A client has been on dialysis for many years and now is receiving a kidney transplant. The client experiences hyperacute rejection. What treatment does the nurse prepare to facilitate?
a. Dialysis
b. High-dose steroid administration
c. Monoclonal antibody therapy
d. Plasmapheresis
ANS: A
Hyperacute rejection starts within minutes of transplantation and nothing will stop the process. The organ is removed. If the client survives, he or she will have to return to dialysis treatment. Steroids, monoclonal antibodies, and plasmapheresis are ineffective against this type of rejection.
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When considering the concepts related to blood pressure, the nurse knows that the concept of mean arterial pressure (MAP) is best described by which statement?
a. MAP is the pressure of the arterial pulse. b. MAP reflects the stroke volume of the heart. c. MAP is the pressure forcing blood into the tissues, averaged over the cardiac cycle. d. MAP is an average of the systolic and diastolic blood pressures and reflects tissue perfusion.
The nurse is teaching the patient about the newly prescribed external insulin pump. What are priority teaching points for the nurse to include? (Select all that apply.)
A) "Watch for signs and symptoms of infection." B) "Check blood glucose frequently." C) "Change tubing frequently." D) "Have pump calibrated weekly." E) "Added insulin requires separate injection site."
A nurse is administering a prescribed hypertonic saline enema to a client with constipation. Which of the following is a primary function of a hypertonic saline enema?
A) Promotes bowel movement without irritation effect. B) Lubricates and softens the stool. C) Draws fluid from body tissues into the bowel. D) Causes relaxation of the mucous membranes.
The American Cancer Society recommends a clinical breast examination by a health care professional for women between the ages of 20 and 39 years every ________ years
Fill in the blank(s) with correct word