The nurse is caring for a child who is experiencing an acute renal transplant rejection and is to receive muromonab-CD3. What would the nurse most likely expect to assess after the first dose is administered?
A) Fever with chills, chest tightness
B) Cough, hyperkalemia
C) Photosensitivity, gastrointestinal (GI) upset
D) Urinary retention, decreased appetite
Ans: A
The first dose of muromonab-CD3 can cause fever, chills, chest tightness, wheezing, nausea, and vomiting. Cough and hyperkalemia are associated with angiotensin-converting enzyme inhibitors. Photosensitivity and GI upset are often associated with diuretics. Urinary retention and decreased appetite are associated with imipramine.
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The nurse is caring for a client who is status postoperative from a vein stripping. What would the nurse monitor for?
A) Swelling in the inoperative leg B) Blood on the dressing on the inoperative leg C) Warm, pink toes in the inoperative leg D) Swelling in the operative leg
A 4-year-old who has chickenpox will not stop scratching despite your numerous attempts to stop him or her "or else I'll have to tie your hands down!" By responding this way to a patient, you:
A) Exhibit behaviors that are within the definition of "assault" B) Try to talk to the child at his or her own level of understanding C) Display responsibility in performing your tasks D) Choose to protect the child's skin and explain this to him or her in a professional manner
The nursing assistant is not responsible for washing the client's laundry in the home.
Answer the following statement true (T) or false (F)
Emergency Database
What will be an ideal response?