Nurs 404 Exam 2 with 152 complete
solutions rated A+
Nurs 404 Exam 2 with 152 complete
solutions rated A+
_ Rejection: occurs minutes to hours after a transplant d/t preexisting antibodies against the
transplanted organ; no TM and the organ is removed - ANSWER hyperacute
_____ rejection: manifests in the first 6 months after a transplant and is usually mediated by the
recipients lymphocytes which have been activated aganist the donated tissue; usually reversible with
additional ____ therapy ( risk for ____ and ____) - ANSWER acute
immunosuppressive
infection
malignancies
____ rejection: occurs from months or years and is irreversible. It results in fibrosis and scarring - need
to be put back on the transplant list - ANSWER chronic
_____ therapy requires a balance - ANSWER immunsuppressive
Advantages of kidney transplants:
-reversal of pathophysiologic changes seen with kidney dz
-Patient is more ____
-Expense is ____ - ANSWER independent
less
Contra's to transplantation:
-Disseminated _____
-Untreated ____ dz
-Chronic _____ failure
,Nurs 404 Exam 2 with 152 complete
solutions rated A+
-Extensive ____ dz
-Chronic ____
-Unresolved ____ disorders - ANSWER malignancies
cardiac
resp
vascular
infection
psychosocial
With pre-op: need to provide: emotion and physical prep, education, labs, still need to protect ___ ___
___, and educate about usual pre-op stuff - ANSWER Dialysis access site
Post op care for the live donor:
-Monitor VS and surgical site
-_____ ____!!!!
-Prevent resp comp's
-most d/c in 3-5 days
-Return to work in one month
-Often ____ in the transplant process - ANSWER pain
forgotten
Post op care for the recipient:
-Maintenance of ___ and ___ ____ is First priority!!!!!!
-Lg. volumes of urine soon after transplanted kidney d/t new kidney's ability to filter BUN, abundance of
fluids given during surgery and initial renal tubular dysfunction
-UO repalced with fluids mL by mL ____ for the first 24 hours
-acute tubular necrosis can occur (may need dialysis) - d/t prolonged cold ischemic times
-maintain ____ ___!! - ANSWER fluid and electrolyte balance
,Nurs 404 Exam 2 with 152 complete
solutions rated A+
hourly
cath patency
Nursing interventions for immunosuppressives:
-Institute ___ ___ measures!!!!!!!
-Assess for S&S of infection
-Inspect ___ ___ ___
-Maintain good oral hygiene
-monitor for SE's - ANSWER infection control
oral mucous membranes
Comps of kidney transplant:
-____
-_____ ____!!!!!: recipients have increased incidence of atherosclerotic vascular dz and
immunosuppressants can worsen HTN and hyperlipidemia. They NEED to adhere to ____ regimen and
need to be educated about healthy lifestyles.
-_____!!!!!: d/t immunosuppressives
-Recurrance of original renal dz
-Corticosteroid-related comps - ANSWER infection
Cardiovascular dz
antihypertensive
malignancies
Infection of the ____ urinary tract causes fever, chills and flank pain - ANSWER upper
Infectious dz of the lower urinary tract include: _____ and ____ - ANSWER cystitits
prostatitis
, Nurs 404 Exam 2 with 152 complete
solutions rated A+
____: inflammation of the bladder. AKA UTI. - ANSWER Cystitis
Mani's of ____: 50% have none; frequency; urgency; dysuria; pyruia; suprapubic pain; foul smelling
urine; hematuria; and confusion in older adults - ANSWER cysitis
Diagnostics of Cystitis: UA (more than _____ organisms/ml), positive for ____, ___ and ___
-Will have a shift to the Left
-Cystoscopy
-CT with contrast - CHECK ____ function B4
-U/S - ANSWER 100,000
nitrates
leukocyte esterase
RBCs
Kidney
TM of cysitis:
-_____ therapy (for 10-14 days), ____ (analgesic - stains everything ____ ), increased ____ - ANSWER AB
pyridium
organge
fluids - 3-4 L/day
_____: inflammation of the prostate gland - ANSWER prostatitis
Prostatitis: four types:
-____ ____
-____ ___
-____ ___ / ____ ___ ___ ___
-____ ____ - ANSWER acute bacterial
