Author Question: While caring for a patient preparing for a kidney transplant, the nurse knows that the patient ... (Read 89 times)

sarasara · **on:** Jul 22, 2018

While caring for a patient preparing for a kidney transplant, the nurse knows that the patient understands teaching on immunosuppression when she makes which statement?

a. My body will treat the new kidney like my original kidney.
b. I will have to make sure that I avoid being around people.
c. The medications that I take will help prevent my body from attacking my new kidney.
d. My body will only have a problem with my new kidney if the donor is not directly related to me.

Question 2

The nurse is caring for a patient who was started on intravenous antibiotic therapy earlier in the shift. As the second dose is being infused, the patient reports feeling dizzy and having difficulty breathing and talking.

The nurse notes that the patient's respirations are 26 breaths/min with a weak pulse of 112 beats/min. The nurse suspects that the patient is experiencing which condition?
a. Suppressed immune response
b. Hyperimmune response
c. Allergic reaction
d. Anaphylactic reaction

emsimon14 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: C
Immunosuppressant therapy is initiated to inhibit optimal immune response. This is necessary in the case of transplantation, because the normal immune response would cause the body to recognize the new tissue as foreign and attack it. The body will identify the new kidney as foreign and will not treat it as the original kidney. While patients with transplants must be careful about exposure to others, especially those who are or might be ill, and practice adequate and consistent infection control techniques, they don't have to avoid people or social interaction. The new kidney brings foreign cells regardless of relationship between donor and recipient.

Answer to Question 2

ANS: D
The patient is exhibiting signs and symptoms of an anaphylactic reaction to the medication. These signs and symptoms during administration of a medication do not correspond to a suppressed immune response but a type of hyperimmune response. While the patient is experiencing a hyperimmune response, the signs and symptoms allow for a more specific response. While the patient is experiencing an allergic reaction, the signs and symptoms presented in the scenario allow for a more specific response.