This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse provides teaching to a patient who has undergone kidney transplantation and will begin ... (Read 73 times)

leo leo

  • Hero Member
  • *****
  • Posts: 566
on: Jul 23, 2018
A nurse provides teaching to a patient who has undergone kidney transplantation and will begin taking cyclosporine (Sandimmune), a glucocorticoid, and sirolimus (Rapamune).
 
  Which statement by the patient indicates understanding of the teaching?
  a. I should take sirolimus at the same time as the cyclosporine.
  b. I will need to have my blood sugar checked regularly.
  c. I will need to take an antibiotic to prevent lung infections.
  d. Taking this combination of drugs lowers my risk of kidney damage.

Question 2

A patient has undergone liver transplantation. The provider orders cyclosporine (Sandimmune), prednisone, and sirolimus (Rapamune). What will the nurse do?
 
  a. Question the order for sirolimus.
  b. Request an order for a serum glucose level.
  c. Request an order for a macrolide antibiotic.
  d. Suggest changing the cyclosporine to tacrolimus.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

angrybirds13579

  • Sr. Member
  • ****
  • Posts: 344
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Immunosuppressant drugs increase the risk of infections, especially the BK virus, which can cause renal damage, and other organisms that cause lung infections. Patients taking these drugs must take antibiotics for the first 12 months to help prevent infection. Sirolimus and cyclosporine should be taken 4 hours apart. Patients with diabetes may have trouble with glucose tolerance and require monitoring. Taking cyclosporine and sirolimus increases the risk of renal damage.

Answer to Question 2

ANS: A
Sirolimus is given to prevent rejection in renal transplantation; it has no proof of efficacy in patients with heart, lung, or liver transplants. A serum glucose level is not indicated; patients taking repaglinide for diabetes should be monitored closely while taking cyclosporine. Although antibiotic prophylaxis may be necessary, macrolide antibiotics increase the level of cyclosporine. Tacrolimus is more toxic than cyclosporine.


leo leo

  • Hero Member
  • *****
  • Posts: 566
Reply #2 on: Jul 23, 2018
TY


angrybirds13579

  • Sr. Member
  • ****
  • Posts: 344
Reply #3 on: Jul 23, 2018
You're welcome


« previous next »
 

Did you know?

There are immediate benefits of chiropractic adjustments that are visible via magnetic resonance imaging (MRI). It shows that spinal manipulation therapy is effective in decreasing pain and increasing the gaps between the vertebrae, reducing pressure that leads to pain.

Did you know?

There are 60,000 miles of blood vessels in every adult human.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Did you know?

Bacteria have been found alive in a lake buried one half mile under ice in Antarctica.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Signs and symptoms of a patient with heart failure. Signs and symptoms of a patient with heart failure.
Caring for a patient on isolation precautions cont'd Caring for a patient on isolation precautions cont'd
Computerized Patient Record (CPR) Computerized Patient Record (CPR)
Scheduling patient appointments by telephone. Scheduling patient appointments by telephone.
A surgeon holds a pacemaker next to an X-ray of a pacemaker implanted in a patient’s chest. A surgeon holds a pacemaker next to an X-ray of a pacemaker implanted in a patient’s chest.
Kidney Stone Kidney Stone
Video: Genetic terms Animation

For a complete list of videos, visit our video library