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 that
A. Donor bone marrow cells are transplanted immediately after an infusion of chemotherapy
B. The transplant procedure takes place in a sterile operating room to minimize the risk for infection
C. The transplant of the donated cells is painful because of the nerves in the tissue lining the bone
D. Hospitalization will be required for several weeks after the hematopoietic stem cell transplant (HSCT)
Correct Answer: D. Hospitalization will be required for several weeks after the hematopoietic stem cell transplant (HSCT)
Option D: The patient requires strict protective isolation to prevent infection for 2 to 4 weeks after HSCT while waiting for the transplanted marrow to start producing cells.
Option A: The HSCT takes place 1 or 2 days after chemotherapy to prevent damage to the transplanted cells by the chemotherapy drugs.
Options B and C: The transplanted cells are infused through an IV line, so the transplant is not painful, nor is an operating room required.
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