A client has dilated cardiomyopathy and has just found out he will be receiving a heart

What medication does the client understand that he will have to take for the duration of his life to help suppress the immune system to prevent rejection of the new heart? A) Infliximab (Remicade)
B) Etanercept (Enbrel)
C) Adalimumab (Humira)
D) Cyclosporine (Sandimmune)


D
Feedback:
After organ transplantation, the client's immune system may attack the new organ's cells because it recognizes them as nonself. Cyclosporine is used to intentionally suppress the immune system. The medications in A, B, and C are all used to suppress inflammation.

Nursing

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An important concern for the older adult may include adapting the personal environment to support:

a. identity and role clarification. c. safety and independence. b. integrity and generativity. d. autonomy and intimacy.

Nursing

When instructing a client on the use of an incentive spirometer, the nurse should instruct the client to:

a. take a deep breath and hold it for 3 seconds, then put the mouthpiece in the mouth and blow out as hard as possible. b. put the mouthpiece in the mouth, take a deep breath and hold it for 3 seconds, then blow out into the mouthpiece. c. take a deep breath and hold it for 10 seconds, then put the mouthpiece in the mouth and exhale and inhale deeply. d. take a normal breath and exhale, then seal the lips tightly around the mouthpiece; take a slow, deep breath and hold it for 3 seconds; then remove the mouthpiece and exhale normally.

Nursing

Your patient is 75 years old and is experiencing sudden onset of recent memory loss. This change in mental status describes:

A) Delirium. B) Dementia. C) Depression.

Nursing

When a community health nurse is planning to teach a group of new immigrants from a non-English speaking country about the need for immunizations, the nurse should include which in his or her plans?

A) Using a lot of pictures B) Guessing about the native language and attempting to speak it C) Using an interpreter D) Talking clearly and slowly, being sure to enunciate each word

Nursing