A client who underwent kidney transplantation 7 days ago has developed oliguria, an increased temperature, lethargy, and elevations in the serum creatinine, BUN, and potassium levels. Which intervention should the nurse anticipate for this client?
A. Conservative management of symptoms, until dialysis is required as a result of chronic rejection
B. Increase in the doses of immunosuppressive drugs to combat acute rejection
C. Immediate removal of the transplanted kidney because of hyperacute rejection
D. Institution of peritoneal dialysis to aid the transplanted kidney
B
Oliguria, lethargy, elevated temperature, and increases in serum electrolyte levels 1 week to 2 years post-transplantation are hallmarks of acute rejection, which can be reversible with increased immunosuppressive therapy.
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The nurse interviews him about his relationship with his wife. Which statement by the patient is most consistent with a diagnosis of antisocial personality disorder? a. "I've done some stupid things in my life, but I've learned a lesson.". b. "I'm feeling terrible about the way my behavior has hurt my family.". c. "I have a quick temper, but I can usually keep it under control.". d. "I hit her because she nags at me. She deserves it when I beat her up.".
The nurse is caring for a comatose client with respiratory acidosis. For which intervention will the nurse need to collaborate when caring for this client?
A) Measuring vital signs B) Measuring intake and output C) The client's recent eating behaviors D) Identifying current oxygen saturation level
A nurse is required to insert a midline catheter for a client. How many inches of the catheter should the nurse insert into the required site and for how long can it be used?
A) 1 to 3 inches; it can be used for up to 3 weeks B) 3 to 6 inches; it can be used for up to 4 weeks C) 7 to 8 inches; it can be used for up to 5 weeks D) 8 to 9 inches; it can be used for up to 6 weeks
A patient newly diagnosed with breast cancer is asked to participate in a clinical trial for a new chemotherapy agent. This patient's freedom to participate or not participate in the study exercises protection of which of her human rights?
a. Right to fair treatment b. Right to self-determination c. Right to privacy and dignity d. Right to anonymity and confidentiality