Author Question: A family member is identified as a donor for a patient's stem cell transplant. What should the ... (Read 114 times)

azncindy619 · **on:** Jun 25, 2018

A family member is identified as a donor for a patient's stem cell transplant. What should the family member learn about this procedure?

Select all that apply.
1. Peripheral blood is removed.
2. Blood is removed from a central catheter.
3. White blood cells are added to the donor's blood.
4. A strict diet of low protein and fat must be consumed.
5. Hematopoietic growth factors will be administered for 4 to 5 days before the harvesting.

Question 2

A patient recently diagnosed with chronic myeloid leukemia (CML) says he does not want to leave his wife alone with all the household finances. Which response should the nurse refrain from making at this time?

1. I would encourage you to discuss your feelings with your wife so that she can be a part of the decision making process.
2. I would like to make a referral for you and your wife to a support group that may be helpful with some of the issues you are having.
3. It must be very difficult for you to think of your wife having to be alone with the household decisions.
4. You had better get your affairs in order now before it is too late.

frankwu0507 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 5
Prior to harvesting, hematopoietic growth factors, including G-CSF and GM-CSF, are administered to the donor for 4 to 5 days. This increases the concentration of stem cells in peripheral blood, allowing it to be used for the transplant. Peripheral blood is removed and white cells are separated from the plasma, then administered via a large central venous catheter.

Answer to Question 2

Correct Answer: 4
Once the patient has expressed a concern about getting affairs in order, the nurse can offer additional information or discuss available resources. Anticipatory grieving is identifying emotional losses or potential losses such as function, independence, appearance, friends, self-esteem, and self prior to actual events related to death. Making referrals for support or bereavement groups is appropriate at this time. Leading questions encourage patients to verbalize their feelings.