The nurse is assessing a patient 4 hours after a kidney transplant. Which information is most important to communicate to the health care provider?
a. The urine output is 900 to 1100 mL/hr.
b. The patient's central venous pressure (CVP) is decreased.
c. The patient has a level 7 (0 to 10 point scale) incisional pain.
d. The blood urea nitrogen (BUN) and creatinine levels are elevated.
ANS: B
The decrease in CVP suggests hypovolemia, which must be rapidly corrected to prevent renal hypoperfusion and acute tubular necrosis. The other information is not unusual in a patient after a transplant.
You might also like to view...
The nurse is caring for a patient who is sedated following a colonoscopy. Which is the priority action of the nurse?
a. Provide a quiet, dark environment so that the patient can rest comfortably. b. Monitor the patient's pulse oximetry and respirations closely. c. Inform the patient that the procedure has been completed. d. Assess the patient's bowel sounds and passage of flatus.
The population health nurse is assessing a community member who identifies with the GLBT community. When discussing sexual orientation the nurse knows that three aspects are being assessed which are: (Select all that apply.)
1. Identity. 2. Behavior. 3. Attraction. 4. Acceptance. 5. Coming out.
An older adult client lives with family, whose members have been overheard by the nurse to make statements consistent with ageism
The nurse would assess the effect of these statements on the client's: 1. self-esteem. 2. relationships with other older adults. 3. personal loss. 4. resilience.
A nurse is completing an OASIS data set on a patient. The nurse works in which area?
a. Home health b. Intensive care unit c. Skilled nursing facility d. Long-term care facility