Author Question: The nurse is caring for a child who is experiencing an acute renal transplant rejection and is to ... (Read 26 times)

Tirant22 · **on:** Jun 27, 2018

The nurse is caring for a child who is experiencing an acute renal transplant rejection and is to receive muromonab-CD3 . Which of the following would the nurse most likely expect to assess after the first dose is administered?

A) Fever with chills, chest tightness
B) Cough, hyperkalemia
C) Photosensitivity, gastrointestinal (GI) upset
D) Urinary retention, decreased appetite

Question 2

After teaching the parents of a 6-year-old how to administer an enema, the nurse determines that the teaching was successful when they state that they will give how much solution to their child?

A) 100 to 200 mL
B) 200 to 300 mL
C) 250 to 500 mL
D) 500 to 1,000 mL

Joc · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
The first dose of muromonab-CD3 can cause fever, chills, chest tightness, wheezing, nausea, and vomiting. Cough and hyperkalemia are associated with angiotensin-converting enzyme inhibitors. Photosensitivity and GI upset are often associated with diuretics. Urinary retention and decreased appetite are associated with imipramine.

Answer to Question 2

D
Feedback:
For a school-age child, typically 500 to 1,000 mL of enema solution is given. For an infant, 250 mL or less is used; for a toddler or preschooler, 250 to 500 mL is used.