A client is being discharged home post kidney transplant and has been ordered oral prednisone to take at home. Which of the following statements should the nurse include in the teaching plan about this medication? Select all the Apply

Avoid large crowds

Take on a full stomach

Increase calcium intake in your diet

Decrease calcium intake in your diet

Take 30-60 minutes before eating

Increase intake of bananas and tomatoes in your diet

Answer and Explanation

Correct Answer : A,B,C

A. Prednisone can suppress the immune system, making the client more susceptible to infections, so avoiding large crowds is advisable.

B. Taking prednisone with food can help reduce gastrointestinal irritation.

C. Increased calcium intake is recommended to prevent bone loss, a common side effect of long-term corticosteroid use.

D. Decreasing calcium intake is not appropriate with prednisone use.

E. Prednisone should be taken as prescribed, typically after meals, not before.

F. Increasing potassium-rich foods like bananas and tomatoes is not advisable for a kidney transplant patient.

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Correct Answer is B

Explanation

A. Limiting protein intake may be beneficial for certain kidney conditions but is not the priority for nephrolithiasis.

B. Encouraging adequate fluid intake (at least 3 liters per day) is critical to help prevent the formation of kidney stones by promoting urine output and dilution of substances that form stones.

C. Bed rest is not necessary for nephrolithiasis unless the client is in severe pain or experiencing complications.

D. While applying cold compresses may help with pain, increasing fluid intake is the most important action for preventing further stone formation.

A. Weight loss B. Swelling in the legs C. Itching in the upper chest D. Abdominal tenderness

Correct Answer is D

Explanation

A. Weight loss is a common concern in clients with chronic kidney disease, but it is not the primary concern in this scenario.

B. Swelling in the legs may occur with renal dysfunction but is less concerning than abdominal tenderness, which is indicative of a possible peritoneal infection.

C. Itching in the upper chest may be a symptom of uremia, but abdominal tenderness is more urgent when ruling out a peritoneal infection.

D. Abdominal tenderness is a key sign of peritoneal infection, which requires immediate attention as it can lead to peritonitis.

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A client is being discharged home post kidney transplant and has been ordered oral prednisone to take at home. Which of the following statements should the nurse include in the teaching plan about this medication? Select all the Apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has been diagnosed with Nephrolithiasis. Which of the following is most important to include in the client teaching?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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