You are the clinic nurse doing a preoperative assessment on a patient who will be undergoing outpatient cataract surgery with lens implantation in 1 week
While taking the patient's medical history, you note that this patient had a kidney transplant 8 years ago. The patient is taking immunosuppressive drugs. What is this patient at increased risk for when having surgery?
A) Rejection of the transplanted organ
B) Rejection of the implanted lens
C) Infection
D) Adrenal storm
Ans: C
Feedback: The mildest symptoms or slightest temperature elevation must be investigated. Because patients who are immunosuppressed are highly susceptible to infection, great care is taken to ensure strict asepsis. Options A and B are incorrect; this patient is taking immunosuppressive drugs so the transplanted organ and the implanted lens should not be at risk because of the surgery. Option D is incorrect because immunosuppressive drugs will not cause an adrenal storm.
You might also like to view...
A home health nurse assesses a client with diabetes who has a new cast on the arm. The nurse notes the client's fingers are pale, cool, and slightly swollen. Which action should the nurse take first?
a. Raise the arm above the level of the heart. b. Encourage range of motion. c. Apply heat to the affected hand. d. Bivalve the cast to decrease pressure.
Which of the following infants should be seen immediately by a pediatrician?
a. A 2-week-old infant with nasal congestion and respirations of 64 breaths per minute b. A 1-week-old infant with a diaper rash c. A 1-month-old infant with an axillary temperature of 99.8° F d. A 3-week-old breastfed infant who has had two loose stools
A child diagnosed with ADHD will begin medication therapy. The nurse should prepare a plan to teach the family about which classification of medications?
a. Central nervous system stimulants b. Tricyclic antidepressants c. Antipsychotics d. Anxiolytics
Which classification of medications is used to prevent and treat excessive bleeding following surgical procedures?
1. Thrombolytics 2. Anticoagulants 3. Hemostatics 4. Antiplatelets