NCLEX-RN
NCLEX RN Exam Questions Questions
Extract:
Question 1 of 5
Which finding is most important for the nurse to communicate to the health care provider about a patient who received a liver transplant 1 week ago?
Correct Answer: C
Rationale: The correct answer is the patient's temperature of 100.8°F (38.2°
C). In a patient who received a liver transplant 1 week ago, a fever is a significant finding that should be promptly communicated to the health care provider. Post-transplant patients are at high risk of infections, and fever can often be the initial indicator of an underlying infectious process. The other findings listed in choices A, B, and D are important and should be addressed, but they do not take precedence over a potential infection post-liver transplant. Dry palpebral and oral mucosa may indicate dehydration, crackles at bilateral lung bases may suggest fluid overload or infection, and no bowel movement for 4 days could indicate a bowel obstruction or ileus. However, in the context of a recent liver transplant, an elevated temperature is the most concerning and requires immediate attention to rule out infection.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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