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concept of nursing 2
Transplantation
Question | Answer |
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The nurse is caring for a patient who underwent kidney transplantation 8 hours ago. Which finding would indicate that the patient is developing hyperacute rejection? | Decreased to no urine output |
Which patient would the nurse expect to be at highest risk for developing graft-versus-host disease (GVHD)? | Patient who had a recent bone marrow transplant |
A patient who underwent organ transplantation 2 months ago is admitted to the hospital with acute rejection. Which order would the nurse anticipate from the health care provider? | Increased doses of monoclonal antibodies |
A female transplant recipient asks the nurse to explain why she is receiving a cytotoxic drug even though she does not have cancer. What is the nurse’s best response? | "The use of chemotherapy medications can play an important role in preventing organ rejection." |
What will the nurse include in the discharge teaching for a patient who has received a prescription for prednisone after liver transplantation? | -“Weigh yourself daily.” -“Take daily calcium supplements.” -“Do not suddenly stop taking the drug.” |
Which assessment component will the nurse check when administering a dose of lymphocyte immune globulin to a patient with acute rejection? | Heart Rate |
The nurse is reviewing the laboratory results for a patient who underwent kidney transplantation. Which finding warrants immediate health care provider notification? | Intake of 2000 mL and output of 800 mL in 24 hours |
Which interventions are appropriate for the nurse to include in the plan of care for a patient who underwent organ transplantation 2 days ago? | -Give immunosuppressant drugs -Assist the patient with ambulation -Administer intravenous (IV) fluids -Change the surgical site dressing as prescribed |
The nurse is caring for a patient who received an organ transplant 3 days ago. Which nursing assessments and interventions will decrease the risk for infection? | -Administer prophylactic antibiotics -Auscultate the patient's lung sounds |
The nurse is caring for a patient who had a liver transplant 3 months ago. Which nursing intervention can prevent acute rejection in this patient? | Administering the immunosuppressant medications as prescribed |