After teaching a client who is recovering from pancreas transplantation, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional education?
a. If I develop an infection, I should stop taking my corticosteroid.
b. If I have pain over the transplant site, I will call the surgeon immediately.
c. I should avoid people who are ill or who have an infection.
d. I should take my cyclosporine exactly the way I was taught.
Question 2A nurse cares for a client who is diagnosed with acute rejection 2 months after receiving a simultaneous pancreas-kidney transplant. The client states, I was doing so well with my new organs, and the thought of having to go back to living on hemodialysis
and taking insulin is so depressing. How should the nurse respond?
a.
Following the drug regimen more closely would have prevented this.
b.
One acute rejection episode does not mean that you will lose the new organs.
c.
Dialysis is a viable treatment option for you and may save your life.
d.
Since you are on the national registry, you can receive a second transplantation.
Question 3A nurse teaches a client with type 1 diabetes mellitus. Which statement should the nurse include in this client's teaching to decrease the client's insulin needs?
a. Limit your fluid intake to 2 liters a day.
b. Animal organ meat is high in insulin.
c. Limit your carbohydrate intake to 80 grams a day.
d. Walk at a moderate pace for 1 mile daily.
Question 4A nurse cares for a client experiencing diabetic ketoacidosis who presents with Kussmaul respirations. Which action should the nurse take?
a. Administration of oxygen via face mask
b. Intravenous administration of 10 glucose
c. Implementation of seizure precautions
d. Administration of intravenous insulin