Author Question: The nurse is instructing a patient recovering from a liver transplant. What should the nurse include ... (Read 73 times)

PhilipSeeMore · **on:** Jun 25, 2018

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.

Question 2

A patient who has portal systemic encephalopathy is receiving Neomycin (neomycin sulfate). Which manifestation should indicate to the nurse that the patient's condition is improving?

1. increase in potassium level
2. asterixis
3. relief of jaundice
4. increased level of consciousness

joshraies · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

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.

Answer to Question 2

Correct Answer: 4
Portal systemic encephalopathy is characterized by impaired judgment, confusion, disorientation, and incoherence related to high level of ammonia in the blood. Administering Neomycin (neomycin sulfate) should reduce ammonia levels by decreasing the number of bacteria-producing microorganisms in the bowel. Neomycin (neomycin sulfate) causes diarrhea, which decreases rather than increases potassium. Asterixis, the downward flapping of the hands, is a sign of portal systemic encephalopathy and should improve with administration of Neomycin (neomycin sulfate). Neomycin does not improve jaundice.