A nurse is caring for a client who has end-stage liver disease and is being placed on a transplant list. Which of the following statements by the client is the priority for the nurse to report to the provider?

"My parent has type 2 diabetes mellitus."

"I wish my family was more supportive of my decision."

"I am not very good about taking prescribed medication."

"I had symptoms of asthma when I was a child."

Answer and Explanation

The Correct Answer is C

C. This is crucial because good medication adherence is essential for a transplant recipient to prevent rejection and maintain overall health. Non-adherence can jeopardize the transplant's success.

A This could be a risk factor for the client's own health, but it's not directly related to the transplant process or medication adherence.

B. This highlights a psychosocial concern, important for overall well-being, but doesn't directly impact the transplant candidacy.

D. This might be relevant for the medical history, but it doesn't directly affect medication adherence or the immediate transplant candidacy (unless the asthma is severe and uncontrolled).

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Correct Answer is D

Explanation

D. A weight loss of 1.8 kg (4 lb) in the past 24 hours indicates effective diuresis (urine output) and reduction in fluid volume, which is the therapeutic goal of furosemide in treating pulmonary edema.

A Furosemide is a loop diuretic that typically causes a decrease in blood pressure by promoting the excretion of excess fluid and sodium from the body.

B. Adventitious breath sounds such as crackles (rales) indicate the presence of fluid in the lungs, which is a characteristic finding in pulmonary edema.

C. A respiratory rate of 24 breaths per minute is within normal range for an adult at rest. While this respiratory rate is not abnormal, it also does not directly indicate whether furosemide is effective in treating pulmonary edema.

A. 1 cup white rice B. 1 medium baked potato with skin C. 1/2 cup nonfat yogurt D. 2 tbsp peanut butter

Correct Answer is A

Explanation

A White rice is low in potassium compared to the other options listed, making it a suitable choice for individuals on a low-potassium diet for CKD.

B. Baked potatoes, particularly with the skin, are high in potassium and should be avoided or consumed in very small portions by individuals with CKD who are on a low-potassium diet.

C. While yogurt provides protein and calcium, it is moderate in potassium content and should be consumed in moderation by those limiting potassium intake.

D. Peanut butter is moderate in potassium content. Two tablespoons of peanut butter contain around 200-250 mg of potassium.

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A nurse is caring for a client who has end-stage liver disease and is being placed on a transplant list. Which of the following statements by the client is the priority for the nurse to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?

Correct Answer is D

Explanation

A nurse is teaching about food choices to a client who has chronic kidney disease and must limit potassium intake. Which of the following choices should the nurse recommend as containing the least potassium?

Correct Answer is A

Explanation

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