The nurse is preparing a teaching plan for the parents of a 6-year-old who is taking cyclosporine following a renal transplant. The nurse would include instructions about monitoring the child for which of the following?
A) Weight loss
B) Hypotension
C) Signs of infection
D) Hair loss
C
Response:
The parents should be especially alert for signs of infection as cyclosporine is an immunosuppressant drug. Weight gain instead of weight loss, hypertension instead of hypertension, and increased facial hair instead of hair loss are some other potential side effects.
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The nurse is admitting a client who is from Kenya to the psychiatric unit. Which of the following actions will demonstrate cultural competence?
1. Arrange for an interpreter to assist. 2. Ask a family member to stay during the assessment interview. 3. Follow the admission assessment form. 4. Talk with the client to determine fluency in English.
When planning the care of a patient with an implanted pacemaker, what assessment should the nurse prioritize?
A) Core body temperature B) Heart rate and rhythm C) Blood pressure D) Oxygen saturation level
During insertion of a Foley catheter, the patient grimaces as the balloon is inflated. The nurse should:
a. withdraw the catheter. b. ask the patient to bear down. c. continue to inflate the balloon. d. advance the catheter into the bladder.
A nurse is caring for a patient with HIV. What lab tests would the nurse monitor when a protease inhibitor has been ordered for this patient?
A) A fasting blood sugar and 2-hour postprandial blood sugar B) Urine specific gravity and urine pH C) Serum alanine aminotransferase and bilirubin D) Arterial blood gases and O2 saturation