A patient being prepared for a kidney transplant from a brain dead cadaver donor has a preformed antibody level of 8%. In order to suppress these antibodies, which of the following can be done for the patient?
1. transfuse with the cadaver donor's blood
2. provide intravenous immunoglobulin
3. administer salt poor intravenous fluids
4. transfuse with white blood cells
2
Rationale: The normal preformed antibody level value is 0 percent. In order to suppress the preformed antibodies, the patient awaiting a transplant may undergo one or more treatment modalities, such as plasmapheresis, intravenous immunoglobulin, or immunosuppressant therapy. The patient should not be transfused with the cadaver donor's blood or with white blood cells. Administration of salt poor intravenous fluids will not affect the patient's antibody level.
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The nurse specializing in gerontology cares for clients:
1. 60 years old or older. 2. 65 years old or older. 3. 70 years old or older. 4. 35 years old or older.
A patient is admitted to your unit with a diagnosis of intestinal obstruction. What term would the nurse expect to see documented on the patient's chart to describe an intestinal obstruction caused by a telescoped shortening of the intestine?
A) Intussusception B) Volvulus C) Herniation D) Adhesion
When providing eye care for the comatose patient, the nurse should:
a. place the patient in a prone position for easier access. b. use a different corner of the washcloth for each eye. c. wipe each eye from outer to inner canthus. d. use a sterile medicine cup to instill lubricant.