A nurse is caring for a client who has end-stage liver disease and is being placed on a transplant list. Which of the following statements by the client is the priority for the nurse to report to the provider?
"My parent has type 2 diabetes mellitus."
"I wish my family was more supportive of my decision."
"I am not very good about taking prescribed medication."
"I had symptoms of asthma when I was a child."
The Correct Answer is C
C. This is crucial because good medication adherence is essential for a transplant recipient to prevent rejection and maintain overall health. Non-adherence can jeopardize the transplant's success.
A This could be a risk factor for the client's own health, but it's not directly related to the transplant process or medication adherence.
B. This highlights a psychosocial concern, important for overall well-being, but doesn't directly impact the transplant candidacy.
D. This might be relevant for the medical history, but it doesn't directly affect medication adherence or the immediate transplant candidacy (unless the asthma is severe and uncontrolled).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Morphine is effective in reducing anxiety due to its sedative and anxiolytic properties. Decreased anxiety can be an indication that morphine is effective in managing symptoms associated with acute heart failure, such as dyspnea and anxiety related to difficulty breathing.
A Morphine is a potent opioid analgesic that can depress the respiratory center, leading to decreased respiratory rate or even respiratory depression in some cases.
B. Vomiting after morphine administration does not indicate effectiveness of the medication in managing acute heart failure symptoms. It is rather a side effect that needs to be managed.
C. Decreased urinary output is not a sign of effectiveness in managing acute heart failure symptoms. It is an adverse effect that needs to be monitored and managed separately.
Correct Answer is B
Explanation
B. After a lumbar puncture, instructing the client to lie flat on their back for a period of time (often 1-2 hours) helps prevent complications such as headaches due to CSF leakage and promotes proper sealing of the puncture site.
A Monitoring blood glucose every 2 hours is not typically necessary immediately following a lumbar puncture unless the client has pre-existing diabetes or there are specific indications to monitor glucose levels
C Tingling in the extremities is not an expected or normal occurrence following a lumbar puncture. It could indicate neurological complications such as nerve irritation or damage, which would require prompt assessment and intervention.
D. The nurse should encourage adequate hydration unless contraindicated by the client's medical condition or specific post-procedure instructions.
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