The nurse is caring for a patient after a liver transplant. Which of the following symptoms would the nurse report immediately as a possible indication of rejection of the liver?
a. A temperature greater than 101°F (38.3°C)
b. Decreased alanine aminotransferase (ALT)
c. Prothrombin time (PT) of 14 seconds
d. Pulse rate of 80 beats per minute
ANS: A
A fever is associated with immune system activity and possible rejection. Decreased ALT is desirable in liver disease. Normal PT is 8.8 to 11.6 seconds, so 14 seconds is near normal. Pulse of 80 beats/min is normal.
You might also like to view...
The nurse is assessing a patient who underwent bowel resection 2 days ago. As she auscultates the patient's abdomen, she notes low-pitched, infrequent bowel sounds. How should she document this finding?
1) Hyperactive bowel sounds 2) Abdominal bruit sounds 3) Normal bowel sounds 4) Hypoactive bowel sounds
A client's serum theophylline level is 28 mcg/mL. The nurse should:
a. plan to administer the next dose of theophylline. b. call the lab and have the theophylline level repeated. c. hold the next dose of theophylline in six hours. d. report the theophylline level to the health care provider.
A nurse is caring for a young child with a severe ear infection in a hospital emergency room. The nurse asks the mother why it took so long for the child to get care and the mother stated that she
couldn't afford medical bills and that they didn't qualify for Medicaid. Once the child has received medical attention, what program does the nurse recommend to the mother? A. WIC B. CHIP C. Medicare D. TANF
The process of releasing a female sex cell is:
a. Ovulation b. Menstruation c. Fertilization d. Lactation