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Your patient just underwent a renal transplant. In the immediate postoperative period, which of the following urine output levels would you expect to observe in this patient?
A. 75-150 mL/hr
B. >1000 mL/hr
C. 10-20 mL/hr
D. 200-300 mL/hr
Answer: D
Explanation:
In the immediate postoperative period following a renal transplant, urine output of 200-300 mL/hr best indicates (a) well-functioning kidney(s).
This output indicates diuresis (or polyuria), an increased or excessive production of urine. Studies suggest that early post-transplant polyuria is associated with good short-term and long-term renal transplantation outcomes.
NEW QUESTION # 817
Patients in end-stage cardiomyopathy often exhibit which of the following symptoms of right-sided heart failure?
A. hypotension and oliguria
B. pulmonary edema and restlessness
C. JVD and hepatomegaly
D. hypertension and polyuria
Answer: C
Explanation:
JVD stands for jugular venous distension, which is a sign of increased pressure in the right atrium and the superior vena cava. Hepatomegaly means enlargement of the liver, which can occur due to congestion of blood in the portal vein and the hepatic vein. Both JVD and hepatomegaly are common symptoms of right-sided heart failure, as they indicate fluid retention and backup in the systemic circulation12. Hypotension and oliguria are not specific to right-sided heart failure, as they can also occur in left-sided heart failure or other conditions that affect the cardiac output and renal perfusion. Hypertension and polyuria are unlikely to be seen in right-sided heart failure, as they indicate increased blood pressure and urine output, which are opposite to the effects of reduced cardiac function and fluid overload. Pulmonary edema and restlessness are more characteristic of left-sided heart failure, as they indicate fluid accumulation and impaired gas exchange in the lungs12.
NEW QUESTION # 818
Which of the following patients would the critical care nurse suspect MOST LIKELY be at risk for a bowel infarction?
A. A middle-aged patient with a history of stroke
B. An elderly patient with atherosclerosis
C. An elderly patient with hyperthyroidism
D. A middle-aged patient with COPD
Answer: B
Explanation:
The elderly patient with systemic atherosclerosis is particularly at risk for intestinal ischemia. In one large retrospective study, hyperthyroidism, stroke, and COPD (Chronic Obstructive Pulmonary Disease) were statistically significant independent predictors of mortality.
Other causes/risk factors include:
* Atherosclerosis
* Emboli in patients with endocarditis or atrial fibrillation
* Cholesterol plaques that become dislodged
* A thrombus after an MI
* Hyper-coagulation
* Heart failure
* Cirrhosis
Conditions that can reduce blood flow to the major mesenteric vessels can cause a bowel infarction.
NEW QUESTION # 819
When considering abdominal trauma, which of the following is LEAST LIKELY to be affected by blunt trauma?
A. Intestines
B. Spleen
C. Kineys
D. Liver
Answer: A
Explanation:
Blunt trauma is most likely to affect solid organs and have less effect on hollow organs, such as the intestines. The spleen, liver, and kidneys are all solid organs, making them more likely to be injured due to blunt trauma.
NEW QUESTION # 820
A nurse is precepting an experienced critical care nurse who is new to the facility. To develop the orientation plan, which of the following should the preceptor do first?
A. Explain patient care policies and procedures to the new nurse.
B. Teach the new nurse about unit routines and practices.
C. Introduce the new nurse to staff and team members on the unit.
D. Determine the knowledge and skills the new nurse needs to learn.
Answer: D
Explanation:
The first step in developing an orientation plan is to assess the new nurse's current knowledge and skills. This helps tailor the orientation to address any gaps and build on existing competencies. Understanding the new nurse's background ensures that the training is efficient and effective, focusing on areas that need improvement rather than repeating familiar information. References: = CCRN Exam Handbook, AACN Adult CCRN Certification Review Course
NEW QUESTION # 821
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