The nurse is caring for a child who is experiencing acute renal transplant rejection. Which of the following most accurately describes the expected side effects associated with the first dose of muromonab-CD3?
A) Fever with chills, chest tightness
B) Cough, hyperkalemia
C) Photosensitivity, GI upset
D) Urinary retention, decreased appetite
A
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Which of these steps describes the correct way for a nurse to cleanse the site selected for a client's venipuncture?
a. Cleanse the site back and forth using a povidone-iodine swab. b. Use a crisscross motion at the site and extending 4 inches beyond. c. Cleanse the site back and forth using an alcohol pad. d. Use a circular motion at the site and extending 2 inches beyond.
The nurse is caring for a postoperative patient in the critical care unit. The physician has ordered patient-controlled analgesia (PCA) for the patient. The nurse understands that the PCA: (Select all that apply.)
a. is a safe and effective method for administering analgesia. b. has potentially fewer side effects than other routes of analgesic administration. c. is an ideal method to provide critically ill patients some control over their treatment. d. provides good quality analgesia.
Which patient is not a good candidate for Depo-Provera (DMPA)?
1. One who wishes to get pregnant within three months 2. One who wishes to breastfeed 3. One with a vaginal prolapse 4. One who weighs 200 pounds
The nurse is assisting a newly delivered mother ambulate to the nursery to see the baby. The client complains of light-headedness and begins to faint. What is the nurse's most important action?
1. Ensure the client's modesty as she falls. 2. Be certain the client does not hit the head on anything. 3. Call for immediate assistance. 4. Check the vital signs and for excessive vaginal bleeding.