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

Insertion of an arteriovenous graft for hemodialysis

Testing for human leukocyte antigen (HLA) match

Placement of the patient on the transplant waiting list

Administer Mycophenolate

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is C

Explanation

A. Sending blood to the lab for a complete blood count can wait until after immediate stabilization measures are initiated.
B. Finishing the primary survey is important, but the absent pulses and swollen leg suggest a critical vascular issue that needs immediate attention.
C. Assessing further for the cause of decreased circulation is the next step to determine if immediate intervention such as surgical consultation or revascularization is needed.
D. Starting normal saline infusion may be necessary later, but determining the cause of decreased circulation takes priority to prevent potential limb loss.

A. A conscious adult client who reports shortness of breath, has a respiratory rate of 24/min, and capillary refill of <2 seconds B. A conscious adult client who has a dislocated right shoulder, respiratory rate of 18/min, and capillary refill of <2 seconds C. An unconscious adult client who has a sucking chest wound, respirations of 38/min, and capillary refill of <2 seconds D. An unconscious adult client who has no respirations, capillary refill is 2 seconds and paramedics have already tried to reposition airway without results

Correct Answer is C

Explanation

A. This client has respiratory distress but is conscious and stable, requiring urgent but not immediate attention compared to other critical conditions.
B. This client has a dislocated shoulder, which is painful and needs attention but is not life-threatening compared to other conditions.
C. This client is unconscious with a sucking chest wound and high respiratory rate, indicating severe respiratory compromise and needing immediate intervention to prevent further deterioration.
D. This client is also unconscious with no respirations despite attempted airway management, indicating a need for immediate resuscitative efforts, potentially including CPR.

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

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Naxlex Comprehensive Predictor Exams

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