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 ["A","B","E"]

Explanation

A. The amount of irrigation fluid used must be added to the total output to accurately calculate fluid balance.

B. Bright red urine or large clots may indicate bleeding, which should be reported to the surgeon immediately.

C. Irrigation solution preparation does not require sterile technique; clean technique is sufficient for this task.

D. A continual need to void could be a normal post-op symptom, but if it persists or is severe, it should be investigated.

E. Ensuring the drainage tubing is patent and unobstructed is essential for proper urine flow and preventing complications.

A. Hyponatremia and hyperkalemia B. hyperkalemia and hypophosphatemia C. hypokalemia and hyponatremia D. hypernatremia and hypokalemia

Correct Answer is A

Explanation

A. Hyponatremia and hyperkalemia: In the oliguric phase, the kidneys retain potassium due to decreased excretion, leading to hyperkalemia. Hyponatremia occurs due to fluid retention and dilutional effects.

B. Hyperkalemia and hypophosphatemia: Hyperkalemia is expected, but hypophosphatemia is not typical; phosphate tends to accumulate due to reduced renal clearance.

C. Hypokalemia and hyponatremia: Hypokalemia is not expected; the kidneys fail to excrete potassium, causing hyperkalemia.

D. Hypernatremia and hypokalemia: Neither hypernatremia nor hypokalemia is consistent with the oliguric phase.

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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

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