A patient is about to undergo a kidney transplant
She will be given an immunosuppressant drug before, during, and after surgery to minimize organ rejection. During the preoperative teaching session, which information will the nurse include about the medication therapy?
a. Several days before the surgery, the medication will be administered orally.
b. The oral doses need to be taken 1 hour before meals to maximize absorption.
c. Mix the oral liquid with juice in a disposable Styrofoam cup just before administration.
d. Intramuscular injections of the medication will be needed for several days preceding surgery.
ANS: A
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Which assessment question helps the nurse determine the character of the patient's pain?
a. "What does the pain feel like, i.e. stabbing, burning or throbbing?" b. "When did the pain first start?" c. "What interventions make the pain better?" d. "Is there any pattern to when the pain occurs?"
A client who has been unable to drain the sinuses with a decongestant is to undergo endoscopic sinus surgery. The nurse should plan home care instructions for this client to include:
1. refraining from using nasal drops. 2. trying to sneeze with the mouth closed. 3. avoiding strenuous lifting for 1 week. 4. avoiding drinking excess amounts of fluids.
A patient has been has been admitted to your unit with a diagnoses of rheumatoid arthritis. The nurse documents joint pain and swelling in her initial assessment. In addition to these findings, what is a classic sign of rheumatoid arthritis?
A) Cool extremities B) Butterfly rash on face C) Joint stiffness D) Absence of wrinkles
The nurse is noticing an increasing afterload in a patient in the ICU. How does the increasing afterload affect cardiac output?
1. If afterload is high, cardiac output will be deceased due to high systemic vascular resistance. 2. If afterload is high, cardiac output will be increased due to the increased volume in the heart. 3. If afterload is high, cardiac output will be deceased due to decreased contractility. 4. If afterload is high, cardiac output will be increased because the heart rate increases during afterload.