A client is scheduled for kidney transplantation using an ...

[xclash]

A client is scheduled for kidney transplantation using an allograft. Which instruction should the nurse provide?
 
  Standard Text: Select all that apply.
  1. You will be monitored for acute rejection for the first 48 hours.
  2. If your system has not rejected the kidney within 2 weeks of surgery, you will be out of danger.
  3. You will take antirejection medication for at least several months after surgery.
  4. You are in danger of developing chronic rejection for years after your surgery.
  5. Rejection usually occurs immediately after surgery, generally before the client gets out of the recovery room.

Question 2

A client's medical history reveals vaccination with bacillus Calmette-Gurin (BCG) vaccine. The nurse is aware that this client has possibly had which condition?
 
  Standard Text: Select all that apply.
  1. Exposure to tuberculosis
  2. Cervical cancer
  3. Bladder cancer
  4. Active tuberculosis
  5. Hashimoto's thyroiditis

[wilsonbho]

Answer to Question 1

Correct Answer: 1,3,4
Rationale 1: Acute rejection occurs in the first 48 hours after transplant.
Rationale 2: Rejection of an allograft may occur months or years after transplant.
Rationale 3: Antirejection medications are given for at least several months and are sometimes continued at a lower dose indefinitely.
Rationale 4: Chronic rejection of the transplant may occur months or even years after surgery.
Rationale 5: Rejection can occur anytime, from the first few hours after surgery to years later.
Global Rationale: Transplant rejection, is often acute; antibodies sometimes destroy the transplanted tissue within 48 hours after a transplant. The cell-mediated branch of the immune system responds more slowly to the transplant, attacking it about 2 weeks following surgery. Chronic rejection of the transplant may occur months or even years after surgery.

Answer to Question 2

Correct Answer: 1,3
Rationale 1: BCG is used to stimulate immunity against Mycobacterium tuberculosis.
Rationale 2: BCG is not given to treat cervical cancer.
Rationale 3: A form of BCG is used to treat cancer of the bladder.
Rationale 4: BCG is not given to treat active tuberculosis.
Rationale 5: BCG is not given to treat Hashimoto's thyroiditis.
Global Rationale: BCG vaccine is a live, attenuated vaccine that is available in two distinct strains with different indications. Tice is used to stimulate immunity against Mycobacterium tuberculosis. Vaccination with BCG simulates exposure to tuberculosis and induces an immune response against the organism. This drug is used to prevent tuberculosis and is not given to treat active infections. TheraCys is approved for the prophylaxis and treatment of patients with superficial bladder cancer. It is not indicated as treatment for cervical cancer, active tuberculosis, or Hashimoto's thyroiditis.

[xclash]

Both answers were spot on, thank you once again

[wilsonbho]

Great! Please up vote