The nurse is caring for a child post bone marrow transplantation who has been diagnosed with graft versus host disease. The parents ask the nurse how this will be treated. Which of the following would be the nurse's BEST response?

"There is currently no treatment available for graft vs host disease."

"Your child will need to undergo a full cycle of high dose chemotherapy again."

"It is the responsibility of the oncologist to determine the treatment plan."

Typically we start by giving steroids and immunosuppressive drugs."

Answer and Explanation

The Correct Answer is D

A. This statement is incorrect as there are treatments available for graft versus host disease (GVHD).
B. Chemotherapy is not typically used to treat GVHD.
C. While the oncologist will determine the treatment plan, this response does not provide the parents with helpful information.
D. The most common initial treatment for GVHD involves steroids and immunosuppressive drugs. This response provides accurate information and addresses the parents' concerns.

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Correct Answer is C

Explanation

A. Documenting the information without taking action is inappropriate as lack of drainage could indicate a serious complication.
B. Encouraging the child to cough and deep breathe might be beneficial, but immediate reporting of this finding is critical.
C. Lack of drainage from the chest tubes following cardiac surgery can be life-threatening, indicating possible cardiac tamponade or tube occlusion. Immediate reporting is necessary for prompt intervention.
D. Assisting the child to a sitting position is not the priority; immediate evaluation by the healthcare team is required.

A. A blood pressure of 100/56 and a small weight gain B. A heart rate of 150 beats/minute with crying C. An apical pulse of 70 beats/minute and vomiting D. An hourly urine output of 45mL/hour

Correct Answer is C

Explanation

A. A blood pressure of 100/56 and a small weight gain may indicate fluid retention, but they are not immediately life-threatening.
B. A heart rate of 150 beats/minute with crying can be normal for a child of this age, especially during emotional distress.
C. An apical pulse of 70 beats/minute and vomiting are concerning because they may indicate digoxin toxicity. A low heart rate (bradycardia) in a child on digoxin requires immediate attention.
D. An hourly urine output of 45 mL/hour is adequate and not concerning in this context.

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The nurse is caring for a child post bone marrow transplantation who has been diagnosed with graft versus host disease. The parents ask the nurse how this will be treated. Which of the following would be the nurse's BEST response?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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