A patient who received a kidney transplant seven years ago is seen for increasing blood pressure and proteinuria. The nurse realizes that this patient is demonstrating signs of what health problem?
1. chronic rejection
2. acute rejection
3. renal artery stenosis
4. pyelonephritis
Correct Answer: 1
Chronic rejection may develop months to years following transplant. The manifestations of azotemia, proteinuria and hypertension are those of progressive kidney disease. Acute rejection most commonly occurs in the weeks that immediately follow transplant. Renal artery stenosis manifests with a bruit over the surgical anastomosis site. Pyelonephritis manifests with abdominal discomfort and low-grade fever.
You might also like to view...
Persons who consume ethnic foods emphasizing corn but containing limited protein should be assessed carefully for adequacy of ______ intake
1. Folic acid 2. Niacin 3. Riboflavin 4. Thiamin
A febrile patient's mother asks the nurse why her daughter's breathing rate is increased. The nurse replies:
1. "It is normal for the fever to increase her metabolic rate. Because the heart and lungs work together, you see her breathing speed up along with her heart rate." 2. "It is quite normal for this to happen, so you can expect her respiratory rate to increase by 8 to 10 respirations per minute for each 1°F elevation in temperature." 3. "Breathing speeds up when the temperature is elevated to blow off some of the body heat." 4. "It is rare that respirations are affected by fever. We should be very concerned about this."
After making an occupied bed, leave the bed in the high position
True False
Which acne lesions are classified as inflammatory?
a. Closed comedones b. Opened comedones c. Nodules d. Papules e. Pustules