Question

2.The nurse is teaching a client who is scheduled to undergo allogeneic bone marrow transplantation. Which statements indicate that the client correctly understands the teaching? (Select all that apply.)

a.“The surgeon will insert the marrow into my femur bone.”

b.“Until the marrow transplant takes, I can have visitors.”

c.“The transplant does not start working immediately.”

d.“I will need chemotherapy before my transplant.”

e.“Radiation treatments will begin 2 days after transplantation.”

Answer 1

ANS. 2. The nurse is teaching a client who is scheduled to undergo allogeneic bone marrow transplantation. The statements which indicate that the client correctly understands the teaching are -

c) The transplant does not start working immediately.

Explanation - Bone marrow transplantation can take months to years for blood counts to get normal for the immune system to work properly.

d) I will need chemotherapy before my transplant.

Explanation - Chemotherapy should be given in high doses to eliminate the disease. In allogeneic Bone marrow transplantation, where stem cells of another person is taken for transplantation and chemotherapy suppresses the immune system to allow engraftment of the foreign tissue.

The statements which are NOT correct are -

a) The surgeon will insert the marrow into my femur bone

Explanation - Bone marrow transplantation is the transplantation of the stem cells and typically inserted into a pelvic bone not femur.

e) Radiation treatments will begin 2 days after transplantation

Explanation - Radiation therapy can develop the risk of a new disease or cancer.

b) Until the marrow transplant takes, I can have visitors

Explanation - Meeting with visitors can maximize the risk of infection.