D. Uric acid level. The nurse teaches a patient with cancer of the liver about high-protein, high-calorie diet choices. An allogeneic stem cell transplant is also called an allogeneic bone marrow transplant. Information about how the patient has coped with past stressful situations helps the nurse determine usual coping mechanisms and their effectiveness. this procedure destroys normal bone marrow as well as the cancerous marrow. An allogeneic stem cell transplant uses healthy blood stem cells from a donor to replace your diseased or damaged bone marrow. Answer: B. avoid presenting foods for which the patient has a strong dislike. The 56 practice questions about Cancer includes 20 multiple choice questions in 1 sections. Bone marrow suppression B. Liver toxicity C. Nausea D. Stomatitis answer Correct answer A This is a commonly prescribed course of aggressive chemotherapy, and bone marrow suppression … Blood urea nitrogen (BUN) D. takes opioids around the clock on a regular schedule and uses additional doses when breakthrough pain occurs. The nurse teaches the patient that the purpose of therapy with this agent is to. These patients present with a myriad of questions, and the nurse must be versatile in meeting the patients’ and families’ informational needs. Treatment for mild cases is supportive. The following are NCLEX style questions regarding Multiple Myeloma: 1) ... malignant proliferation of plasma cells within the bone Rationale: Multiple myeloma is a B-cell neoplastic condition characterized by abnormal malignant proliferation of plasma cells and the accumulation of mature plasma cells in the bone marrow. Avoid taking oral iron preparation in which of the ff. The primary purpose of chemotherapy is to target and kill those fast-growing cells. The nurse understands that this patient is likely to develop. Nurseslabs – NCLEX Practice Questions, Nursing Study Guides, and Care Plans, Cancer and Oncology Nursing NCLEX Practice Quiz #5 (15 Questions), 3,500+ NCLEX-RN Practice Questions for Free, 20 NCLEX Tips and Strategies Every Nursing Students Should Know, My NCLEX Experience: Study Tips and Resources for Nursing Students, 6 Easy Ways on How Nurses Can Master the Art of Delegation, 12 Tips to Answer NCLEX Select All That Apply (SATA) Questions, Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. Bone marrow toxicity is one of the most frequent types of drug-induced toxicity. Complications from a bone marrow transplant… The patient requires strict protective isolation to prevent infection for 2 to 4 weeks after HSCT while waiting for the transplanted marrow to start producing cells. 14. states that nonopioid analgesics may be used when the maximal dose of the opioid is reached without adequate pain relief. The other actions are appropriate for oral care of a pancytopenic patient. Which nursing statement is indicated? prevent the bone marrow depression caused by chemotherapy. The patient with an autoimmune disease will be treated with plasmapheresis. His family is having trouble dealing with the emotional and financial pressures of his disease. (Benefits of reverse isolation are controversial.) The nurse recognizes this reaction as an indication that the: a.donor T cells are attacking the patient's skin cells. A bone marrow transplant is a procedure that infuses healthy blood-forming stem cells into your body to replace your damaged or diseased bone marrow. Bone marrow transplant (BMT)- kill all Bone Marrow and replace with new cells; Symptomatic treatment ... How to Answer NCLEX® Priority Questions. 11. “Why don’t we talk about the options you have for the care of your children?” Wanting to reach a bigger audience in teaching, he is now a writer and contributor for Nurseslabs since 2012 while working part-time as a nurse instructor. A. uses the ordered opioid pain medication whenever the pain is greater than 5 on a 10-point scale. Surgery may be performed to reduce tumor burden and require less chemotherapy afterward. NCLEX: 56 practice questions about Cancer A child is seen in the pediatrician’s office for complaints of bone and joint pain. 3. C. donor bone marrow cells are transplanted immediately after an infusion of chemotherapy. ... A patient is scheduled for an isograft kidney transplant tomorrow. A. hospitalization will be required for several weeks after the hematopoietic stem cell transplant (HSCT). Myelocytes are not muscle cells Tumors are solid masses typically located in organs. Knowledge deficit: chemotherapy related to a lack of interest in learning about treatment Although nonopioid analgesics may also be used, there is no maximum dose of opioid. D. The NA puts fluoride toothpaste on the patient’s toothbrush. “Can you tell me what has been helpful to you in the past when coping with stressful events?”, “How long ago were you diagnosed with this cancer?”, “Are you familiar with the stages of emotional adjustment to a diagnosis like cancer of the colon?”, “How do you