A nurse is providing teaching to a client who is scheduled for a kidney transplantation. Which of the following statements by the client indicates an understanding of the teaching?

"I don't have to worry about a rejection for at least 6 months after the transplant.

"My weight should be monitored daily after the transplant

"I shouldn't expect urine production for the first 12 hours."

"I should expect a low-grade fever for the first few days after the transplant."

Answer and Explanation

The Correct Answer is B

A. Rejection can occur at any time. Hyperacute rejection happens within minutes to hours, and acute rejection typically occurs within days to months. Life-long vigilance is required.

B. Daily weight monitoring is a critical component of post-transplant care. Rapid weight gain is one of the earliest and most objective indicators of fluid retention, which can signal that the new kidney is not filtering effectively or that the body is beginning to reject the organ.

C. In a successful living-donor transplant, urine production usually begins immediately. A lack of urine (oliguria or anuria) in the first 12 hours is a medical emergency that may indicate a blood clot or technical failure.

D. A fever is never expected after a transplant. Because the patient is on immunosuppressants, even a low-grade fever can be the only sign of a serious infection or an early sign of organ rejection.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Increased joint pain: Joint pain is not a typical sign of overexposure to phototherapy. While psoriatic arthritis can occur in individuals with psoriasis, it is not directly linked to phototherapy overexposure.

B. Increased body temperature: While phototherapy may slightly raise the body's temperature, a significant increase in body temperature is not a typical indication of overexposure. This could suggest another underlying issue, such as infection or heatstroke.

C. Cool, moist extremities: Cool, moist extremities are not typically associated with phototherapy overexposure. This finding is more indicative of circulatory or other systemic issues, which do not directly result from phototherapy.

D. Small blisters on the skin: Small blisters on the skin are a common sign of overexposure to phototherapy. Phototherapy uses ultraviolet (UV) light, and excessive exposure can lead to skin damage, including burns or blisters, similar to sunburn.

A. Serous drainage noted in the collection chamber B. Tidaling in the water seal chamber with respirations C. Diminished breath sounds in the lung bases D. Movement of the trachea toward the unaffected side

Correct Answer is B

Explanation

A. Serous drainage noted in the collection chamber: The type of drainage typically seen with a pneumothorax is not serous; it is usually minimal or absent. If there is significant drainage, it could indicate bleeding or another issue that should be monitored.

B. Tidaling in the water seal chamber with respirations: Tidaling, or the movement of the water level in the water seal chamber with respirations, is a normal finding. It indicates that the chest tube is correctly placed, and the lung is expanding and contracting.

C. Diminished breath sounds in the lung bases: Diminished breath sounds are expected in the area where the pneumothorax occurred, but it does not specifically indicate the placement of the chest tube.

D. Movement of the trachea toward the unaffected side: Tracheal deviation toward the unaffected side is a sign of tension pneumothorax, which is a medical emergency. It should not be expected following the placement of a chest tube for a pneumothorax, as the goal of the chest tube is to resolve the pneumothorax and prevent complications.

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A nurse is providing teaching to a client who is scheduled for a kidney transplantation. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving phototherapy for psoriasis. Which of the following findings should the nurse identify as an indication of overexposure?

Correct Answer is D

Explanation

A nurse is caring for a client following the placement of a chest tube drainage system for a pneumothorax. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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