A nurse is caring for a female client, 45 years old, with a kidney transplant, who is admitted to the emergency department for fatigue. The client is receiving oxygen via a 2L nasal cannula.

Exhibits

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

Sodium level

Creatinine level

Blood pressure

Assessment of lower extremities

Answer and Explanation

The Correct Answer is B

Choice A:
Sodium level - Sodium levels within the normal range do not indicate transplant rejection.
Choice B:
Creatinine level - Elevated creatinine levels suggest impaired kidney function, which can be a sign of kidney transplant rejection.
Choice C:
Blood pressure - While high blood pressure can be associated with kidney issues, it is not a direct indicator of transplant rejection.
Choice D:
Assessment of lower extremities - No visible edema or redness around the transplant site does not indicate rejection.

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Correct Answer is B

Explanation

Choice A rationale
An RBC count of 5 million/mm³ is within the normal range for adult females, so this finding would not be concerning in the context of chemotherapy.
Choice B rationale
A WBC count of 2300/mm³ is significantly lower than the normal range (typically 4500 to 11000/mm³) and indicates neutropenia, which is a critical side effect of chemotherapy that needs to be reported immediately.
Choice C rationale
Hemoglobin level of 12 g/dL is within the normal range for adult females, so this would not be concerning in the context of chemotherapy.
Choice D rationale
A platelet count of 155,000/mm³ is within the normal range (150,000 to 450,000/mm³). Although on the lower end, it is not typically alarming enough to report immediately in the context of chemotherapy.

A. Developing thyroid cancer. B. Delivering a child who has Down syndrome. C. Developing breast cancer. D. Developing Alzheimer's disease.

Correct Answer is C

Explanation

Choice A rationale
A mutant BRCA1 gene is not associated with an increased risk of thyroid cancer. Thyroid cancer risk factors include radiation exposure and family history, but not the BRCA1 mutation.
Choice B rationale
The BRCA1 gene mutation does not increase the risk of Down syndrome in offspring. Down syndrome is related to chromosomal abnormalities, not the BRCA1 gene mutation.
Choice C rationale
The BRCA1 gene mutation significantly increases the risk of breast cancer, often at an early age. It is a key factor in hereditary breast cancer syndromes.
Choice D rationale
The BRCA1 gene mutation is not linked to an increased risk of Alzheimer's disease. Alzheimer's is associated with genetic factors like the APOE gene, not BRCA1.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?

Correct Answer is B

Explanation

A female middle adult client tells a nurse that she tested positive for a mutant BRCA1 gene. The nurse should recognize that the client is at an increased risk for which of the following situations?

Correct Answer is C

Explanation

A nurse is caring for a client who has Cushing's syndrome.Which of the following interventions should the nurse expect to perform? (Select all that apply.)

A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

A nurse is planning care for a client who is to undergo a stem cell transplant. Which of the following actions should the nurse plan to take?

A nurse is creating the plan of care for a client who is immunosuppressed.Which of the following precautions should the nurse include in the plan? (Select all that apply)

A patient has been admitted with tumor lysis syndrome (TLS). Which intervention would be incorporated into the plan of care to prevent the metabolic imbalances associated with this disorder?

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?

A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?