Mr. M is a 74-year-old client with end-stage renal disease who ...

[Redwolflake15]

Mr. M is a 74-year-old client with end-stage renal disease who recently underwent a kidney transplant. He is now on immunosuppressive medications, including corticosteroids.
 
  When conducting an assessment, the nurse also recognizes that he is at risk for: 1. Bone fracture.
   2. Diabetes.
   3. Peripheral vascular disease.
   4. Weight loss.

Question 2

The appropriate type of parenteral feeding for a patient who will need intravenous nutrition for several months or years is _____ nutrition.
 
  a. central parenteral
  b. peripheral venous
  c. peripheral parenteral
  d. intravenous parenteral

[Jossy]

Answer to Question 1

1

Rationale: Bone health is often compromised in clients with end-stage renal disease because of long-term corticosteroid use placing them at risk for metabolic bone disease and bone fractures. The nurse should carefully assess their risk for falls to prevent injury. Because of malnutrition in these clients, they may have decreased muscle strength post-transplantation. As many as 33 of clients are hyperglycemic in the late post-transplant phase due to insulin resistance resulting from corticosteroids and other immunosuppressive drugs. Weight gain is common among clients recovering from renal transplant.

Answer to Question 2

A
Long-term parenteral nutrition must be administered centrally because peripheral veins cannot handle high enough concentrations of nutrients to provide long-term nutrient needs. Intravenous nutrition refers to both central and peripheral parenteral nutrition.

[Redwolflake15]

Excellent

[AngeliqueG]

TYSM