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A nurse is caring for a client who is admitted to the emergency department for fatigue.

Exhibits

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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Elevation of the right arm is not a primary treatment for bursitis; it is more commonly used for edema control.

B. Intermittent ice and heat helps reduce inflammation and pain associated with acute bursitis.

C. Corticosteroid therapy is a treatment option but may not be the first-line self-care strategy for acute bursitis without further evaluation by a provider.

D. Range-of-motion exercises should be avoided during acute inflammation, as it may exacerbate the condition.

A. Bright red B. Pale pink C. Bright yellow D. Dark amber

Correct Answer is B

Explanation

A. Bright red urine would indicate active bleeding and is not an expected finding after catheter removal.
B. Pale pink urine is expected as some bleeding is normal following a transurethral prostatectomy.
C. Bright yellow urine is typical of normal, well-hydrated urine and is not expected immediately postoperatively.
D. Dark amber urine could indicate dehydration and is not typical following this procedure.

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A nurse is caring for a client who is admitted to the emergency department for fatigue. Exhibits Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply).

Nursing Test Bank

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Correct Answer is B

Explanation

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A nurse is caring for a client who is admitted to the emergency department for fatigue.

Exhibits

Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply).