The nurse is caring for a client who is depressed because of acute rejection following a kidney transplant. What is the nurse's best response?
a. "This is what happens when you don't take your transplant medications."
b. "At least you can still have dialysis, unlike people who receive liver transplants."
c. "One acute rejection episode does not mean that you will lose the new kidney."
d. "You can always find another donor and get another kidney transplant."
C
An episode of acute rejection does not automatically mean that the client will lose the transplant. Pharmacologic manipulation of host immune responses at this time can limit damage to the organ and allow the graft to be maintained.
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The home health care nurse is visiting a family with a 3-year-old to observe a meal. The parent gives the child a plate with cup of pureed meat. What action by the nurse is best?
a. Document how well the child eats the serving of meat. b. Inquire if the child still drinks from a bottle between meals. c. Ask the parents what they serve the child for snacks. d. Provide teaching on the appropriate serving size for this child.
A patient's screening colonoscopy revealed the presence of numerous polyps in the large bowel. What principle should guide the subsequent treatment of this patient's health problem?
A) Adherence to a high-fiber diet will help the polyps resolve. B) The patient should be assured that these are a normal, age-related physiologic change. C) The patient's polyps constitute a risk factor for cancer. D) The presence of polyps is associated with an increased risk of bowel obstruction.
A Medicare recipient has elected to pay a monthly premium for Medicare that will cover expenses, such as laboratory services and equipment. This part of Medicare is called Medi-care Part:
a. A b. B c. C d. D
A patient has both hearing and visual sensory impairments. Which psychological nursing diagnosis will the nurse add to the care plan?
a. Risk for falls b. Self-care deficit c. Social isolation d. Impaired physical mobility