The nurse teaches patients about drug therapy after a kidney transplant. Which statement by the patient would indicate a need for further instructions?

"After a couple of years, I will be able to stop taking the Tacrolimus.”

“The drugs are combined to inhibit different ways the kidney can be rejected.”

“If I develop acute rejection episode, I will need additional types of drugs."

“I need to be monitored closely for development of cancer.”

Answer and Explanation

The Correct Answer is A

A. This statement is incorrect because tacrolimus (an immunosuppressant) is typically required long-term to prevent organ rejection after a kidney transplant. Stopping it prematurely can lead to rejection.
B. This statement is correct because immunosuppressant drugs used after a kidney transplant often target different pathways to prevent rejection.
C. This statement is correct because acute rejection episodes may necessitate adjustments or additions to the immunosuppressive regimen.
D. This statement is correct because immunosuppressive medications increase the risk of certain cancers, so close monitoring is essential.

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Correct Answer is C

Explanation

A. WBCs (White Blood Cells) may be decreased in multiple myeloma due to bone marrow suppression.
B. ANC (Absolute Neutrophil Count) can be decreased due to bone marrow suppression from the disease or treatment.
C. Calcium levels are often elevated in multiple myeloma due to bone breakdown and release of calcium from bone.
D. Platelets may be decreased due to bone marrow suppression as well.

A. The patient develops atrial fibrillation. B. The core temperature is 94° F (34.4" C). C. The BP decreases to 86/42 mm Hg. D. The patient begins to shiver

Correct Answer is B

Explanation

A. Developing atrial fibrillation can be a complication of hypothermia, but rewarming is still necessary to address the underlying condition.
B. Active rewarming should be discontinued if the patient's core temperature reaches 94°F (34.4°C), as further active rewarming could lead to complications. It's important to transition to passive rewarming methods to allow the patient's temperature to normalize gradually.
C. A decrease in blood pressure may indicate hypovolemia or shock but does not necessarily require discontinuation of rewarming.
D. Shivering is a normal response during rewarming and does not indicate a need to discontinue rewarming efforts unless other complications arise.

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The nurse teaches patients about drug therapy after a kidney transplant. Which statement by the patient would indicate a need for further instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client who was admitted with a history of multiple myeloma. The nurse should expect to find an increase in which of the following laboratory values?

Correct Answer is C

Explanation

Which finding indicates that the nurse should discontinue active rewarming of a patient admitted with hypothermia?

Correct Answer is B

Explanation

A patient with hypotension and an elevated temperature after working outside on a hot day is treated in the emergency department (ED). Which patient statement indicates to the nurse that discharge teaching has been effective?

A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects?

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A nurse is caring for a client who has been exposed to an unknown chemical. Which of the following actions should the nurse take?

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