The nurse is working with a client who is taking an ...

[tsand2]

The nurse is working with a client who is taking an immunosuppressant agent. Which statement made by the client would require further teaching?
 
  1. I know to call the physician if I start experiencing a lot of bruising..
   2. I should drink plenty of water to keep me from getting dehydrated..
   3. I should drink a lot of fruit juices, such as grapefruit juice..
   4. If I experience any joint pain, I should take ibuprofen for the pain as needed every four hours..

Question 2

A client asks the nurse how glaucoma develops. The nurse should respond with which of the following?
 
  1. Blue eyes are a risk factor in the development of glaucoma..
   2. When the pressure in the eye is high enough to cause optic nerve damage, glaucoma can develop..
   3. Heart disease is a risk factor in the development of glaucoma..
   4. People with arthritis develop glaucoma most often..

[mathjasmine]

Answer to Question 1

3. I should drink a lot of fruit juices, such as grapefruit juice..

Rationale:
Immunosuppressive agents inhibit T cell development and activation. They are given concurrently with glucocorticoids and in combination with other immunosuppressants, and inhibit immune system activity and organ rejection. Nursing responsibilities include monitoring BUN and creatinine for evidence of nephrotoxicity. The client should avoid grapefruit juice, which can raise cyclosporine levels by 50200 and increase the risk of toxicity. Fluids should be increased to maintain good hydration and urinary output. Ibuprofen is acceptable for immunosuppressive medications, but should not be taken with cytotoxic agents.

Answer to Question 2

2. When the pressure in the eye is high enough to cause optic nerve damage, glaucoma can develop..

Rationale:
Glaucoma develops when the pressure in the eye is high enough to cause optic nerve damage. Blue eyes are not a risk factor for the development of glaucoma. Heart disease and arthritis are not risk factors for the development of glaucoma.

[tsand2]

TYSM

[Zebsrer]

Excellent