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Questions and Answers

Three types of rejection are

Mr Steth E Scope is on a vent unit and after much collaboration with the family and physician the family has decided to "let him go." What is the RN's first priority?

  • Notify OPO
  • Have pt information ready to convey to OPO (correct)
  • pull the plug
  • notify the physician
  • Some s/s of rejection include fever, hypotension, dyspnea, blood clots

    True

    A patient is being treated with tacrolimus after receiving a kidney transplant 2 days ago what labs would the RN monitor?

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    Mrs. Vent I Lator was just transferred to PACU after receiving a lung transplant. What finding would require the RN to contact medical immediately?

    <p>sudden CP</p> Signup and view all the answers

    You the RN are on a floor with several patients with endocrine dysfunction. What assessment findings might the RN expect to see when taking care of them.

    <p>hyperthyroidism = unintentional wgt loss cardiac dysrhythmias, increase temp, tachypneic hypothyroidism = wgt gain, no bm for 5days now, decrease in t4 and t3, cool dry skin, bradycardia SIADH = urine osmolality increased, retaining sodium, on seizure precautions Diabetes insipidus = high serum osmolality, I&amp;O imbalance, polyuria, confused, on seizure precautions</p> Signup and view all the answers

    Pen light is a 8 year old girl has been on a ventilator following a tragic swimming incident on the lake during a family vacation several years ago. Her parents have made the decision to take her off the ventilator and donate her heart. After notifying OPO what would be done next to ensure this heart remains viable.

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    For imminent death the RN should notify the organ procurement organization within 1 hour of clinical triggers and 2 hours of heart stopping

    <p>False</p> Signup and view all the answers

    Mr. Spig Mynomator received a heart transplant and is taking Tacrolimus. The client reports to the home care RN that he has had "cold" s/s for the past week. What would the RN expect HCP to order for the patient.

    <p>oseltamivir</p> Signup and view all the answers

    Mr Turd Ale had a kidney transplant 4 years ago has tested positive for COVID. He arrived at the clinic and just checked in. What would the RN expect Mr. Ale's visit to be for?

    <p>Receive immunoglobulins via IV</p> Signup and view all the answers

    The RN is providing patient teaching to a patient being discharged after Addison's diagnosis. What statements by the patient would indicate correct understanding?

    <p>&quot;I will wear a medical alert bracelet AAT&quot;</p> Signup and view all the answers

    Corticosteroid imbalance causes are only endogenous

    <p>False</p> Signup and view all the answers

    Mrs. Elle Ectrolite just arrived to ED via ambulance is lethargic, RR 10, HR 40, T35.0, and B/P 90/50, Sp02 75% ra? The patient has a history of Hyperthyroid disease. What would be the RN's priority intervention?

    <p>intubation</p> Signup and view all the answers

    Mrs. Na Deer calls the allergy office and complains that her child Nutrapinic is SOB, developed hives, and is getting really "sleepy" after consuming pineapples. She explains that she has never had this reaction when eating them but does have an Epi pen for severe allergy to peanuts. What response would be appropriate by the RN?

    <p>&quot;You should administer the Epi pen even though your child has no history of pineapple allergy&quot;</p> Signup and view all the answers

    Ms. Billie Rubin has arrived at the allergy clinic to began immunotherapy. She reports that just came from a monthly breakfast with friends and consumed something that contained peanuts and did not know until after and took one 25mg diphenhydramine to relieve symptoms. The patient is here for hx of severe allergic reaction to eggs. Would it be appropriate for the RN to ask the patient to reschedule?

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    What is the RN's priority for treating a patient with the following s/s after a thyroidectomy: increase swelling of the neck, hoarse voice, hematemesis, trousseau sign and Sp02 of 88%.

    <p>maintain airway</p> Signup and view all the answers

    Mr. Art Treemunt is admitted to the medical unit from ED after a fall from a10 foot ladder with encephalitis and being treated for Diabetes Insipidus with IV desmopresson. What assessment would the RN be concerned about?

    <p>pt having a seizure</p> Signup and view all the answers

    Sistemik Loopouse is a teenage sophomore at Erithmatosus Magnet High School. Sistemik has been diagnosed with hypothyroidism but admits the he forgets often to take his meds. What would be an appropriate resource for the RN to provide for med adherence?

    <p>website providing information about addison crisis</p> Signup and view all the answers

    Hop to Bed stands for: hydrate, oxygen and bedstand

    <p>False</p> Signup and view all the answers

    Goals of ART therapy are: decrease viral load, maintain or increase cd4 cell count, delay AIDS, prevent HIV transmission

    <p>True</p> Signup and view all the answers

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