Question in doubt!! 1. Which of the following are characteristics…
Question Answered step-by-step Question in doubt!! 1. Which of the following are characteristics… Question in doubt!!1. Which of the following are characteristics of chronic kidney rejection? a. Signs and symptoms include pain at transplant site b. Treated with conservative management until dialysis required c. Signs and symptoms include a temperature of over 100 degree F d. Treated with increased doses of immunosuppressive drugs 2. When caring for a client receiving an immunosuppresant agent, the nurse should report which of the following values? (Select all that apply) a. Neutrophil count over 500 cells/mm3 b. Hb 15 g/dL c. WBC count of 1,100 cells/mm3 d. Hct 41% e. Neutrophil count <450 cells/mm3 3. A nurse is caring for a client admitted for acute ischemic stroke. Best practices for managing increasing ICP for clients experiencing a stroke will include which of the following? (Select all that apply) a. Elevate the head of the bed per agency or provider protocol b. Provide oxygen therapy to prevent hypoxia or clients with oxygen saturation less than 90% or 94%c. Avoid any hip or neck flexion to avoid repositioning d. Keep the room lights bright to accommodate and photophobia e. Hyperoxygenate the client (with 100% oxygen) before and after suctioning4. A client with acute ischemic stroke is ordered to receive alteplase. The client weighs 160.6 lbs. Based on standard alteplase administration for stroke, how many mL per hour will the nurse run bolus? a. 386b. 1c. 3864d. 65.75. A client is on an 1100 mL daily fluid restriction. During the 7am-7pm shift, the client consumed the following amount of fluid: 4 oz each of coffee with breakfast and lunch, 4 oz of apple juice, 50 mL each time taking medication (10am, noon, 2pm, 6pm), 6 oz of broth, 4oz of ginger ale. How many mL may the client consume during the 7am-7pm shift?a. 720b. 860c. 240 d. 2906. The joint commission established eight core measures associated with the care of stroke clients. These core measures form the basis of not only individual client goals but also system-wide goals of care. These core measures include which of the following? (Select all that apply) a. Thrombolytic therapy (for thrombotic stroke <4 hours from hospital admission)b. Discharged on statin medicationc. Venous thromboembolism (VTE) prophylaxisd. Discharge with antithrombotic therapy ( check whether its include or not)e. Antithrombotic therapy is evaluated by the end of the hospital stay7. The nurse is monitoring an intubated postoperative infratentorial craniotomy client with increased ICP. Which of the following will be induced in the plan of care? (Select all that apply) a. A small or moderate amount of drainage is expectedb. Do not suction the client to prevent increase in ICPc. Position the client with hop and neck flexed slightly toward the chestd. Maintain the client flat and side lying alternately every 2 hours X 48 hourse. Report a saturated head dressing or drainage device of more than 50 mL over 8hours.8. A client has global aphasia. Which of the following accurately describes and covers the client's limitations? a. Difficulty understanding spoken wordsb. Difficulty speakingc. Reading and writing ability are equally affectedd. Speech often meaningless9. A nurse is caring for a client following surgical treatment for supratentorial brain tumor. Which of the following interventions should the nurse take? (Select all that apply) a. Elevate the head of the bed to 30 degreesb. Provide passive range-of-motion exercises to the neckc. Place the client in a flat, lateral positiond. Notify the provider for drainage greater than 30 to 50 mL/hr ( it may right or wrong)e. Turn the client side to side or supine10. The Joint Commission established eight core measures associated with the care of ischemic stroke clients. These core measures include which of the following? (Select all that apply) a. Discharge with antithrombotic therapyb. Discharged on statin medicationsc. Discharge with anticoagulation therapy for atrial flutter (Check the answer)d. Thrombolytic therapy (for ischemic stroke of <3 hours from hospital admission)e. Antithrombotic therapy is evaluated by end of hospital stay11. The nurse contacts the health care provider with data collected from a client admitted for hemorrhagic stroke. Which information indicates the clients is experiencing central herniation? (Select all that apply) a. Cheyne-Stoke respirationb. Bradycardiac. Amnesiad. Unilateral dilated pupile. Increased diastolic blood pressure12. The client with a mild brain injury recovers at home after discharge from the emergency department or hospital. The nurse should teach the family to bring the client back to the emergency department immediately if which of the following sign & symptom (S/S) occur?(Select all that apply) a. Improving headache b. Any nausea or vomiting c. Balance or gait problems d. Blurred vision e. Drainage from the car or nose13. A client who underwent solid organ transplant is taking cyclosporine. Which of the following will be included in the nurse's plan of care? (Select all that apply) a. Monitor liver enzymesb. Inspect the oral mucosa and gumsc. Ask about dyspepsia, abdominal discomfortd. Monitor blood glucose at least once dailye. Monitor urine output, BUN, creatine14. When caring for a client who received a solid organ transplant, the nurse should report which of the following values? (Select all that apply) a. Absolute Neutrophil count <450 cells/mmb. HCT 41%c. WBC count of 1300 cells/mmd. Absolute Neutrophil count over 500 cells/mme. HB 15g/DL15. A client with a stroke often laughs and then cries unexpectedly for no apparent reason. The client also suddenly begins to get angry and frustrated while playing a card game with visiting family. What is the best action by the rehab nurse? a. Explain the cause of labile emotions to the family. b. Ask the client to stop behaving inappropriately. c. Ask the client what made him or her angryd. Reassure the client that there is nothing to be angry about. 16. The nurse contacts the health care provider with the data collected from a client recovering from a stroke. Which information indicated the client was experiencing central herniation? (Select all that apply) a. Cheyne-Stroke's respirationsb. Bradycardiac. Increased diastolic blood pressure (check the answer)d. unilateral dilated pupile. Amnesia17. The nurse caring for an athlete with a possible cervical spine (C5) injury following a diving accident. The nurse assesses a blood pressure of 70/50 mm Hg, heart rate 45 heats/min and respiration 26 breaths/min. The client's skin is warm and flushed. What is the best initial action by the nurse? a. Providing fluids to the circulating blood volume b. Notify the PHCP immediately c. Adding vasopressor IV therapy d. Providing supportive care to stabilize the patient. 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