A nurse is caring for a 65-year-old male client who is admitted to the emergency department for fatigue.

Exhibits

Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply)

Assessment of incision site

Assessment of lower extremities

Blood pressure

Sodium level

Answer and Explanation

Correct Answer : A,B,C

Choice A rationale:

Tenderness, redness, and swelling at the incision site can indicate an infection or transplant rejection, both of which require immediate medical attention to prevent further complications.

Choice B rationale:

Swelling in the lower extremities (edema) can be a sign of fluid retention, which may indicate kidney dysfunction or transplant rejection, necessitating prompt evaluation and intervention.

Choice C rationale:

Elevated blood pressure (180/90 mm Hg) can be a sign of transplant rejection, as the body may be responding to the new organ as a foreign object, leading to increased blood pressure.

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Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale

Moon face is a characteristic feature of Cushing’s syndrome, caused by fat deposition around the face due to increased cortisol levels.

Choice B rationale

Buffalo hump, or the accumulation of fat on the upper back, is another hallmark of Cushing’s syndrome, resulting from prolonged exposure to high cortisol levels.

Choice C rationale

Purple striations, or stretch marks, commonly appear on the abdomen, thighs, and breasts in Cushing’s syndrome, due to skin thinning and weakening from excess cortisol.

Choice D rationale

Hypertension is a common manifestation of Cushing’s syndrome because cortisol increases blood pressure through various mechanisms, including increased sensitivity to catecholamines. .

A. Your HbA1c level of 5.7% or below indicates you have impaired glucose tolerance. B. Since you still have working beta cells, you can try diet to lower your blood sugar. C. This can be a reversible condition, so we will discuss ways to improve your health. D. This type of diabetes means that the cells in your pancreas do not produce any insulin.

Correct Answer is D

Explanation

Choice A rationale

An HbA1c level of 5.7% or below indicates normal glucose tolerance, not impaired glucose tolerance.

Choice B rationale

In type 1 diabetes mellitus, the beta cells are destroyed, and dietary changes alone cannot restore insulin production.

Choice C rationale

Type 1 diabetes mellitus is a chronic condition and is not considered reversible.

Choice D rationale

Type 1 diabetes mellitus is characterized by the autoimmune destruction of beta cells in the pancreas, leading to an absolute lack of insulin production.

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A nurse is caring for a 65-year-old male client who is admitted to the emergency department for fatigue. Exhibits Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has Cushing's syndrome.The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply)

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Explanation

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Correct Answer is D

Explanation

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A nurse is caring for a 65-year-old male client who is admitted to the emergency department for fatigue.

Exhibits

Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply)