Cellular Regulation

Question 1

You are caring for an 19-year-old patient status post 9/10 matched allogeneic stem cell transplant. At your initial shift assessment, your patient reports R upper quadrant pain. His weight is up 2kg from yesterday. What target organ do you suspect may be showing early signs of aGVHD?
Skin
GI tract
Liver
Heart

Answer 1

Liver

Question 2

You are caring for a 23 year old patient who is day +27 from an allogeneic stem cell transplant with a WBC of 1.2. She recently developed a maculopapular rash on her trunk and neck. The team suspects aGVHD involving the skin. Which of the following nursing interventions should you anticipate implementing? Select all that apply:

Comprehensive skin assessments every shift and PRN

Topical steroids

Meticulous skin care with gentle soaps

Patient/family education

Answer 2

all are correct

Question 3

What is the difference between an autologous vs allogeneic transplant

They both have the same meaning

An autologous transplant involves transplanting a person’s own stem cells and an allogeneic transplant involves the use of donor stem cells

None of the above

An autologous transplant involves the use of donor stem cells and an allogeneic involves a person’s own stem cells

Answer 3

An autologous transplant involves transplanting a person’s own stem cells and an allogeneic transplant involves the use of donor stem cells

Question 4

A bone marrow transplant is being considered for treatment of a patient with acute leukemia that has not responded to chemotherapy. In discussing the treatment with the patient, the nurse explains the following. (Select all that apply)

A common complication of bone marrow transplant is graft vs host disease (GVHD)

Hospitalization will be required for several weeks after the hematopoietic stem cell transplant (HSCT)

None of the above

The transplant of the donated cells is painful because of the nerves in the tissue lining in the bone

1 and 2 are correct

Answer 4

A common complication of bone marrow transplant is graft vs host disease (GVHD)

Hospitalization will be required for several weeks after the hematopoietic stem cell transplant (HSCT)