NUR 265 Exam 4 with Questions and Answers

NUR 265 Exam 4 with Questions and Answers What is the criteria for kidney transplant candidacy and identify potential contraindications? ANSWER Have advanced Kidney Disease, Reasonable life expectancy, are medically and surgically fit to undergo the procedure and have a GFR of less than 20 ml/min. Contraindications - Active cancer, current infection, active psychiatric illness, active substance abuse, and nonadherence with dialysis or medical regimen. What are the signs of liver transplant rejection, and The priority nursing interventions? ANSWER Tachycardia, Fever, PAIN in the right upper quadrant or flank, decreased bile pigment and volume, and increasing jaundice (New Onset). Labs - Elevated Bilirubin, Rising AST and ALT, Elevated alkaline phosphate levels, and increasing Prothrombin time/ international normalized ratio (PT/INR) Interventions - Monitor Temperature frequently, Increased abdominal pain, Distention and rigidity, which are indicators of peritonitis. Monitor for changes in neurologic status that could indicate encephalopathy. Report signs of clotting problems (Blood oozing from a catheter, petechiae, ecchymosis) Could indicate impaired function of the transplanted liver. What is the importance of monitoring post-lung transplant clients for respiratory function, signs of rejection, and infection? ANSWER Respiratory function is essential to monitor because it helps identify any issues that may impact breathing, oxygenation and lung function.