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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The 78-year-old male with chronic kidney disease who develops a new nonproductive cough and shortness of breath is concerning for pulmonary edema or fluid overload, which can rapidly progress and require immediate attention.
B. The 37-year-old female with cellulitis is experiencing warmth in the affected leg, which is expected with cellulitis and may indicate the need for monitoring but is not as urgent as the other options.
C. The 70-year-old male who underwent a TURP is having a burning sensation during urination, which is a common postoperative finding and is not as concerning unless other complications arise.
D. The 52-year-old female with pancreatitis and abdominal pain rated 7 is in pain but is stable, and this pain can typically be managed with pain medication and monitoring, so she is not the most urgent.
Correct Answer is C
Explanation
A. Slowing the rate of dialysis may be appropriate if the hypotension persists, but the priority action is to improve circulation immediately.
B. Zofran is used to treat nausea, but it is not the priority in this case.
C. Placing the client in a modified Trendelenburg’s position (head down, feet up) helps improve circulation and increase blood pressure.
D. Administering oxygen may be helpful if oxygen saturation is low, but the primary concern here is addressing hypotension and improving circulation.
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