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 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.

A. Draw daily labs B. Transport the urine specimen to the lab C. Provide perineal care with soap and water around a urinary catheter D. Insert the foley catheter E. Assist the incontinent patient to the commode at regular intervals

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.

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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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Naxlex Comprehensive Predictor Exams

During dialysis, the client becomes nauseous, reports feeling dizzy, and is hypotensive. What should the nurse do FIRST?

Correct Answer is C

Explanation

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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