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 C

Explanation

Choice A reason: A negative urine dipstick for nitrites is more indicative of a lack of bacterial infection and is not directly related to glomerulonephritis.

Choice B reason: While the absence of pain or burning with voiding is positive, it does not specifically indicate the resolution of glomerulonephritis.

Choice C reason: The resolution of periorbital and peripheral edema is a sign that the treatment for glomerulonephritis has been eﬀective, as edema is a common symptom of this condition.

Choice D reason: A decrease in the anti-streptolysin-O (ASO) titer may indicate a response to treatment for a streptococcal infection, but it is not the most direct indicator of eﬀective treatment for glomerulonephritis.

A. Screening for metastasis will be important. B. Minimizing sun exposure reduces the risk for future BCC. C. The treatment plan includes watchful waiting. D. Low-dose systemic chemotherapy is used to treat BCC.

Correct Answer is B

Explanation

Choice A reason: Screening for metastasis is not typically necessary for BCC because it rarely metastasizes.

Choice B reason: Minimizing sun exposure is crucial in reducing the risk for future BCC, as UV radiation is a significant risk factor.
Choice C reason: Watchful waiting is not a standard treatment plan for BCC; treatment usually involves removal of the lesion.
Choice D reason: Low-dose systemic chemotherapy is generally not used to treat BCC; local treatments such as surgery or topical medications are preferred.

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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 finding for a patient admitted with glomerulonephritis indicates to the nurse that treatment has been eﬀective?

Correct Answer is C

Explanation

Which information should the nurse include in the teaching plan for a patient diagnosed with basal cell carcinoma (BCC)?

Correct Answer is B

Explanation

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