The nurse working in the unit caring for clients with end-stage lung disease determines that which of the following clients in her assignment may qualify for single lung transplant?
1. 62-year-old female with diabetes mellitus controlled by insulin therapy
2. 50-year-old male with multivessel CAD and chronic renal insufficiency
3. 32-year-old male client with HIV
4. 43-year-old female with hepatitis C confirmed by histologic findings of liver disease by biopsy
62-year-old female with diabetes mellitus controlled by insulin therapy
Rationale: Lung transplant is not contraindicated per se in individuals with systemic disease such as diabetes mellitus and collagen disease. Current contraindications for lung transplant include dysfunction of major organs other than the lung, HIV infection, hepatitis B antigen positivity, hepatitis C with biopsy-proven histologic evidence of liver disease, and active malignancy within the past 2 years with the exception of basal cell and squamous cell carcinoma.
You might also like to view...
The nurse is auscultating the thyroid gland and notes a bruit. Which conclusion by the nurse is appropriate based on this assessment finding?
1. Stenosis of the thyroid artery. 2. A normal finding. 3. Indicates increased blood flow. 4. Occurs with hypothyroidism.
A nurse working in oncology notes an overall increase in clients with pancreatic cancer. What does the nurse associate with the overall increase in pancreatic cancer? Select all that apply.
A) Multicultural population B) Diabetes mellitus C) Obesity D) Aging population E) Hypercholesterolemia
Which nursing diagnosis would be considered a priority nursing diagnosis for clients experiencing dysrhythmias?
A. Impaired Coronary Conduction B. Ineffective Tissue Perfusion C. Increased Cardiac Output D. Risk for Injury
Which movements does a nurse expect to find when assessing the hip range of motion of a healthy person? Select all that apply
a. Pronation and supination b. Flexion and extension c. Internal and external rotation d. Adduction and abduction e. Hyperextension