An adolescent patient seeks care in the emergency department ...

[CharlieWard]

An adolescent patient seeks care in the emergency department after sharing needles for heroin injection with a friend who has hepatitis B. To provide immediate protection from infection, what medication will the nurse administer?
 
  a. Corticosteroids
  b. Gamma globulin
  c. Hepatitis B vaccine
  d. Fresh frozen plasma

Question 2

Ten days after receiving a bone marrow transplant, a patient develops a skin rash. What would the nurse suspect is the cause of this patient's skin rash?
 
  a. The donor T cells are attacking the patient's skin cells.
  b. The patient's antibodies are rejecting the donor bone marrow.
  c. The patient is experiencing a delayed hypersensitivity reaction.
  d. The patient will need treatment to prevent hyperacute rejection.

[Kjones0604]

Answer to Question 1

ANS: B
The patient should first receive antibodies for hepatitis B from injection of gamma globulin. The hepatitis B vaccination series should be started to provide active immunity. Fresh frozen plasma and corticosteroids will not be effective in preventing hepatitis B in the patient.

Answer to Question 2

ANS: A
The patient's history and symptoms indicate that the patient is experiencing graft-versus-host disease, in which the donated T cells attack the patient's tissues. The history and symptoms are not consistent with rejection or delayed hypersensitivity.

[CharlieWard]

Thanks for the timely response, appreciate it

[Joy Chen]

Wow, this really help