The nurse is instructing a patient recovering from a liver transplant. What should the nurse include in this teaching?
1. Eat a high-protein diet.
2. Reduce scheduled antirejection drugs to every other day if nausea occurs.
3. Take acetaminophen (Tylenol) if fever develops.
4. Report sore throats to the healthcare provider.
Correct Answer: 4
The patient who has undergone a liver transplant should be instructed to report any signs of infection, such as a sore throat, as the medications prescribed to prevent organ rejection increase the risk of contracting infectious diseases. The patient should be instructed to eat a low-to-moderate-protein diet to reduce the workload of the liver in terms of protein metabolism. The patient must adhere to the prescribed medication schedule unless otherwise instructed by the healthcare provider. Acetaminophen (Tylenol) should not be taken, as it is liver-toxic.
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A community health nurse is facilitating a health promotion session to a group of seniors. Which of the following is most important to instruct regarding hypertension?
A) Hypertension will increase the risk of cancer. B) An increase in sodium is recommended with hypertension. C) Vigorous exercise will increase the risk of hypertension. D) Hypertension will increase the risk of heart disease.
An adult female client becomes combative with the nurse during routine medication administration. What is the nurse's primary responsibility in this situation?
a. To ensure that the client takes her medications b. To ensure that the client is placed in physical restraints to protect the safety of the staff and other clients c. To ensure that chemical restraints are used in the future until the client displays more appropriate and compliant behavior d. To ensure that the client is kept safe while trying to protect staff safety and to reason with the client to try to de-escalate the combative behavior
The female client is awake, alert, and oriented for administration of oral medication. Which does the nurse implement to administer prescribed medication?
1. Evaluate the client's ability to take the medications unassisted. 2. Leave medications on the breakfast tray for client to take later. 3. Ask the client if she wants to hold the medications in her hand. 4. Hold the medicine cup to client's lips and tip it into the mouth.
Restraints are ordered by the:
a. Nurse b. Health team c. Doctor d. The person's legal representative