A child with acute myeloblastic leukemia is scheduled to have a ...

[NClaborn]

A child with acute myeloblastic leukemia is scheduled to have a bone marrow transplant (BMT). The donor is the child's own umbilical cord blood that had been previously harvested and banked. What type of BMT would this be?
 
  a. Autologous
  b. Allogeneic
  c. Syngeneic
  d. Stem cell

Question 2

Which is an appropriate intervention for a hospitalized child with an absolute neutrophil count (ANC) of 900/mm3?
 
  a. Inspect the child's skin for breaks and redness every shift.
  b. Administer the measles, mumps, rubella (MMR) vaccine if the child is not fully im-munized.
  c. Check urine and stools for blood.
  d. Teach the child to blow the nose gently.

[234sdffa]

Answer to Question 1

A
In an autologous transplant, the child's own marrow or previously harvested and banked cord blood is used. In an allogeneic BMT, histocompatibility has been matched with a related or unrelated donor. In a syngeneic transplant, the child receives bone marrow from an identical twin. A stem cell transplantation uses a unique immature cell present in the peripheral circulation.

Answer to Question 2

A
An ANC of 900/mm3 reflects a moderate risk of infection. The skin provides a barrier against infection. All areas should be inspected carefully for signs of infection. A live virus vaccine, such as MMR, could produce infection in an immunocompromised child. An appropriate intervention for a child with a low platelet count would be to check urine and stools for blood; an appropriate precaution would be to teach the child to blow the nose gently.