A nurse cares for a client who is diagnosed with acute rejection 2 months after receiving a simultaneous pancreas-kidney transplant. The client states, "I was doing so well with my new organs, and the thought of having to go back to living on hemodialysis
and taking insulin is so depressing." How should the nurse respond?
a.
"Following the drug regimen more closely would have prevented this."
b.
"One acute rejection episode does not mean that you will lose the new organs."
c.
"Dialysis is a viable treatment option for you and may save your life."
d.
"Since you are on the national registry, you can receive a second transplantation."
ANS: B
An episode of acute rejection does not automatically mean that the client will lose the transplant. Pharmacologic manipulation of host immune responses at this time can limit damage to the organ and allow the graft to be maintained. The other statements either belittle the client or downplay his or her concerns. The client may not be a candidate for additional organ transplantation.
You might also like to view...
The types of tissue that protect, absorb and secrete are:
1. Connective. 2. Muscle. 3. Nervous. 4. Epithelial.
The nurse notices that an older female nursing home resident is not eating and that her heart rate is faster than usual. Which should the nurse do to determine if pneumonia is a potential cause of the change in her status?
a. Obtain a specimen for aerobic blood cul-tures. b. Promptly send the resident for a chest x-ray examination. c. Analyze sputum for color, texture, and volume. d. Compare tympanic temperature to the baseline.
Which is a health statistic of significance to Black or African Americans when compared to all races?
A. A lower incidence of breast cancer B. Lower percentages of low birth weight infants C. A lower crude birth rate D. Lower male death rates from homicide
The nurse has an adequate understanding of evidence-based practice when the nurse states which of the following? (Select all that apply.)
a. "Evidence-based practice is similar to re-search utilization.". b. "Evidence-based practice is becoming important in all areas of health care.". c. "Evidence-based practice incorporates many additional sources of data that may contribute to improved nursing care.". d. "Evidence-based practice is not accepted as best research evidence.". e. "Evidence-based practice is not used in nursing care.".