Twenty hours after undergoing kidney transplantation, a client develops a hyperacute rejection. To correct this problem, the nurse should prepare the client for

bone marrow transplant

immediate dialysis to prevent damage to the new kidney.

high-dose intravenous cyclosporin therapy.

removal of the transplanted kidney.

Answer and Explanation

The Correct Answer is D

A. bone marrow transplant: Bone marrow transplant does not reverse hyperacute rejection. This type of rejection occurs because of pre-existing antibodies, and once the process begins, the damage progresses too rapidly for immune-modulating procedures like marrow transplant to be effective.

B. immediate dialysis to prevent damage to the new kidney: Dialysis may be needed after the kidney is removed, but it does not stop the rejection process. Hyperacute rejection results in irreversible vascular injury to the graft, so dialysis cannot salvage the transplanted organ.

C. high-dose intravenous cyclosporin therapy: Cyclosporin is useful for preventing or managing acute rejection, not hyperacute rejection. In hyperacute rejection, the tissue damage occurs within minutes to hours, and immunosuppressive therapy cannot reverse the destruction once it has begun.

D. removal of the transplanted kidney: Hyperacute rejection is caused by preformed antibodies that immediately attack the graft, leading to rapid thrombosis and necrosis. The transplanted organ is nonviable, so prompt removal is necessary to prevent systemic complications such as sepsis or disseminated clotting.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Lactulose: Lactulose is used to reduce ammonia levels in hepatic encephalopathy by promoting bowel excretion of nitrogen, but it does not control bleeding. It addresses neurologic complications rather than hemorrhage.

B. Vasopressin: Vasopressin is a potent vasoconstrictor that reduces portal venous pressure, helping control active bleeding from esophageal varices. It is commonly administered in acute variceal hemorrhage to achieve hemostasis and stabilize the client.

C. Propranolol: Propranolol, a nonselective beta-blocker, is used prophylactically to reduce portal hypertension and prevent variceal bleeding. It is not effective in stopping active hemorrhage.

D. Neomycin sulfate: Neomycin is an antibiotic used to reduce intestinal bacteria and lower ammonia levels in hepatic encephalopathy. It has no role in controlling acute variceal bleeding.

A. Autonomic dysreflexia B. Epidural hematoma C. Neurogenic shock D. Spinal shock

Correct Answer is D

Explanation

A. Autonomic dysreflexia: Autonomic dysreflexia occurs after spinal shock has resolved, typically in injuries at T6 or above, and presents with hypertension, bradycardia, and headache. Areflexia is not a feature of this condition.

B. Epidural hematoma: Epidural hematoma may cause neurological deficits, but its presentation is usually localized and acute, not a generalized loss of reflexes below the injury. Areflexia alone does not confirm this diagnosis.

C. Neurogenic shock: Neurogenic shock involves hypotension and bradycardia due to sympathetic disruption, but it is a hemodynamic condition. Loss of reflexes is a neurological finding and indicates a different process.

D. Spinal shock: Spinal shock is characterized by temporary loss of all reflexes, motor, and sensory function below the level of injury. Areflexia is a hallmark of this initial phase following spinal cord trauma. Recognition guides appropriate monitoring and care.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Twenty hours after undergoing kidney transplantation, a client develops a hyperacute rejection. To correct this problem, the nurse should prepare the client for

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following drugs is administered to promote hemostasis and control active bleeding in esophageal varices?

Correct Answer is B

Explanation

When assessing a client with a spinal cord injury, the nurse notes areflexia below the level of injury. What should the nurse suspect?

Correct Answer is D

Explanation

A client with cirrhosis has an episode of bleeding esophageal varices that is controlled with administration of vasopressin and endoscopic sclerotherapy. To detect possible complications of the bleeding episode, it is most important for the nurse to monitor serum

A client who is in shock is receiving norepinephrine in addition to IV fluids. What principle should influence the nurse's care planning during the administration of a vasoactive drug?

You are caring for a client who has suffered a severe crush injury yesterday and now has decreasing urine output. The urine is now a dark cola color. You suspect the client is developing acute kidney injury as a direct result of

A client with chronic kidney disease is completing an exchange during peritoneal dialysis. The nurse observes that the peritoneal fluid is draining slowly and that the client's abdomen is increasing in girth. What is the nurse's most appropriate action?

The nurse is assessing an adult client following a motor vehicle accident. The nurse observes that the client has an increased use of accessory muscles and is reporting chest pain and shortness of breath. The nurse should recognize the possibility of what condition?

Which of the following are complications the nurse should monitor for during dialysis?

The nurse assesses a 72 kg client six hours after a thermal burn covering 50% of the client's total body surface area. Of the findings listed below, which is the most important to communicate to the health care provider?

The nurse is assigned to the care of a client in the ICU who is in cardiogenic shock. What priority nursing intervention is necessary to conserve myocardial energy and decrease workload of the heart?