Randy has undergone kidney transplant, what assessment would prompt Nurse Katrina to suspect organ rejection?

Correct Answer: C

Rationale: Nurse Katrina would suspect organ rejection in Randy if she observes hypertension. Hypertension can indicate decreased kidney function due to rejection, leading to fluid retention and increased blood pressure. Sudden weight loss (A) is more likely due to other factors like poor appetite or stress. Polyuria (B) is excessive urination and not directly related to kidney rejection. Shock (D) is a severe and life-threatening condition that may occur in cases of severe rejection, but hypertension is a more common and early indicator.

Correct Answer: C

Rationale: The correct answer is C because in chronic renal failure (CRF), the kidneys are unable to effectively filter waste products from the blood, leading to elevated levels of blood urea nitrogen (BUN) and serum creatinine. BUN levels higher than 100 mg/dl and serum creatinine levels higher than 6.5 mg/dl indicate impaired kidney function, which is characteristic of CRF. A is incorrect because in CRF, pH tends to be decreased rather than increased due to metabolic acidosis. B is incorrect because in CRF, there is typically a buildup of potassium, magnesium, and calcium in the blood, not an increase in their serum levels. D is incorrect because uric acid levels and phenolsulfonphthalein excretion are not specific markers for CRF. Therefore, C is the correct answer based on the characteristic laboratory findings in chronic renal failure.

Correct Answer: A

Rationale: The correct answer is A: Turn him frequently. Turning the client frequently helps redistribute pressure, reducing the risk of pressure ulcers. This promotes circulation and relieves pressure on specific areas. Passive ROM exercises (B) are important for maintaining joint mobility but do not directly prevent pressure ulcers. Reducing fluid intake (C) is not recommended as hydration is crucial for skin health. Using a footboard (D) may help with positioning but is not as effective as regular turning for preventing pressure ulcers.

Correct Answer: C

Rationale: The correct order to anticipate for the female client with chest and stomach pain and black tarry stool is option C. Firstly, an electrocardiogram is necessary to assess for any cardiac issues related to the chest pain. Next, a complete blood count is essential to evaluate for any potential blood disorders causing the black tarry stool. Testing for occult blood helps identify any gastrointestinal bleeding. Lastly, a comprehensive serum metabolic panel provides a broad assessment of the client's overall health status. Option A is incorrect as creatine kinase and lactate dehydrogenase levels are not typically indicated for the presenting symptoms. Option B focuses on coagulation parameters, which are not the primary concern in this case. Option D includes tests unrelated to the client's symptoms, making it an inappropriate choice.

Correct Answer: C

Rationale: Rationale for Correct Answer (C): Osteoarthritis is the most common form of arthritis, affecting millions worldwide. It is characterized by the breakdown of cartilage in joints. This statement is correct as it accurately reflects the prevalence and impact of osteoarthritis. Summary of Incorrect Choices: A: Osteoarthritis can indeed be debilitating, especially in advanced cases, affecting mobility and quality of life. B: Osteoarthritis is not rare; it is prevalent, particularly in older populations. D: While osteoarthritis is more common in older adults, it can also affect people of all ages, including younger individuals due to factors like joint injury or genetics.