease.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today