The nurse is assessing a client's susceptibility to rejecting a transplanted kidney. Which result does the nurse recognize as increasing the client's chances of rejection?
a. Decreased T-lymphocyte helper
b. Decreased white blood cell count
c. Increased cytotoxic-cytolytic T cell
d. Increased neutrophil count
C
Cytotoxic-cytolytic T cells function to attack and destroy non–self-cells, specifically virally in-fected cells and cells from transplanted grafts and organs. A high level of these cells would in-crease the chances of rejection. Decreased white blood cells would indicate immune suppression. Neutrophils are increased during an infection.
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A female client is hospitalized with injury and tissue destruction of the left pectoralis major and serratus anterior muscles due to a motor vehicle accident
The nurse would include which of the following information during the discharge teaching? 1. Prosthestic devices 2. Support bras 3. Plastic surgery 4. Physical therapy
The nurse is planning a cancer education event in an Asian community center. The nurse plans to present information specifically on which types of cancer?
a. Breast and colorectal b. Skin and lymphoma c. Liver and stomach d. Uterine and ovarian
The nurse is teaching the client about pin site care. Which does the nurse include in client teaching for self-care at home?
1. Use swabs to clean from periphery toward each pin. 2. Wrap the pins with sterile gauze saturated in peroxide. 3. Cover pin sites with dry sterile gauze or leave open to air. 4. Use one cotton swab to clean all of the pins with peroxide.
What is usually the first clinical manifestation of breast cancer?
a. Nipple dimpling b. Nipple discharge c. Enlargement of one breast d. Painless lump