Author Question: A patient with leukemia is considering whether to have hematopoietic stem cell transplantation ... (Read 52 times)

jilianpiloj · **on:** Jun 25, 2018

A patient with leukemia is considering whether to have hematopoietic stem cell transplantation (HSCT). The nurse will include which information in the patient's teaching plan?

a. Transplant of the donated cells is painful because of the nerves in the tissue lining the bone.
b. Donor bone marrow cells are transplanted through an incision into the sternum or hip bone.
c. The transplant procedure takes place in a sterile operating room to minimize the risk for infection.
d. Hospitalization will be required for several weeks after the stem cell transplant procedure is performed.

Question 2

Interleukin-2 (IL-2) is used as adjuvant therapy for a patient with metastatic renal cell carcinoma. Which information should the nurse include when explaining the purpose of this therapy to the patient?

a. IL-2 enhances the immunologic response to tumor cells.
b. IL-2 stimulates malignant cells in the resting phase to enter mitosis.
c. IL-2 prevents the bone marrow depression caused by chemotherapy.
d. IL-2 protects normal cells from the harmful effects of chemotherapy.

Hikerman221 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
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. The transplanted cells are infused through an IV line, so the transplant is not painful, nor is an operating room or incision required.

Answer to Question 2

ANS: A
IL-2 enhances the ability of the patient's own immune response to suppress tumor cells. IL-2 does not protect normal cells from damage caused by chemotherapy, stimulate malignant cells to enter mitosis, or prevent bone marrow depression.