Mr. M is a 74-year-old client with end-stage renal disease who recently underwent a kidney transplant. He is now on immunosuppressive medications, including corticosteroids
When conducting an assessment, the nurse also recognizes that he is at risk for: 1. Bone fracture.
2. Diabetes.
3. Peripheral vascular disease.
4. Weight loss.
1
Rationale: Bone health is often compromised in clients with end-stage renal disease because of long-term corticosteroid use placing them at risk for metabolic bone disease and bone fractures. The nurse should carefully assess their risk for falls to prevent injury. Because of malnutrition in these clients, they may have decreased muscle strength post-transplantation. As many as 33% of clients are hyperglycemic in the late post-transplant phase due to insulin resistance resulting from corticosteroids and other immunosuppressive drugs. Weight gain is common among clients recovering from renal transplant.
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