The client, who has just undergone a kidney transplant, has an excessive number of cytotox-ic-cytolytic T cells. For which collaborative problem is this client at risk?
A. Chronic anemia and hypoxia
B. Increased susceptibility of infection
C. Greater likelihood of transplant rejection
D. Increased risk for allergic drug reactions
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.
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The nurse assesses an atopic client who has had serious type 1 hypersensitivity reactions. The nurse recognizes that the most severe form of a type 1 hypersensitivity reaction is
a. anaphylaxis. b. bronchial asthma. c. cell-mediated sensitivity. d. dermatitis.
The nurse is performing a health assessment and notes a yellow tinge to the sclera of the eye. The nurse would document this as being:
1. Cyanosis 2. Jaundice 3. Pallor 4. Erythema
A head and neck physical examination is completed on a 50-year-old female patient. All physical findings are normal except for fine brittle hair. Which laboratory test will the nurse expect to be ordered, based upon the physical findings?
a. Oxygen saturation b. Liver function test c. Carbon monoxide d. Thyroid-stimulating hormone test
A nurse is preparing an intravenous IV piggyback infusion. In which order will the nurse perform the steps, starting with the first one?
1. Compare the label of the medication with the medication administration record at the patient's bedside. 2. Connect the tubing of the piggyback infusion to the appropriate connector on the upper Y-port. 3. Hang the piggyback medication bag above the level of the primary fluid bag. 4. Clean the main IV line port with an antiseptic swab. 5. Connect the infusion tubing to the medication bag. 6. Regulate flow. a. 5, 2, 1, 4, 3, 6 b. 5, 2, 1, 3, 4, 6 c. 1, 5, 4, 3, 2, 6 d. 1, 5, 3, 4, 2, 6