The nurse is completing the instructions to a patient who underwent a cadaver kidney transplant and is ready for discharge from the hospital. What patient statement indicates that further teaching is needed?
A. "I'll tell my friends to stay away from me if they have colds or the flu."
B. "I'll call my doctor if I notice any decrease in my urine output."
C. "I'm glad I won't have to take immunosuppressants any longer."
D. "I know to check my weight on a regular basis."
Answer: C
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A 70-year-old client returned from a transurethral resection of the prostate 8 hours ago with a continuous bladder irrigation. The nurse reviews his laboratory results as follows:
Sodium 128 mEq/L Hemoglobin 14 g/dL Hematocrit 42% Red blood cell count 4.5 What action by the nurse is the most appropriate? a. Consider starting a blood transfusion. b. Slow down the bladder irrigation if the urine is pink. c. Report the findings to the surgeon immediately. d. Take the vital signs every 15 minutes.
The prenatal clinic nurse meets with a 30-year-old woman who is experiencing her first pregnancy. The patient's quadruple-marker screen result is positive at 17 weeks of gestation
Which action by the nurse is most important? A. Call the social worker for a consultation. B. Document the findings in the woman's chart. C. Facilitate a referral to a genetics counselor. D. Prepare the woman for intrauterine death.
The client tells the nurse that the top of the cast feels rough and is scratching the skin. Which intervention should the nurse implement?
1. Explain that this is an expected outcome. 2. Trim away sharp areas and edge with tape. 3. Medicate client with a prescribed analgesic. 4. Speak with the provider about a cast change.
The union of a single egg and sperm is known as:
a. implantation. b. embryonical. c. fertilisation. d. decidua.