Author Question: Blood work has been drawn on a client who has been taking cyclosporine (Sandimmune) following ... (Read 78 times)

fasfsadfdsfa · **on:** Jul 22, 2018

Blood work has been drawn on a client who has been taking cyclosporine (Sandimmune) following allogenic liver transplantation.

The nurse checks the results of which of the following tests to determine the presence of an adverse effect related to this medication? 1. Hematocrit level
2. Hemoglobin level
3. Cholesterol level
4. Blood urea nitrogen (BUN) level

Question 2

The nurse is inserting an indwelling urinary catheter into a male client. As the catheter is inserted into the urethra, urine begins to flow into the tubing. The nurse notes the urine beginning to flow and next:

1. Immediately inflates the balloon
2. Inserts the catheter 2.5 to 5 cm farther, then inflates the balloon
3. Inserts the catheter until resistance is met, then inflates the balloon
4. Withdraws the catheter approximately 1 inch, then inflates the balloon

alexisweber49 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4

Rationale: Nephrotoxicity is one of the most common adverse effects of cyclosporine. Nephrotoxicity is evaluated by monitoring the BUN and creatinine levels. Hematocrit level, hemoglobin level, and cholesterol level are unrelated to the adverse effects associated with the administration of this medication.

Answer to Question 2

2

Rationale: The balloon is behind the opening at the catheter tip. The catheter is inserted 2.5 to 5 cm after urine begins to flow to provide sufficient space to inflate the balloon and to ensure that the balloon has passed through the entire urethra and into the bladder. Inflating the balloon in the urethra could produce trauma. The catheter should be neither withdrawn nor advanced until re-sistance is met.