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A family has been notified that their son is brain dead, and the physician has discussed the possibility of donating organs. The nurse should collaborate with the physician to contact which referral source that is responsible for organ recovery in the United States?
- A. Organ and Tissue Procurement Organizations.
- B. American Transplant Association.
- C. American Hospice Foundation.
- D. American Association of Critical-Care Nurses.
Correct Answer: A
Rationale: Organ and Tissue Procurement Organizations are responsible for coordinating organ recovery in the United States, as they manage the donation process and ensure compliance with regulations.
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A client with rheumatoid arthritis is prescribed methotrexate. Which laboratory value should the nurse monitor?
- A. Liver function tests.
- B. Serum glucose.
- C. Hemoglobin A1c.
- D. Serum calcium.
Correct Answer: A
Rationale: Methotrexate can cause hepatotoxicity, so monitoring liver function tests is essential.
A client with a history of depression is prescribed citalopram (Celexa). The nurse should instruct the client to:
- A. Report signs of serotonin syndrome.
- B. Take the medication at bedtime.
- C. Avoid high-fiber foods.
- D. Stop the medication if mood improves.
Correct Answer: A
Rationale: Citalopram can cause serotonin syndrome, requiring monitoring for agitation and tremors.
Pelvic inflammatory disease is most often caused by:
- A. Trichomoniasis
- B. E. coli
- C. Staphylococcus aureus
- D. Neisseria gonorrhoeae
Correct Answer: D
Rationale: Neisseria gonorrhoeae is a common cause of pelvic inflammatory disease, often resulting from untreated gonorrhea, leading to infection of the reproductive organs.
The nurse is teaching a client with a new diagnosis of hypertension about the DASH diet. Which of the following foods should the nurse recommend?
- A. White bread.
- B. Bananas.
- C. Sausage.
- D. Potato chips.
Correct Answer: B
Rationale: Bananas are rich in potassium and part of the DASH diet, which promotes heart-healthy eating to manage hypertension.
A client with a history of cirrhosis is admitted with esophageal varices. The nurse should monitor the client for which of the following complications?
- A. Hematemesis.
- B. Hypotension.
- C. Fever.
- D. Constipation.
Correct Answer: A, B
Rationale: Esophageal varices can rupture, causing hematemesis and hypotension.