Which statement made by a client getting ready for discharge after pancreas transplantation indicates a need for further teaching about the prescribed drug regimen?
a. "If I develop an infection, I should stop taking my corticosteroid."
b. "If I have pain over the transplant, 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."
A
Immune suppressive agents should not be stopped without the consultation of the transplantation physician, even if an infection is present. Stopping immune suppressive therapy endangers the transplanted organ. The other statements are correct. Pain over the graft site may indicate rejec-tion. Anti-rejection drugs cause immune suppression, and the client should avoid crowds and people who are ill. Changing the routine of anti-rejection medications may cause them to not work optimally.
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A client is going home after urography. Which instruction or precaution does the nurse teach this client?
a. "Avoid direct contact with the urine for 24 hours until the radioisotope clears." b. "You may have some dribbling of urine for several weeks after this procedure." c. "Be sure to drink at least 3 liters of fluids today to help eliminate the dye faster." d. "Your skin may become slightly yellow from the dye used in this procedure."
Drugs are metabolized mainly by the liver via phase I or phase II reactions. The purpose of both of these types of reactions is to:
1. Inactivate prodrugs before they can be activated by target tissues 2. Change the drugs so they can cross plasma membranes 3. Change drug molecules to a form that an excretory organ can excrete 4. Make these drugs more ionized and polar to facilitate excretion
The nurse in a community clinic is providing a nutrition course for pregnant women
The nurse tells them that the fish a pregnant woman should avoid or eat in limited amounts include: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Golden snapper. 2. Swordfish. 3. Tuna. 4. Farmed salmon. 5. Tilapia.
A school-age child experiences nocturnal bed-wetting several times each month. Which response should the nurse make when the child's parent asks if the problem will cure itself?
1. "This problem responds only to treatment with family therapy." 2. "Unless you consider using medications, the problem will continue." 3. "Most children stop wetting the bed at night by the time they reach adolescence." 4. "Most cases of enuresis are a result of organic causes and require medical treatment."