The nurse teaching a post-transplant client realizes that goals have been met when the client verbalizes understanding that the most common reason for rehospitalization in the post-transplant client is
a. acute rejection.
b. chronic rejection.
c. infection.
d. malignancy.
C
Infection is the most common indication for hospital readmission after transplantation.
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When using developmentally supportive positioning techniques, the nurse should
a. keep the infant in a prone position as much as possible b. use the side-lying position whenever possible c. minimize the use of positions that provide midline orientation d. alternate supine and prone positions
After completing the interview process, the nurse analyzes the data collected in order to?
A) Establish a baseline from which to start interviewing the family B) Develop nursing interventions C) Communicate information to the physician D) Communicate information to other staff members
A patient in the unit has a blood pressure of 55/30, is lethargic, has slurred speech, and is unable to get up from the floor unassisted. The nurse calls for a rapid response team. Which component of critical thinking is the nurse exhibiting?
1. Analysis of situation, distinguishing normal from abnormal 2. Evaluation of situation, determination of outcomes achieved 3. Collection of information, subjective and objective 4. Selection of alternative by developing outcomes and plans
The nurse is auscultating the carotid arteries of an elderly client and notes a bruit over the left carotid artery. Which of the following should the nurse do with this assessment finding?
1. Notify the physician 2. Document the findings as normal 3. Auscultate the heart for murmurs 1. Examine for jugular vein distention