A nurse is assessing a client for acute rejection of a kidney transplant. What assessment finding requires the most rapid communication with the provider?
a. Blood urea nitrogen (BUN) of 18 mg/dL
b. Cloudy, foul-smelling urine
c. Creatinine of 3.9 mg/dL
d. Urine output of 340 mL/8 hr
ANS: C
A creatinine of 3.9 mg/dL is high, indicating possible dysfunction of the kidney. This is a possible sign of rejection. The BUN is normal, as is the urine output. Cloudy, foul-smelling urine would probably indicate a urinary tract infection.
You might also like to view...
A client is experiencing manifestations of stomatitis. What should the nurse include when assessing this client?
1. The upper left quadrant of the abdomen 2. The mouth with a penlight 3. The teeth 4. Swelling in the neck
A patient is diagnosed with a splenic artery aneurysm. The nurse realizes that which of the following structures is at risk for an alteration in blood flow?
1. esophagus 2. stomach, spleen, pancreas 3. duodenum, gall bladder 4. gall bladder, transverse colon
"Patterning nursing processes use energy to enhance health and well-being" is what the student reads in the textbook. As she inquired as to what theories use patterning, she began to read about appraisal and deliberative phases
Which theory highlights the appraisal and deliberative phases and is considered a patterning nursing process theory? A) Rogers' Science of Unitary Human Beings B) Parse's Human Becoming Theory C) Paterson and Zderad's Humanistic Theory D) Peplau's Interpersonal Relations Model
Unlike nondihydropyridines, dihydropyridines:
A. have prominent effects on the heart. B. block the influx of calcium ions into vascular smooth muscle. C. have very little direct actions on the heart. D. block the influx of sodium ions in cardiac muscle.