In addition to careful observation for signs of rejection, which of these nursing interventions is appropriate for clients who have undergone a heart transplant?
a. weighing the client weekly
b. supporting frequent visits from family members
c. encouraging intake of fresh fruits and vegetables
d. placing the client in reverse isolation
D
Nursing care of clients who undergo organ transplant focuses on assisting the client and family to deal with concerns about the procedure and monitoring client status (e.g., vital signs, nutritional status, mental status, and fluid balance) following the transplant. Clients must also be instructed about symptoms of rejection and the importance of preventing infection, including the use of reverse isolation techniques.
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The health care provider writes an order for bacteriologic testing for a patient who has a positive tuberculosis skin test. Which action should the nurse take?
a. Teach about the reason for the blood tests. b. Schedule an appointment for a chest x-ray. c. Teach about the need to get sputum specimens for 2 to 3 consecutive days. d. Instruct the patient to expectorate three specimens as soon as possible.
The nurse is working with a pregnant adolescent. The patient asks the nurse how the baby's condition is determined during labor. Which statement indicates the patient education was successful? "During labor, the nurse will:
1. "Check your cervix by doing a pelvic exam every two hours." 2. "Assess the baby's heart rate with an electronic fetal monitor." 3. "Look at the color and amount of bloody show that you have." 4. "Verify that your contractions are strong but not too close together."
Which information indicates a correct understanding of viral vaccines? Most viral vaccines con-tain:
a. active viruses. b. attenuated viruses. c. killed viruses. d. viral toxins.
How should the nurse determine the correct length of a nasogastric tube for placement into the stomach?
A) Place the distal tip to the nose, then the ear tip and the end of the xyphoid process. B) Instruct the patient to lie prone and measure tip of nose to umbilical area. C) Insert the tube into nose until the tube fills with secretions. D) Obtain an order from the physician for the number of inches to insert the tube.