feel about having a possibly terminal illness?”, A 61-year-old woman who is 5 feet, 3 inches tall and weighs 125 pounds (57 kg) tells the nurse that she has a glass of wine two or three times a week. The nurse is identifying diagnoses appropriate for a patient receiving a bone marrow transplant for treatment of acute myelocytic anemia. He expresses concern to the nurse about the effect of chemotherapy on his sexual function. He wants to guide the next generation of nurses to achieve their goals and empower the nursing profession. Which type of hypersensitivity reaction has the patient experienced? Bone marrow transplants may use cells from your own body (autologous transplant) or from a donor (allogeneic transplant). A 61-year-old woman who is 5 feet, 3 inches tall and weighs 125 pounds (57 kg) tells the nurse that she has a glass of wine two or three times a week. Which information noted by the nurse reviewing the laboratory results of a patient who is receiving chemotherapy is most important to report to the health care provider? This video explains Bone Marrow Transplant in 10 minutes. 14. uses the ordered opioid pain medication whenever the pain is greater than 5 on a 10-point scale. In addition, the patient with metastatic ovarian cancer may not have a long time to plan. A patient's low hemoglobin and hematocrit have necessitated a transfusion of packed red blood cells (RBCs). Bone marrow aspiration is one of the diagnostic tools used to assess the status of the hematopoietic system. NCLEX-RN Practice Questions. A bone marrow transplant can be given to re-infuse stem cells that can reproduce adequate white blood cells to sustain and maintain the body’s immunity. The patient’s visitors bring in some fresh peaches from home. Ten days after receiving a bone marrow transplant… The best response by the nurse to the patient’s concerns is, A. Do good and soar high on your NCLEX exam! Answer: A. hospitalization will be required for several weeks after the hematopoietic stem cell transplant (HSCT). Question 15 was a SATA but only let me select one choice (this is in practice mode) yet the explanation said that the teaching will include mammogram, Pap smears, sunscreen use which if I recall were actually in my choices and were in 3 choices namely choices F, G, and H but for some reason the quiz is saying that the only correct choice is H which is sunscreen use. Jun 4, 2015 - List of best doctors for Bone Marrow Transplant in Mumbai, read credentials, check availability and book appointment online at top hospitals. Iron is stored in the intestinal mucosal cells, liver, spleen, and bone marrow as ferritin (an iron–protein complex) until needed by the body. The problem is, it also kills fast-growing … His drive for educating people stemmed from working as a community health nurse. A. This activity contains 10 questions. A 21-year-old student had taken amoxicillin once as a child for an ear infection. Interleukin-2 (IL-2) is used as adjuvant therapy for a patient with metastatic renal cell carcinoma. B. Orange sherbet 6. Answer D. It destroys the bone marrow prior to transplant. A bone marrow transplant is being considered for treatment of a patient with acute leukemia that has not responded to chemotherapy. The patient does not use excessive alcohol or tobacco, she is physically active, and her body weight is healthy. Symptoms at diagnosis reflect these cellular changes so you have patients who are getting frequent infections, are tired, have a lot of bruises and bone pain. Feel Like … 4. b. the transplant of the donated cells is painful because of the nerves in the tissue lining the bone. C. “The radiation will make you sterile, but your ability to have sexual intercourse will not be changed by the treatment.” Shortly after the first unit of RBCs starts to infuse, the patient develops signs and symptoms of a transfusion reaction. And, a reduced number of platelets cause the blood not to clot as easily. To answer such questions … “It is possible you may have some changes in your sexual function, and you may want to consider pretreatment harvesting of sperm if you want children.”. Myelo comes from the Greek word myelos, which means marrow. Answer: A. It also has a handful of questions about Emergency Nursing, HIV/AIDS, and Anemia that will test your wits about the concepts behind Medical-Surgical Nursing. B. states that nonopioid analgesics may be used when the maximal dose of the opioid is reached without adequate pain relief. What should the nurse teach the patient about this treatment? Answer: A. The nurse would monitor for which … This procedure also is being explored as a treatment of certain hematologic disorders and cancers, such as multiple myeloma and some solid tumors. Cancer Answer Line … His family is having trouble dealing with the emotional and financial pressures of his disease. She is given an injection of Penicillin V and develops a systemic anaphylactic reaction. For chronic cancer pain, analgesics should be taken on a scheduled basis, with additional doses as needed for breakthrough pain. b. patient's antibodies are rejecting the donor bone marrow. Lung Cancer 4. Exam Mode – Questions and choices are randomly arranged, time limit of 1min per question, answers and grade will be revealed after finishing the exam. A. protect normal kidney cells from the damaging effects of chemotherapy. Transfusions may be necessary. H. Sunscreen use, 1. 