The nurse is preparing the discharge teaching plan for a client with a kidney transplant. Which statement indicates the teaching is effective?
" I can’t wait to start back to work next week, I really need the money.”
"I will follow my 1.500 mL fluid restriction."
"I will take my temperature and if it is above 101 I will call my doctor."
"I am glad I won't have to keep track of how much I urinate in the day.”
The Correct Answer is C
A. "I can’t wait to start back to work next week, I really need the money." Returning to work too soon increases the risk of infection and complications. Clients should follow their provider's recommendations.
B. "I will follow my 1,500 mL fluid restriction." After a kidney transplant, patients typically need increased fluid intake to maintain kidney perfusion, not restriction.
C. "I will take my temperature and if it is above 101°F, I will call my doctor." Fever >101°F (38.3°C) is an early sign of infection or organ rejection. Prompt medical attention is required.
D. "I am glad I won't have to keep track of how much I urinate in the day." Clients must monitor urine output to detect signs of kidney rejection or dysfunction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Provide water for a client diagnosed with chronic kidney disease: Fluid intake must be controlled in CKD. A nurse should determine if water intake is appropriate.
B. Instruct the client on appropriate fluid restrictions: Client education is a nursing responsibility and cannot be delegated to a UAP. The nurse should educate clients on fluid restrictions in conditions like chronic kidney disease (CKD) to prevent fluid overload and electrolyte imbalances.
C. Measure the client’s output from the indwelling catheter: This task can be delegated to a UAP.
D. Record the client’s intake and output in the EMR: UAPs can record I&O but cannot interpret the data.
Correct Answer is D
Explanation
A. Constipation: Hypocalcemia causes diarrhea, while hypercalcemia causes constipation.
B. Negative Trousseau’s sign: A positive Trousseau’s sign (carpal spasm during BP cuff inflation) is expected with hypocalcemia.
C. BP of 180/88: Severe hypocalcemia may cause hypotension, not hypertension.
D. Numbness and tingling of the extremities: Hypocalcemia can occur after a total thyroidectomy due to accidental removal or damage to the parathyroid glands. Neuromuscular excitability, including paresthesia (numbness and tingling), tetany, and muscle spasms, are classic signs.
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