The client who had a heart transplant is ready for discharge from the hospital. The nurse instructs the client about self-care at home and determines that learning has occurred when the client states:
1. "I should begin jogging in a few days."
2. "I need to protect myself against infection."
3. "I can take my medication only when needed."
4. "I am cured, and will have no more heart problems."
Answer: 2
1. The heart transplant client will be encouraged to exercise, but activity is gradually increased, and jogging would be added later in the exercise plan.
2. Clients who have had any kind of transplant are taking immunosuppressive medications to reduce the risk of rejection. The client is more susceptible to infections, and should be instructed on methods of self-protection.
3. The medications the client is taking are on a strict timetable, and the client should be instructed to follow directions exactly.
4. The heart transplant client could continue to have the vascular problems that caused the heart to fail. These conditions continue to exist after transplant.
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