Author Question: A nursing student is struggling to understand the process of graft-versus-host disease. What ... (Read 168 times)

mwit1967 · **on:** Jun 25, 2018

A nursing student is struggling to understand the process of graft-versus-host disease. What explanation by the nurse instructor is best?

a. Because of immunosuppression, the donor cells take over.
b. It's like a transfusion reaction because no perfect matches exist.
c. The client's cells are fighting donor cells for dominance.
d. The donor's cells are actually attacking the client's cells.

Question 2

The nurse is caring for a client with leukemia who has the priority problem of fatigue. What action by the client best indicates that an important goal for this problem has been met?

a. Doing activities of daily living (ADLs) using rest periods
b. Helping plan a daily activity schedule
c. Requesting a sleeping pill at night
d. Telling visitors to leave when fatigued

Kedrick2014 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
Graft versus host disease is an autoimmune-type process in which the donor cells recognize the client's cells as foreign and begin attacking them. The other answers are not accurate.

Answer to Question 2

ANS: A
Fatigue is a common problem for clients with leukemia. This client is managing his or her own ADLs using rest periods, which indicates an understanding of fatigue and how to control it. Helping to plan an activity schedule is a lesser indicator. Requesting a sleeping pill does not help control fatigue during the day. Asking visitors to leave when tired is another lesser indicator. Managing ADLs using rest periods demonstrates the most comprehensive management strategy.