A client with hepatitis who has not responded to medical treatment is scheduled for a liver transplant. Which of the following most likely would be ordered?
A) Chenodiol (Chenix)
B) Ursodiol (Actigall)
C) Tacrolimus (Prograf, FK506)
D) Interferon alfa-2b, recombinant (Intron A, Roferon-A)
C
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In preparation for a liver transplant, a client receives immunosuppressants to reduce the risk for organ rejection. Tacrolimus and cyclosporine are two immunosuppressants that may be used. Chenodiol and ursodiol are agents used to dissolve gallstones. Recombinant interferon alfa-2b is used to treat chronic hepatitis B, C, and D to force the virus into remission.
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An older patient just learning of having a terminal illness begins to cry. Which statement or question should the nurse make to facilitate the patient's spiritual health?
A) "Remember that everything in life, even the bad things, happens for a reason.". B) "Is there anything in your spiritual beliefs or practices that might bring you comfort at this time?" C) "It's not appropriate for me to pray with you, but would you like me to arrange a visit from the chaplain?" D) "It's likely best for you to try to focus on what is going right in your life, even though that's likely hard right now.".
The Four Topics Method consists of analyses:
a. By the social worker, clinical psychologist, on-call physician and case manager b. Of medical indications, patient preferences, quality of life, and contextual features c. Of the family situation, insurance considerations, moral values of patient, and literacy level of patient
A client is receiving a cell-cycle-specific medication for the treatment of leukemia. The nurse recognizes that in order for these drugs to kill the most cancer cells, they should be administered in:
1. divided, infrequent doses. 2. divided, frequent doses. 3. a single dose each day. 4. a large, one-time dose.
If the fire alarm sounds, which of the following is the first step in a sequence of emergency procedures?
A. Race to get the fire extinguisher. B. Activate 911 and the emergency team. C. Calmly remove all patients to a safe zone. D. Evacuate all staff members behind the fire doors.