solutions rated A+
Nurs 404 Exam 2 with 152 complete
solutions rated A+
_ Rejection: occurs minutes to hours after a transplant d/t preexisting antibodies against the
transplanted organ; no TM and the organ is removed - ANSWER hyperacute
_____ rejection: manifests in the first 6 months after a transplant and is usually mediated by the
recipients lymphocytes which have been activated aganist the donated tissue; usually reversible with
additional ____ therapy ( risk for ____ and ____) - ANSWER acute
immunosuppressive
infection
malignancies
____ rejection: occurs from months or years and is irreversible. It results in fibrosis and scarring - need
to be put back on the transplant list - ANSWER chronic
_____ therapy requires a balance - ANSWER immunsuppressive
Advantages of kidney transplants:
-reversal of pathophysiologic changes seen with kidney dz
-Patient is more ____
-Expense is ____ - ANSWER independent
less
Contra's to transplantation:
-Disseminated _____
-Untreated ____ dz
-Chronic _____ failure
,Nurs 404 Exam 2 with 152 complete
solutions rated A+
-Extensive ____ dz
-Chronic ____
-Unresolved ____ disorders - ANSWER malignancies
cardiac
resp
vascular
infection
psychosocial
With pre-op: need to provide: emotion and physical prep, education, labs, still need to protect ___ ___
___, and educate about usual pre-op stuff - ANSWER Dialysis access site
Post op care for the live donor:
-Monitor VS and surgical site
-_____ ____!!!!
-Prevent resp comp's
-most d/c in 3-5 days
-Return to work in one month
-Often ____ in the transplant process - ANSWER pain
forgotten
Post op care for the recipient:
-Maintenance of ___ and ___ ____ is First priority!!!!!!
-Lg. volumes of urine soon after transplanted kidney d/t new kidney's ability to filter BUN, abundance of
fluids given during surgery and initial renal tubular dysfunction
-UO repalced with fluids mL by mL ____ for the first 24 hours
-acute tubular necrosis can occur (may need dialysis) - d/t prolonged cold ischemic times
-maintain ____ ___!! - ANSWER fluid and electrolyte balance
,Nurs 404 Exam 2 with 152 complete
solutions rated A+
hourly
cath patency
Nursing interventions for immunosuppressives:
-Institute ___ ___ measures!!!!!!!
-Assess for S&S of infection
-Inspect ___ ___ ___
-Maintain good oral hygiene
-monitor for SE's - ANSWER infection control
oral mucous membranes
Comps of kidney transplant:
-____
-_____ ____!!!!!: recipients have increased incidence of atherosclerotic vascular dz and
immunosuppressants can worsen HTN and hyperlipidemia. They NEED to adhere to ____ regimen and
need to be educated about healthy lifestyles.
-_____!!!!!: d/t immunosuppressives
-Recurrance of original renal dz
-Corticosteroid-related comps - ANSWER infection
Cardiovascular dz
antihypertensive
malignancies
Infection of the ____ urinary tract causes fever, chills and flank pain - ANSWER upper
Infectious dz of the lower urinary tract include: _____ and ____ - ANSWER cystitits
prostatitis
, Nurs 404 Exam 2 with 152 complete
solutions rated A+
____: inflammation of the bladder. AKA UTI. - ANSWER Cystitis
Mani's of ____: 50% have none; frequency; urgency; dysuria; pyruia; suprapubic pain; foul smelling
urine; hematuria; and confusion in older adults - ANSWER cysitis
Diagnostics of Cystitis: UA (more than _____ organisms/ml), positive for ____, ___ and ___
-Will have a shift to the Left
-Cystoscopy
-CT with contrast - CHECK ____ function B4
-U/S - ANSWER 100,000
nitrates
leukocyte esterase
RBCs
Kidney
TM of cysitis:
-_____ therapy (for 10-14 days), ____ (analgesic - stains everything ____ ), increased ____ - ANSWER AB
pyridium
organge
fluids - 3-4 L/day
_____: inflammation of the prostate gland - ANSWER prostatitis
Prostatitis: four types:
-____ ____
-____ ___
-____ ___ / ____ ___ ___ ___
-____ ____ - ANSWER acute bacterial
