The nurse is caring for a postoperative renal transplant recipient in the critical care unit. After seeing minimal urine output in the catheter for most of the day, the patient expresses concern to the nurse. What is the best response by the nurse?
a. "Your kidney has unfortunately failed and will be removed."
b. "It can take a few days for your kidney to start working"
c. "You are experiencing an acute rejection episode."
d. "You will have to undergo daily hemodialysis treatments."
B
There are many factors that can delay normal functioning of a transplanted renal graft (e.g., prolonged cold times, altered perfusion states during surgery). It can take a few days for the transplant to function optimally. Low urine output alone is not the sole indicator of kidney failure or an acute rejection episode. Hemodialysis treatments are not routine in the presence of low urine output following a renal transplant.
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An 85-year-old man who is a resident in an extended-care facility has athlete's foot. After applying an antifungal cream, what is the nurse's next action?
A) Wipe away excess medication from the affected area. B) Wrap a sterile kling dressing around both feet. C) Elevate the feet for 30 minutes. D) Apply clean dry socks.
The nurse making the schedule for the daily dose of furosemide (Lasix) would schedule the administration for which of the following times?
a. Late in the afternoon b. At bedtime c. With any meal d. In the morning
Bronchiectasis is now considered a pulmonary disease separate and apart from COPD. Bronchiectasis can be caused by a variety of conditions, including what? (Mark all that apply.)
A) Pulmonary hypertension B) Airway obstruction C) Pulmonary infections D) Genetic disorders E) Atelectasis
A client who witnessed her husband being shot and killed in an incident of road rage says to the nurse, "It's been 3 months now, and I still can't drive my car without acting crazy. My sister says I grip the wheel like I'm glued to it. I can't merge with traffic until it's almost completely clear, and I'm parking a mile from in the mall when there's plenty of parking close to the building." Which statement by the nurse would be therapeutic?
A. "I still grip the wheel when I merge with traffic, and I just wonder whether your sister needs to see me do it." B. "If I were you, I'd have trouble driving the car again. Driving a car and being the victim of road rage are two very different things, and you need therapy and time to heal." C. "Smart of you to take no chances. You should see the dents and dings on my car from mall parking. Does your sister depend on you for many things? It seems like she's pushing you too hard." D. "You're seeking help appropriately, and there are many things you can do to get comfortable behind the wheel again. You've returned to driving, but remember, you're still grieving. It's normal to still feel this way."