Why is J.L. receiving tacrolimus (Prograf)? How will this influence your assessment?
What will be an ideal response?
Tacrolimus is an immunosuppression medication that is given to help prevent organ rejection by
inhibiting T-cell responses. Its use predisposes her to opportunistic infections and more serious
infections than in healthy individuals. It also suppresses her normal immune response, potentially
masking usual signs of infection.
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The nurse is assessing cranial nerve XI (spinal accessory). Which statements would the nurse say to the client in order to complete this assessment?
1. "Shrug your shoulders and turn your head against my hand." 2. "Stick out your tongue and move it from side to side." 3. "Taste these foods and decide which is sweet and which is sour." 4. "Smell these items and identify what they are."
In the labor room, meconium-stained amniotic fluid is noted related to intrauterine growth restriction with accompanying abnormal fetal heart rate patterns. The most appropriate nursing action to minimize meconium aspiration syndrome is to
a. inform the nursery that the high-risk baby may be arriving soon b. prepare for cesarean delivery c. provide oxygen via facial mask d. request that a pediatrician or respiratory therapist be present for the delivery
Betaxolol (Betoptic) eye drops have been prescribed for the client with glaucoma. The nurse monitoring this client for side effects of the medication would place highest priority on which of the following?
1. Pulse rate 2. Blood glucose 3. Respiratory rate 4. Oxygen saturation
An exposure pathway helps illustrate that proximity to a contaminant is not the deciding factor in determining its effect on humans. What is the point of the exposure?
A) Describe what the contaminants are and where they originate B) Medium that the contaminant is in to determine who is exposed C) Place where people come in contact with the contaminated medium D) How the contaminant enters the body