The nurse teaches patients about drug therapy after a kidney transplant. Which statement by the patient would indicate a need for further instructions?

"After a couple of years, I will be able to stop taking the Tacrolimus.”

“The drugs are combined to inhibit different ways the kidney can be rejected.”

“If I develop acute rejection episode, I will need additional types of drugs."

“I need to be monitored closely for development of cancer.”

Answer and Explanation

The Correct Answer is A

A. This statement is incorrect because tacrolimus (an immunosuppressant) is typically required long-term to prevent organ rejection after a kidney transplant. Stopping it prematurely can lead to rejection.
B. This statement is correct because immunosuppressant drugs used after a kidney transplant often target different pathways to prevent rejection.
C. This statement is correct because acute rejection episodes may necessitate adjustments or additions to the immunosuppressive regimen.
D. This statement is correct because immunosuppressive medications increase the risk of certain cancers, so close monitoring is essential.

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Correct Answer is A

Explanation

A. "Guarded" prognosis implies uncertainty with a potential for improvement or decline depending on treatment response and disease progression.
B. "Good" and "very good" prognoses suggest favorable outcomes, which are less likely with stage IV ovarian cancer.
C. "Poor" prognosis indicates a bleak outlook with limited treatment options and expected decline in health.
D. Given the aggressive treatment plan and stage IV cancer, a "guarded" prognosis is the most appropriate to discuss with the client.

A. Place the client's clothing in a plastic bag. B. Instruct the client to remove their clothing. C. Remain at least 1.8 meters (6 feet) from the client D. Shower and scrub the client's skin

Correct Answer is B

Explanation

A. Placing the client's clothing in a plastic bag may be necessary for preserving evidence but does not address immediate safety concerns.
B. Instructing the client to remove their clothing helps reduce further exposure to the unknown chemical.
C. Maintaining a safe distance from the client is important, but immediate decontamination is a higher priority.
D. Showering and scrubbing the client's skin should be done after removing contaminated clothing to minimize exposure.

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The nurse teaches patients about drug therapy after a kidney transplant. Which statement by the patient would indicate a need for further instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is receiving treatment for stage IV ovarian cancer and asks the nurse to discuss her prognosis. The client plans to have aggressive surgical, radiation, and chemotherapy treatments. Which of the following prognoses should the nurse discuss with the client?

Correct Answer is A

Explanation

A nurse is caring for a client who has been exposed to an unknown chemical. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

An occupational health nurse at a factory has been asked to investigate an employee injury claim. Which of the following information should the nurse review?

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is teaching a group of clients about tick-borne illnesses. Which of the following information should the nurse include in the teaching regarding ticks?

A nurse is teaching a group of clients about first aid care for a bee sting. Which of the following information should the nurse include in the teaching?

A nurse is the triage officer in the emergency department when four clients arrive following a factory explosion. Which of the following clients should the nurse care for first?

Which finding indicates that the nurse should discontinue active rewarming of a patient admitted with hypothermia?

A nurse is caring for a 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).