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 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.
Correct Answer is C
Explanation
A. Hematuria is not a typical finding after peritoneal dialysis, although it can occur in some clients with kidney disease.
B. Weight loss is not expected after dialysis; it is more likely to stabilize fluid balance and remove excess fluid.
C. Hypertension can be expected in clients with chronic kidney disease, as the kidneys play a key role in regulating blood pressure.
D. Increased urine output is not typically seen in clients with chronic kidney disease, especially after dialysis.
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