A patient is admitted to receive a kidney transplant from a live sibling. The nurse understands that which condition has been met for this surgery to be planned?

1. The human leukocyte antigens between the patient and sibling are very similar.
2. The human leukocyte antigens between the patient and sibling are very different.
3. The human leukocyte antigens of patient and sibling are an exact match.
4. The recipient's human leukocyte antigens have been eliminated.


1
Rationale 1: In organ transplants, matching the human leukocyte antigen type as closely as possible tends to reduce the chances of rejection.
Rationale 2: If the human leukocyte antigen types were different, the surgery would not be successful.
Rationale 3: An exact match of HLA antigens is desirable but not absolutely essential for transplant success.
Rationale 4: It is not possible to eliminate the human leukocyte antigens.

Nursing

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Which of the following statements best describes an effect of the Welfare Reform Act of 1996?

a. Individuals who were required to obtain employment lost their health coverage. b. Many were happy to be off the government dole and self-supporting. c. Persons sought and obtained employment that often included insurance benefits. d. The food stamp program decreased in size.

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A patient in cardiac arrest is ordered to receive an initial dose of sodium bicarbonate intravenously to correct metabolic acidosis. What initial dose of sodium bicarbonate will this 187-lb individual receive?

A) 50 mEq B) 75 mEq C) 85 mEq D) 100 mEq

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The nurse is scheduled for the evening shift the same evening the nurse's son is playing in a championship ball game. This is an example of which type of role conflict?

a. interpersonal role conflict c. person-role conflict b. role overload d. interrole conflict

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Which situation noticed during evaluation would determine that the staples or sutures should remain in place?

a. The wound edges are separated. b. No drainage or erythema is present. c. The patient is anxious about their removal. d. A cosmetically aesthetic result would not be achieved.

Nursing