7 Questions | By Kaelanna | Last updated: Jan 10, 2013 | Total Attempts: 320 Questions All questions 5 questions 6 questions 7 questions You have not finished your quiz. The patient does not feel like eating. A with tumor lysis syndrome (TLS) is taking allopurinol (Zyloprim). Be sure to read them. Bone marrow suppression B. Liver toxicity C. Nausea D. Stomatitis answer Correct answer A This is a commonly prescribed course of aggressive chemotherapy, and bone marrow suppression is a major side effect. ?-Milk . Included topics in this practice quiz are: 1. C. Body weight A. provide foods that are highly spiced to stimulate the taste buds. The nurse finds the patient crying, and she tells the nurse that she does not know what will happen to her children when she dies. hospitalization will be required for several weeks after the hematopoietic stem cell transplant (HSCT). Answer: B. Multiple-choice questions in thoracic transplantation medicine S W Dubrey, C Melikian, N R Banner Are the statements listed beneath each question true or false? The patient with diabetes mellitus has been ill for some time with a severe lung infection needing corticosteroids and antibiotics. You might need a bone marrow transplant if your bone marrow stops working and does not produce enough healthy blood cells. When assessing a patient’s needs for psychologic support after the patient has been diagnosed with stage I cancer of the colon, which question by the nurse will provide the most information? IL-2 does not protect normal cells from damage caused by chemotherapy, stimulate malignant cells to enter mitosis, or prevent bone marrow depression. 12. He earned his license to practice as a registered nurse during the same year. Answer: B. Exam Mode – Questions and choices are … B. The primary purpose of chemotherapy is to target and kill those fast-growing cells. Which statement by the patient may indicate a need for a change in treatment? normal … A bone marrow transplant is being considered for treatment of a patient with acute leukemia that has not responded to chemotherapy. The NA adds baking soda to the patient’s saline oral rinses. The blood’s cellular components originate primarily in the marrow of bones such as the sternum, iliac crest, and cranium. There are many oncology specialties that you may be interested in like bone marrow transplant or chemotherapy. Along with your physician's advice, let 100 Questions and Answers About Bone Marrow and Stem Cell Transplantation be your guide. Taking the medications only when pain reaches a certain level does not provide effective pain control. The NA puts fluoride toothpaste on the patient’s toothbrush. 3. Answers and rationales (if any) are given below. D. the transplant procedure takes place in a sterile operating room to minimize the risk for infection. To understand what a bone marrow transplant is really like, it might help to think of it like a blood transfusion: damaged or cancer-filled bone marrow is replaced with healthy bone marrow cells. B. C. stimulate malignant cells in the resting phase to enter mitosis. Oncology Nursing 2. Ten days after receiving a bone marrow transplant, a patient develops a skin rash on his palms and soles, jaundice, and diarrhea. C. The patient uses soap and shampoo to shower every other day. Adding baby meats to foods will increase calorie and protein levels, but does not address the issue of taste. If loading fails, click here to try again, A 32-year-old male patient is to undergo radiation therapy to the pelvic area for Hodgkin’s lymphoma. The home health nurse is caring for a patient who has been receiving interferon therapy for treatment of cancer. D. French fries, 9. A reduced number of red blood cells causes hemoglobin to drop. Patient Positioning: Complete Guide for Nurses, Registered Nurse Career Guide: How to Become a Registered Nurse (RN), NCLEX Questions Nursing Test Bank and Review, Nursing Care Plans (NCP): Ultimate Guide and Database, Nursing Diagnosis Guide: All You Need to Know to Master Diagnosing. Interleukin-2 (IL-2) is used as adjuvant therapy for a patient with metastatic renal cell carcinoma. An appropriate nursing intervention that addresses the etiology of this problem is to. It involves extracting small amounts of myeloid tissue from a bony cavity (e.g., the sternum or iliac crest). 8. Neutropenia places the patient at risk for severe infection and is an indication that the chemotherapy dose may need to be lower or that white blood cell (WBC) growth factors such as filgrastim (Neupogen) are needed. Once you are finished, click the button below. