The nurse is creating a care plan for a child recovering from a hematopoietic stem cell transplant. The nurse is most concerned about the client's risk for
The nurse is creating a care plan for a child recovering from a hematopoietic stem cell transplant. The nurse is most concerned about the client's risk for
A. infection.
[93%]
B. delirium.
[2%]
C. nutritional imbalance.
[3%]
D. oral mucositis (OM).
[1%]
Statistics
Subject/Lesson
Subject
Child Health
Lesson
Hematological/Oncological
Client Need
Test Plan
Management of Care
Related Topic
Establishing Priorities
Item Type
Item Type
Analysis
Explanation
Choice A is correct. Infection is a significant concern following stem cell transplant. Following this procedure, bacterial, fungal, and viral infections present a significant threat. Prescriptions for prophylactic antibiotics, such as azithromycin and doxycycline, may be prescribed to cover the most common causes of postprocedure bacterial infections.
Choice B is incorrect. Delirium is possible after a stem cell transplant because of the medications used, the potential for metabolic derangements, and the prolonged time hospitalized. Delirium, while serious, is not fatal.
Choice C is incorrect. Nutritional imbalances are caused by a client with oral mucositis or the development of diarrhea. When the client convalesces from a stem cell transplant, total parenteral nutrition may be considered.
Choice D is incorrect. OM is a common occurrence after this procedure because of the severe inflammation. OM can be so serious that the client develops nutritional deficiencies from the lack of oral intake.
Additional Info
✓ Several months are needed for complete recovery from a hematopoietic stem cell transplant
✓ Infection is the primary threat to a client's recovery following this procedure
✓ Graft vs. Host disease is also a concern and is characterized by donor T-cell lymphocytes attacking host tissues. A cardinal manifestation of this adverse reaction is a pruritic or painful maculopapular rash that initially involves the palms, soles, shoulders, and neck. Renal and hepatic injury may also occur.
✓ Systemic glucocorticoids are the mainstay treatment for graft vs. host disease
