A nurse is caring for a female client, 45 years old, with a kidney transplant, who is admitted to the emergency department for fatigue. The client is receiving oxygen via a 2L nasal cannula.

Exhibits

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

Sodium level

Creatinine level

Blood pressure

Assessment of lower extremities

Answer and Explanation

The Correct Answer is B

Choice A:
Sodium level - Sodium levels within the normal range do not indicate transplant rejection.
Choice B:
Creatinine level - Elevated creatinine levels suggest impaired kidney function, which can be a sign of kidney transplant rejection.
Choice C:
Blood pressure - While high blood pressure can be associated with kidney issues, it is not a direct indicator of transplant rejection.
Choice D:
Assessment of lower extremities - No visible edema or redness around the transplant site does not indicate rejection.

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Correct Answer is A

Explanation

Choice A rationale
Hyperpigmentation is a common manifestation of Addison's disease due to increased production of melanocyte-stimulating hormone along with adrenocorticotropic hormone (ACTH).
Choice B rationale
Purple striations are more characteristic of Cushing's syndrome, not Addison's disease; they result from prolonged exposure to high cortisol levels.
Choice C rationale
Intention tremors are not associated with Addison's disease; they are more commonly related to neurological conditions such as multiple sclerosis or cerebellar disorders.
Choice D rationale
Hirsutism is not typical of Addison's disease but is more related to conditions involving excess androgen production, such as polycystic ovary syndrome (PCOS).

A. Replace the water in flower vases with fresh water daily. B. Humidify the client's room. C. Serve cooked fruit with meals. D. Clean dentures in a denture cup.

Correct Answer is C

Explanation

Choice A rationale
Replacing the water in flower vases daily does not prevent infection for a client with neutropenia, as bacteria can still accumulate.
Choice B rationale
Humidifying the client’s room can increase the risk of mold growth, which is harmful to immunocompromised clients.
Choice C rationale
Serving cooked fruit minimizes the risk of infections from bacteria and fungi present on raw fruits, which is crucial for clients with low WBC counts.
Choice D rationale
Cleaning dentures in a denture cup does not significantly reduce infection risks for immunocompromised clients; proper mouth hygiene is essential but this practice alone is insufficient.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is caring for an older adult client who has a WBC count of 2,000/mm³ after three rounds of chemotherapy. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is creating the plan of care for a client who is immunosuppressed.Which of the following precautions should the nurse include in the plan? (Select all that apply)

A nurse is caring for a client who has a history of Addison's disease and is in Addisonian crisis. The client is lethargic. Which of the following actions should the nurse take?

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A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?

A nurse is evaluating a client's laboratory results. The nurse should recognize that an increase in the client's prostate specific antigen (PSA) laboratory value is indicative of which of the following diagnoses?

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