A 27-year-old male lung transplant patient developed Kaposi sarcoma (KS). The nurse knows that the cause of this patient's KS is most likely related to the fact that the patient:

a. is malnourished.
b. was exposed to hepatitis B.
c. is immunosuppressed.
d. was diagnosed with cystic fibrosis.


ANS: C
KS is a vascular malignancy associated with immunodeficiency states and occurs among trans-plant recipients taking immunosuppressive drugs. KS is not directly related to malnourishment, exposure to hepatitis B, or being diagnosed with cystic fibrosis.

Nursing

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A patient will receive buprenorphine [Butrans] as a transdermal patch for pain. What is important to teach this patient about the use of this drug?

a. Avoid prolonged exposure to the sun. b. Cleanse the site with soap or alcohol. c. Remove the patch daily at bedtime. d. Remove hair by shaving before applying the patch.

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The physician diagnoses a 3-cm cyst in the ovary of a 28-year-old client. You expect the initial treatment to include:

a. beginning hormone therapy. b. scheduling a laparoscopy to remove the cyst. c. examining the client after her next menstrual period. d. aspirating the cyst and sending the fluid to pathology.

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Of the following, which is not a core function of the EHR as defined by the Institute of Medicine?

What will be an ideal response?

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The nurse is doing discharge teaching for a child who has had a tonsillectomy. The nurse tells the patient and family that the child should have plenty of fluids. In addition, the nurse would explain to the child's caregiver that the child may:

A) have a painful earache around the third day postoperatively, but it will be gone by the fourth day. B) vomit dark, old blood, but to call the clinic if he has bleeding between the fifth and seventh days postoperatively. C) be given ice cream and milk the first postoperative day because they make swallowing easier. D) have severe throat pain for up to 2 weeks postoperatively; this is not a concern.

Nursing