A nurse is caring for a client who has had an open radical prostatectomy.

Exhibits

For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Administer a docusate sodium suppository.

Apply ice to the scrotum and penis.

Administer an antispasmodic medication.

Place the client in the sitting position while in bed.

Teach the client how to use a leg bag.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"}}

A. Docusate sodium suppositories are commonly used to prevent constipation, which is important postoperatively, especially if the client is experiencing decreased bowel sounds and reports feeling bloated.

B. Ice application can help reduce swelling (edema) in the scrotal and penile area, which is noted in the client's assessment. This can help alleviate discomfort and promote healing.

C. Antispasmodic medications can help manage bladder spasms, which are common postoperatively due to the presence of an indwelling urinary catheter and continuous bladder irrigation.

D. While changing positions is important to prevent complications like pressure ulcers and promote comfort, specifically placing the client in a sitting position while in bed may not be necessary and could potentially interfere with postoperative recovery and comfort.

E. Teaching the client how to use a leg bag for urinary drainage is important, especially if the client will be discharged with a catheter. This education ensures the client can manage their urinary drainage system effectively.

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Correct Answer is D

Explanation

A. Insertion of an arteriovenous graft is not directly related to treating acute rejection but may be necessary if dialysis is needed.
B. Testing for HLA match is done before transplantation, not typically after acute rejection occurs.
C. Placement on the transplant waiting list is for patients who do not have a current functioning transplant.
D. Mycophenolate is an immunosuppressive medication commonly used to prevent or treat rejection in transplant patients.

A. "After a couple of years, I will be able to stop taking the Tacrolimus.” B. “The drugs are combined to inhibit different ways the kidney can be rejected.” C. “If I develop acute rejection episode, I will need additional types of drugs." D. “I need to be monitored closely for development of cancer.”

Correct Answer is A

Explanation

A. This statement is incorrect because tacrolimus (an immunosuppressant) is typically required long-term to prevent organ rejection after a kidney transplant. Stopping it prematurely can lead to rejection.
B. This statement is correct because immunosuppressant drugs used after a kidney transplant often target different pathways to prevent rejection.
C. This statement is correct because acute rejection episodes may necessitate adjustments or additions to the immunosuppressive regimen.
D. This statement is correct because immunosuppressive medications increase the risk of certain cancers, so close monitoring is essential.

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A nurse is caring for a client who has had an open radical prostatectomy. Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is admitted to the hospital with acute rejection of a kidney transplant. Which intervention will the nurse expect for this patient?

Correct Answer is D

Explanation

The nurse teaches patients about drug therapy after a kidney transplant. Which statement by the patient would indicate a need for further instructions?

Correct Answer is A

Explanation

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A nurse is caring for a client who has had an open radical prostatectomy.

Exhibits

For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.