The health care provider asks the nurse whether a patient's ...

[Wadzanai]

The health care provider asks the nurse whether a patient's angioedema has responded to prescribed therapies. Which assessment should the nurse perform?
 
  a. Ask the patient about any clear nasal discharge.
  b. Obtain the patient's blood pressure and heart rate.
  c. Check for swelling of the patient's lips and tongue.
  d. Assess the patient's extremities for wheal and flare lesions.

Question 2

An older adult patient has a prescription for cyclosporine following a kidney transplant. Which information in the patient's health history has the most implications for planning patient teaching about the medication at this time?
 
  a. The patient restricts salt to treat prehypertension.
  b. The patient drinks 3 to 4 quarts of fluids every day.
  c. The patient has many concerns about the effects of cyclosporine.
  d. The patient has a glass of grapefruit juice every day for breakfast.

[blfontai]

Answer to Question 1

ANS: C
Angioedema is characterized by swelling of the eyelids, lips, and tongue. Wheal and flare lesions, clear nasal drainage, and hypotension and tachycardia are characteristic of other allergic reactions.

Answer to Question 2

ANS: D
Grapefruit juice can increase the toxicity of cyclosporine. The patient should be taught to avoid grapefruit juice. High fluid intake will not affect cyclosporine levels or renal function. Cyclosporine may cause hypertension, and the patient's many concerns should be addressed, but these are not potentially life-threatening problems.

[Wadzanai]

Excellent

[adf223]

TYSM