To identify manifestations of rejection following kidney transplant, the nurse would instruct a client going home to monitor for
a. fatigue.
b. hypothermia.
c. recurrent nausea.
d. weight gain.
D
Clinical manifestations of potential complications in the renal transplantation client include fever, graft tenderness, weight gain, and abnormal organ-specific laboratory test results (blood urea ni-trogen [BUN] and creatinine). As kidney function declines, urine output drops and weight in-creases. Hypothermia and nausea are not related to chronic rejection of a kidney, and fatigue is nonspecific.
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A terminally ill client is demonstrating cognitive signs that the end of life is near. Which assessment findings support the nurse's conclusion?
Select all that apply. A) Inability to concentrate B) Rambling incoherently C) Nausea D) Dry mouth E) Shortness of breath
What should a nurse prepare when assessing paradoxical movement in a patient with a flail chest who has significant dyspnea?
a. Thoracotomy b. Intubation c. Thoracentesis d. Body cast
The nurse is reviewing a client's laboratory results. Which finding is of most concern?
1. HDL cholesterol 62 mg/dL 2. Triglycerides 349 mg/dL 3. LDL cholesterol 92 mg/dL 4. Total cholesterol 202 mg/dL
According to agency policy, the perinatal nurse provides the following intrapartal nursing care for the patient with preeclampsia:
a. Take the patient's blood pressure every 6 hours b. Encourage the patient to rest on her back c. Notify the physician of urine output greater than 30 mL/hr d. Administer magnesium sulfate according to agency policy