The nurse is talking with a client about the need for immunosuppressant medications after a kidney transplant in the coming week
The client says, "I understand why I need these medications for the new kidney, but I don't understand why my body doesn't reject the kidneys I have." What is the nurse's best response? 1. "That is just the way we are made."
2. "You don't worry about that. It is so complicated and you need to focus on getting better."
3. "As we develop, our immune cells learn to identify self-cells."
4. "That doesn't happen because of clonal deletion."
3
Rationale 1: This is a correct statement but is not very helpful in explaining the underlying mechanism.
Rationale 2: Telling a client not to worry about something is not therapeutic. This client has a question that should be answered.
Rationale 3: This is a simple, correct way to explain central tolerance and clonal deletion to a layperson.
Rationale 4: The client is unlikely to understand this statement; therefore it does not answer the question.
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What is shaped by the values, beliefs, norms, and practices held in common by its members?
1. ethnic group 2. aggregate 3. society 4. culture
The nurse is caring for a client with acute pancreatitis. During the physical assessment, the nurse notes a grayish-blue discoloration of the client's flanks. Which is the nurse's priority action?
a. Prepare the client for emergency surgery. b. Place the client in high Fowler's position. c. Insert a nasogastric (NG) tube to low in-termittent suction. d. Ensure that the client has a patent large-bore IV site.
Confirmed by palpation and x-ray study, the client's right kidney is lower than the left kidney. What is the nurse's interpretation of this finding?
A. The client has a problem involving the right kidney. B. The client has a problem involving the left kidney. C. The client has both kidneys in the normal position. D. The client is at increased risk for kidney impairment.
In statements of purpose, researchers often communicate information beyond the problem statement through:
A) The specification of the population to be studied B) The operational definition of the research variables C) The prediction of anticipated relationships among variables D) The choice of verbs that suggest the status of knowledge of the topic or the approach to be used in studying the problem