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

Answer and Explanation

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.

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Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason : Heart disease prevention is essential in managing pulmonary edema, especially when it is related to a cardiac condition.
Choice B reason : A healthy lifestyle, including diet and exercise, supports overall heart health and can help manage pulmonary edema.
Choice C reason : Smoking cessation is critical as smoking can exacerbate heart conditions and pulmonary edema.
Choice D reason : The goal of weight control is typically to reduce BMI, not increase it to over 35, which is considered obese.
Choice E reason : Glycemic control is important for diabetic patients to manage their condition and reduce the risk of complications, including pulmonary edema.

A. Inquire about the patient's use of NSAIDs and analgesics to manage pain. B. Reassure the patient that bone pain is expected with this disease. C. Suggest the use of a back brace to reduce pain. D. Notify the healthcare provider of the onset of new pain.

Correct Answer is D

Explanation

Choice A reason: While it is useful to know the patient's current pain management strategies, new onset severe back pain could indicate a serious complication such as a spinal fracture or compression, which requires immediate attention.

Choice B reason: Reassuring the patient is not appropriate without further assessment, as new onset severe pain could signify a serious issue that needs to be addressed.

Choice C reason: Suggesting a back brace may be part of the management plan, but it should not precede notifying the healthcare provider of new severe pain.

Choice D reason: Notifying the healthcare provider is the correct action because new onset severe back pain in a patient with multiple myeloma could indicate a serious condition such as a spinal fracture or compression, which requires prompt evaluation and treatment.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following information should the nurse include when educating a client who has pulmonary edema as a result of a pre-existing cardiac condition? (Select all that apply)

Correct Answer is ["A","B","C","E"]

Explanation

A patient with multiple myeloma calls the home health nurse complaining of severe back pain of new onset. The appropriate response by the nurse is to do which of the following?

Correct Answer is D

Explanation

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