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. French fries are high in calories from fat but low in protein. C. agrees to take the medications by the IV route to improve effectiveness. “Many patients with cancer live for a long time, so there is time to plan for your children.” Topics or concepts included in this exam are: Follow the guidelines below to make the most out of this exam: In Exam Mode: All questions are shown but the results, answers, and rationales (if any) will only be given after you’ve finished the quiz. B. the transplant of the donated cells is painful because of the nerves in the tissue lining the bone. Additional spice is not usually an effective way to enhance taste. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. G. Pap testing ), A. The patient works for the post office and has a 5-mile mail-delivery route. “How long ago were you diagnosed with this cancer?” We interviewed Michelle about a work + study + life balance, the day-to-day of the bone marrow transplant … The nurse has identified the nursing diagnosis of imbalanced nutrition: less than body requirements related to altered taste sensation in a patient with lung cancer who has had a 10% loss in weight. When assessing a patient’s needs for psychologic support after the patient has been diagnosed with stage I cancer of the colon, which question by the nurse will provide the most information? … The NA assists the patient to use dental floss after eating. add strained baby meats to foods such as soups and casseroles. NCLEX-PN Exam … The success of a bone marrow transplant is primarily dependent on how closely the donor and recipient genetically match. The nurse, case manager, physician, and social worker meet to discuss the plan of care. Would not the correct choices be F through H like what the explanation says? Although it is possible that the patient’s ex-husband will take the children, more assessment information is needed before making plans. C. It will remove the IgG autoantibodies and antigen complexes from the plasma. A with tumor lysis syndrome (TLS) is taking allopurinol (Xyloprim). Which laboratory value should the nurse monitor to determine the effectiveness of the medication? Physical activity B. WBC count of 1700/µl NCLEX Management of Care Quiz 6. Yogurt has high biologic value because of the protein and fat content. The patient’s visitors bring in some fresh peaches from home. Which of these topics will the nurse plan to include in patient teaching about cancer? 2. risk for infection 3. ineffective protection because prior to bone marrow transplant, chemotherapy or total body irradiation is used to destroy leukemic cells in the bone arrow. B. The 56 practice questions about Cancer includes 20 multiple choice questions in 1 sections. IL-2 enhances the ability of the patient’s own immune response to suppress tumor cells. Which information noted by the nurse reviewing the laboratory results of a patient who is receiving chemotherapy is most important to report to the health care provider? D. The patient cleans with a warm washcloth after having a stool. 11. That Time I Dropped Out of Nursing School. The length of time since the diagnosis will not provide much information about the patient’s need for support. Get personalized guidance on selecting the best doctors for Bone Marrow Transplant in Mumbai and book priority appointment Bone Marrow Transplant specialist - credihealth.com | H… The responses beginning “Many patients with cancer live for a long time” and “For now you need to concentrate on getting well” close off discussion of the topic and indicate that the nurse is uncomfortable with the topic. An 18-year-old client with acute lymphocytic leukemia is admitted to the bone marrow transplantation unit. He conducted first aid training and health seminars and workshops for teachers, community members, and local groups. What to do • Control infection by placing the patient in a private room and imposing reverse isolation, if necessary. C. Serum potassium NCLEX: 56 practice questions about Cancer A child is seen in the pediatrician’s office for complaints of bone … Hello all,I am graduating in May with my BSN:yeah:. The patient … Careful cleaning after having a bowel movement will help to prevent perineal skin breakdown and infection. During this period and up to when the client’s response to the transplantation has been successful, nursing interventions should focus on prevention of infection. Any items you have not completed will be marked incorrect. Answer: C. Risk for ineffective health maintenance related to anxiety about new leukemia diagnosis. Which snack choice by the patient indicates that the teaching has been effective? Prophylactic antibiotics will be given. provide foods that are highly spiced to stimulate the taste buds.

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