A patient with end-stage organ failure is being evaluated for an organ transplant. What factor is most likely to be a contraindication for transplant?
A) Age 30 to 55 years
B) Absence of acute or chronic infection
C) Cannot afford the cost of medications after transplant
D) Is receiving maximum doses of organ support medications
C
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A patient will begin taking atorvastatin [Lipitor] to treat elevated LDL levels. The patient asks the nurse what to do to minimize the risk of myositis associated with taking this drug. What will the nurse counsel this patient?
a. "Consume an increased amount of citrus fruits while taking this drug." b. "Take vitamin D and coenzyme Q sup-plements." c. "Ask your provider about adding a fibrate medication to your regimen." d. "Have your creatine kinase levels checked every 4 weeks."
An adult client is prescribed the hepatitis B vaccination. The nurse will administer this medication through which site?
1. Dorsogluteal 2. Rectus femoris 3. Vastus lateralis 4. Deltoid
A 61-year-old client with diabetes mellitus has physician's orders for meticulous foot care. Which of the following is the best rationale for the order?
1. The aging process causes increased skin breakdown. 2. There is increased neuropathy with this pathology that places the client at risk. 3. The client probably has a history of poor hygienic care. 4. The lower extremities are difficult to see and therefore hard to maintain with good hygiene.
A community assessment conducted by the nurse reveals that the number of serious injuries in children has doubled in the past year. Which is the most appropriate nursing diagnosis when planning care to address the increased number of injuries?
1. Altered Family Processes related to hospitalization of an injured child 2. Risk for Injury related to inadequate use of bicycle helmets 3. Noncompliance related to inappropriate use of child safety seats 4. Knowledge Deficit related to injury prevention in children