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Exam (elaborations)

BMTCN EXAM WITH COMPLETE SOLUTIONS

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BMTCN EXAM WITH COMPLETE SOLUTIONS

Institution
BMTCN
Course
BMTCN

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A patient is currently taking cyclosporine and has a new order for fluconazole. The
nurse anticipates which of the following?


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Fluconazole may increase cyclosporine blood levels; therefore the dose
may need to be reduced

,when shoulda quality of life assessment in a patient with chronic gvhd occur?


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at least every three months and whenever steroids are tapered




preferred treatment for GVHD


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high dose of steroids




BCNU (carmustine)


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causes DNA cross-links and strands break
inhibits DNA repair and causes carbamylation of cellular proteins to
destroy cells
crosses the blood-brain barrier (because of lipid solubility)
requires pre and post hydration




Which of the following cell types play an important role in the movement of
hematopoietic stem cells from the marrow to the peripheral circulation?


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, Bone marrow stromal cells provide the required microenvironment for the
release of hemopoietic cells to the circulation.




A patient who received an allogeneic HSCT twelve years ago has been diagnosed
with non squamous cell carcinoma. Which of the following does the nurse suspect
increased the risk of developing this secondary malignancy?


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History of radiation-containing conditioning regimen




Cyclosporine mechanism of action


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prevents IL-2 gene expression, therefore impairing IL-2 and activation of T
lymphocytes.
begin cyclosporine 2 days before to ensure therapeutic serum levels when
the graft is infused.




matched sibiling/related


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, human leukocyte antigen(HLA) identical relative
a: no potential stem cell contamination, access to cells because the donor
is related
d: only 25 % of the population has a sibling match, risk of GVHD




Gut GVHD stage 3


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diarrhea >1500 or 90 ml/kg




stem sources that decrease the incidence of GVHD


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umbilical cord blood and bone marrow




How should the healthcare team address the psychosocial needs of transplant
patients and caregivers?


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Members of the team must work together to educate the patient, family,
and caregiver through each step of the transplant.




xerostomia te oat is higher to develop

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Institution
BMTCN
Course
BMTCN

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Written in
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