A nurse working on the transplantation unit is caring for a ...

[burton19126]

A nurse working on the transplantation unit is caring for a patient taking sirolimus (Rapamune).
 
  Upon reviewing the patient's laboratory results, the nurse understands that sirolimus can significantly affect these results and should anticipate which of the following?
  a. Increased cholesterol
  b. Increase in leukocytes
  c. Increased blood sugar
  d. Increased potassium

Question 2

The nurse is caring for a patient who has been taking cyclosporine (Sandimmune). During a follow-up appointment, the patient starts making conversation. What comment by the patient would most concern the nurse?
 
  a. I have coffee every morning.
  b. I enjoy tea in the afternoons.
  c. I drink grapefruit juice with my breakfast.
  d. I take aspirin for headaches.

[Awesome]

Answer to Question 1

ANS: A
The nurse should expect an increase in serum cholesterol.
An increase in leukocytes suggests infection and would not be an expected finding.
Sirolimus does not affect the blood glucose level.
Sirolimus reduces the potassium level.

Answer to Question 2

ANS: C
Grapefruit juice has been shown to increase cyclosporine levels by 50 to 200 and may lead to toxicity.
Coffee, tea, and aspirin are not contraindicated for patients taking cyclosporine.

[burton19126]

Thanks for the timely response, appreciate it

[bbburns21]

Excellent