The health care provider asks the nurse whether a patient's angioedema has responded to prescribed therapies. Which assessment should the nurse perform?
a. Ask the patient about any clear nasal discharge.
b. Obtain the patient's blood pressure and heart rate.
c. Check for swelling of the patient's lips and tongue.
d. Assess the patient's extremities for wheal and flare lesions.
Question 2An older adult patient has a prescription for cyclosporine following a kidney transplant. Which information in the patient's health history has the most implications for planning patient teaching about the medication at this time?
a. The patient restricts salt to treat prehypertension.
b. The patient drinks 3 to 4 quarts of fluids every day.
c. The patient has many concerns about the effects of cyclosporine.
d. The patient has a glass of grapefruit juice every day for breakfast.
Question 3A patient who is anxious and has difficulty breathing seeks treatment after being stung by a wasp. What is the nurse's priority action?
a. Have the patient lie down.
b. Assess the patient's airway.
c. Administer high-flow oxygen.
d. Remove the stinger from the site.
Question 4The charge nurse is assigning rooms for new admissions. Which patient would be the most appropriate roommate for a patient who has acute rejection of an organ transplant?
a. A patient who has viral pneumonia
b. A patient with second-degree burns
c. A patient who is recovering from an anaphylactic reaction to a bee sting
d. A patient with graft-versus-host disease after a recent bone marrow transplant
Question 5A patient who has received allergen testing using the cutaneous scratch method has developed itching and swelling at the skin site. Which action should the nurse take first?
a. Administer epinephrine.
b. Apply topical hydrocortisone.
c. Monitor the patient for lower extremity edema.
d. Ask the patient about exposure to any new lotions or soaps.
Question 6A patient is admitted to the hospital with acute rejection of a kidney transplant. Which intervention will the nurse prepare for this patient?
a. Administration of immunosuppressant medications
b. Insertion of an arteriovenous graft for hemodialysis
c. Placement of the patient on the transplant waiting list
d. A blood draw for human leukocyte antigen (HLA) matching