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Questions 149

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Question 1 of 5

A client is hospitalized with signs of transplant rejection following a recent renal transplant. Assessment of the client would be expected to reveal:

Correct Answer: D

Rationale: Rising blood pressure is a sign of renal transplant rejection due to impaired kidney function and fluid retention.

Question 2 of 5

A client with $B$ positive blood is scheduled for a transfusion of whole blood. Which finding requires nursing intervention?

Correct Answer: B

Rationale: Transfusing Rh-negative blood to an Rh-positive client can cause incompatibility reactions, requiring intervention to ensure Rh compatibility.

Question 3 of 5

After the physician performs an amniotomy, the nurse's first action should be to assess the:

Correct Answer: B

Rationale: Post-amniotomy, assessing fetal heart tones is critical to detect potential cord prolapse or distress.

Question 4 of 5

Which of the following statements regarding proper use of a cane is correct?

Correct Answer: B

Rationale: Downstairs, the cane and injured leg move first, followed by the good leg, ensuring stability. The cane is held opposite the injured side, with the elbow slightly bent, and reaches hip level.

Question 5 of 5

Acticoat (silver nitrate) dressings are applied to the legs of a client with deep partial thickness burns. The nurse should:

Correct Answer: B

Rationale: Acticoat dressings require moistening with sterile water to activate the silver release, which provides antimicrobial effects for burn wounds.

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