A nurse is caring for a client who is admitted to the emergency department for fatigue.
Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply).
Assessment of lower extremities
Sodium level
Lung sounds
Creatinine level
Assessment of Incision site
Bowel sounds
Blood pressure.
Correct Answer : D,E
A. Assessment of Lower Extremities
Edema is common in renal failure but not specific to transplant rejection.
B. Sodium Level
Sodium level changes can occur with various conditions but are not specific to transplant rejection.
C. Lung Sounds
Lung sounds are important for respiratory issues but not directly indicative of kidney transplant rejection.
D. Creatinine Level
Elevated creatinine indicates possible kidney dysfunction or rejection.
E. Assessment of Incision Site
Signs of infection or inflammation at the incision site could indicate transplant issues.
F. Bowel Sounds
Hypoactive bowel sounds are related to gastrointestinal issues, not directly to transplant rejection.
G. Blood Pressure
Elevated blood pressure can be a consequence of many conditions but is not specific for transplant rejection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Learning to control impulsive behavior is more relevant for a right hemispheric CVA, which affects impulse control and judgment.
B. Establishing the ability to communicate effectively is crucial for a left hemispheric CVA, which often affects language and speech functions.
C. Compensating for loss of depth perception is related to right hemispheric CVA, which affects spatial awareness and perception.
D. Improving left-side motor function is important but secondary to addressing communication issues in a left hemispheric CVA where language deficits are a priority.
Correct Answer is ["100"]
Explanation
- Total volume to infuse: 200 mL
- Time for infusion: 2 hours
- The IV pump rate is calculated as: (Total Volume / Time) = Rate
- So, the calculation would be: (200 mL / 2 hr) = 100 mL/hr
- The nurse should set the IV pump to deliver 100 mL/hr.
Answer= 100
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