hospitalization and recovery. Prior to transplant with stem cells,
the patient receives total body chemotherapy, causing bone
marrow suppression. Therefore, the WBCs are depleted prior to
the transplant, and the ability to fight off an infection is
decreased significantly, creating the need for strict isolation for
the patient. With chemotherapy, there often is a tendency for
nausea and vomiting, leading to fluid loss and not fluid
retention. Therefore, the patient is more likely to have a
"deficit" rather than an "excess" when receiving stem cell
transplants. Steroid treatment can cause a fluid shift, but
usually not an "excess fluid balance."
The nurse is caring for a patient who states, "My urine has a
red-tinged appearance." Which of these questions would be the
most important for the nurse to ask this patient?