A client has received a bone marrow transplant and is waiting for ...

[Capo]

A client has received a bone marrow transplant and is waiting for engraftment. What actions by the nurse are most appropriate? (Select all that apply.)
 
  a. Not allowing any visitors until engraftment
  b. Limiting the protein in the client's diet
  c. Placing the client in protective precautions
  d. Teaching visitors appropriate hand hygiene
  e. Telling visitors not to bring live flowers or plants

Question 2

A client with chronic anemia has had many blood transfusions. What medications does the nurse anticipate teaching the client about adding to the regimen? (Select all that apply.)
 
  a. Azacitidine (Vidaza)
  b. Darbepoetin alfa (Aranesp)
  c. Decitabine (Dacogen)
  d. Epoetin alfa (Epogen)
  e. Methylprednisolone (Solu-Medrol)

[sylvia]

Answer to Question 1

ANS: C, D, E
The client waiting for engraftment after bone marrow transplant has no white cells to protect him or her against infection. The client is on protective precautions and visitors are taught hand hygiene. No fresh flowers or plants are allowed due to the standing water in the vase or container that may harbor organisms. Limiting protein is not a healthy option and will not promote engraftment.

Answer to Question 2

ANS: B, D
Darbepoetin alfa and epoetin alfa are both red blood cell colony-stimulating factors that will help increase the production of red blood cells. Azacitidine and decitabine are used for myelodysplastic syndromes. Methylprednisolone is a steroid and would not be used for this problem.

[Capo]

TYSM

[helenmarkerine]

Excellent