A nurse is caring for a client who is about to receive a bone ...

[mrsjacobs44]

A nurse is caring for a client who is about to receive a bone marrow transplant. To best help the client cope with the long recovery period, what action by the nurse is best?
 
  a. Arrange a visitation schedule among friends and family.
  b. Explain that this process is difficult but must be endured.
  c. Help the client find things to hope for each day of recovery.
  d. Provide plenty of diversionary activities for this time.

Question 2

An older client asks the nurse why people my age have weaker immune systems than younger people. What responses by the nurse are best? (Select all that apply.)
 
  a. Bone marrow produces fewer blood cells.
  b. You may have decreased levels of circulating platelets.
  c. You have lower levels of plasma proteins in the blood.
  d. Lymphocytes become more reactive to antigens.
  e. Spleen function declines after age 60.

[bookworm410]

Answer to Question 1

ANS: C
Providing hope is an essential nursing function during treatment for any disease process, but especially during the recovery period after bone marrow transplantation, which can take up to 3 weeks. The nurse can help the client look ahead to the recovery period and identify things to hope for during this time. Visitors are important to clients, but may pose an infection risk. Telling the client the recovery period must be endured does not acknowledge his or her feelings. Diversionary activities are important, but not as important as instilling hope.

Answer to Question 2

ANS: A, C
The aging adult has bone marrow that produces fewer cells and decreased blood volume with fewer plasma proteins. Platelet numbers remain unchanged, lymphocytes become less reactive, and spleen function stays the same.

[mrsjacobs44]

Excellent

[Jossy]

TYSM