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A client is being discharged home on oral Steroids post kidney transplant. Which of the following side effects is of most concern?

Client report of irritability

Client report of a headaches

Client report of weight loss

Client report of high blood pressure

Answer and Explanation

The Correct Answer is D

A. Irritability is a common side effect of steroids but is not the most concerning.

B. Headaches can occur with steroid use, but they are not as urgent unless associated with severe symptoms.

C. Weight loss is not a common concern with steroids, as they usually cause weight gain.

D. High blood pressure is a serious side effect of steroid use and should be addressed promptly to avoid cardiovascular complications.

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Correct Answer is ["B","C","E"]

Explanation

A. Drawing daily labs: This is a clinical task that requires specialized knowledge and skills and should not be delegated to UAP.

B. Transport the urine specimen to the lab: This is a non-clinical task that UAP can perform.

C. Provide perineal care with soap and water around a urinary catheter: UAP can assist with perineal care as it is a routine task that does not require clinical judgment.

D. Insert the foley catheter: Inserting a Foley catheter is a sterile procedure requiring clinical expertise and cannot be delegated to UAP.

E. Assist the incontinent patient to the commode at regular intervals: UAP can assist with toileting and incontinence care.

A. Notify the provider B. Irrigate the catheter C. Check the catheter for kinks D. Adjust the rate of the bladder irrigant

Correct Answer is C

Explanation

A. Notify the provider: This is not the first action. The nurse should assess and attempt to resolve the issue before escalating it to the provider.

B. Irrigate the catheter: This may be required if the catheter remains obstructed, but the nurse should first assess for and address more straightforward causes like kinks.

C. Check the catheter for kinks: This is the first step because a kink or simple obstruction in the catheter tubing is a common cause of inadequate drainage. Addressing this can resolve the issue without additional interventions.

D. Adjust the rate of the bladder irrigant: The rate of irrigation is essential to prevent clots but should not be adjusted without addressing the immediate issue of no output.

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A client is being discharged home on oral Steroids post kidney transplant. Which of the following side effects is of most concern?

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Naxlex Comprehensive Predictor Exams

A nurse working in the Dialysis unit is planning the job responsibilities for the shift. Which interventions can be delegated to the unlicensed assistive personnel (UAP)? Select all that apply

Correct Answer is ["B","C","E"]

Explanation

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Correct Answer is C

Explanation

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