A patient, being prepared for a heart transplant, is concerned that the transplanted organ will not be accepted in his body. With which of the following should the nurse respond to this patient?
1. There are no guarantees since transplants are more successful between twins.
2. Hearts were the first organs to be transplanted so the technique has been
perfected.
3. Heart transplants are very successful because of immunosuppressant medication.
4. Because of steroids, the heart will most likely be accepted by your body.
3
Rationale: Cardiac transplantation is highly successful today, in part because of tissue typing and improved immunosuppressant therapy. In 1954, the first renal transplants between identical human twins took place. Tissue matching was performed by cross skin grafting between two twin brothers. The success of the isograft demonstrated that identical twins provided a method of bypassing the tissue incompatibility problem. The kidney was the early focal point of interest for organ transplantation. Corticosteroids were introduced as adjunctive therapy in the 50s to 60s.
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A child with autism is being admitted to the hospital with dehydration. Upon admission, the nurse should:
1. Encourage the parents to avoid bringing favorite toys from home that might be lost. 2. Take the child on a tour of the pediatric unit. 3. Assign the child to his single-bed hospital room. 4. Take the child to the playroom for arts and crafts.
A male client, aged 42, is diagnosed with high blood sugar. He visits the gym regularly and is a vegetarian. Which of the following factors is important when assessing the client?
A) The client's consumption of carbohydrates B) History of radiographic contrast studies that used iodine C) The client's mental and emotional status D) The client's exercise routine
In the labor room, meconium-stained amniotic fluid is noted related to intrauterine growth restriction with accompanying abnormal fetal heart rate patterns. The most appropriate nursing action to minimize meconium aspiration syndrome is to
a. inform the nursery that the high-risk baby may be arriving soon b. prepare for cesarean delivery c. provide oxygen via facial mask d. request that a pediatrician or respiratory therapist be present for the delivery
The physician who insists on providing treatment in spite of the client's wishes because he "knows best" is reflecting:
a. autonomy. b. beneficence. c. justice. d. paternalism.