The nurse is planning home care for a client who has had a ...

[LaDunn]

The nurse is planning home care for a client who has had a successful kidney transplant. The nurse's priority teaching for this client and family should be:
 
  1. dietary counseling.
  2. managing the medication schedule.
  3. wearing masks at all times when around the client.
  4. signs and symptoms of organ rejection.

Question 2

The nurse is teaching a group of older clients about the importance of obtaining an annual flu shot. The nurse should explain that the older client is at greater risk of complications from the flu due to:
 
  1. inability to keep the house clean.
  2. poor eating habits.
  3. a diminished immune response.
  4. polypharmacy.

[bobsmith]

Answer to Question 1

Answer: 4

1. A healthy diet is important to help the organ transplant client to optimize the immune system, but it is not the priority teaching.
2. Managing the medication schedule is an important aspect of teaching but not the priority.
3. The family does not need to wear masks around the client unless they have a respiratory infection.
4. The priority teaching for the organ transplant client is signs and symptoms of organ rejection. The nurse should be fully confident that the client understands the early signs and that the physician is notified immediately.

Answer to Question 2

Answer: 3

1. An inability to keep the house clean is not likely to increase the older client's susceptibility to the flu.
2. Poor eating habits are a contributing factor to the severity of the flu but not the reason the older client should be immunized.
3. As people age, the immune system grows less effective. For this reason, the elderly client should be immunized against the flu annually.
4. Polypharmacy is taking many drugs and does not directly affect the client's susceptibility to the flu.