The nurse is providing discharge instructions to a renal transplant recipient. The patient has a follow-up appointment the next day for routine post-transplant laboratory bloodwork, including trough levels of anti-rejection medications

Which instruction describes what the patient should do regarding the anti-rejection medications the next day? a. "Take your morning dose of medications at midnight with sips of water."
b. "Take your morning dose of medications after labs have been drawn."
c. "Skip your morning dose of medications and then resume your evening doses."
d. "Hold all doses of your medications the day you have labs drawn."


B
Medication trough levels are used to guide dosing. The patient should not take his morning dose of medications until labs have been drawn so that an accurate trough level is obtained. Transplant medication is administered at regular dosing intervals (e.g. every 12 hours) to maintain therapeutic drug levels and intervals should not be independently adjusted. Medication should not be skipped when lab is drawn. The patient should be instructed to take the medication immediately after lab work has been drawn. Medication is not to be held for an entire day as doing so places the patient at risk for rejection.

Nursing

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The chief nursing officer decided that the nurse managers need a series of staff development programs on team-building through communication and partnerships. She understood that the nurse managers needed to build confidence in ways of handling various situations. The greatest deterrent to confidence is:

a. Lack of clarity in the mission. b. Lack of control of the environment. c. Fear that one can't handle the consequences. d. Fear that the boss will not like one's work.

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The mother of a 1-month-old infant calls the nurse at the health clinic. The mother is concerned because the infant has had vomiting and diarrhea for 2 days. What instruction should the nurse give this infant's mother?

1. Bring the infant to the clinic for evaluation. 2. Give the infant at least 2 ounces of juice every 2 hours. 3. Measure the infant's urine output for 24 hours. 4. Provide the infant with 50 mL of glucose water.

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A nurse is caring for a hospitalized child. What would the nurse consider to meet the spiritual needs of the child?

A) Nothing; children do not have a spiritual self. B) Complete information from the child's parents. C) Only terminally ill children believe in God. D) Children have definite perceptions of God.

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Moving an extremity toward the midline is

A) flexion. B) extension. C) abduction. D) adduction.

Nursing