Author Question: The nurse is caring for a patient diagnosed with rheumatoid arthritis (RA) who recently underwent a ... (Read 28 times)

azncindy619 · **on:** Jul 23, 2018

The nurse is caring for a patient diagnosed with rheumatoid arthritis (RA) who recently underwent a liver transplant. What immunosuppressant could this patient be prescribed that would treat both diagnoses?

A) Anakinra (Kineret)
B) Adalimumab (Humira)
C) Sirolimus (Rapamune)
D) Cyclosporine (Sandimmune)

Question 2

What are the most common adverse effects of lovastatin (Mevacor)?

A) Nausea, flatulence, and constipation
B) Increased appetite and blood pressure
C) Confusion and mental disorientation
D) Hiccups, sinus congestion, and dizziness

kaillie · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Anakinra is used to prevent rejection after kidney or liver transplantation and also reduces signs and symptoms of RA in patients who have had inadequate response to other drugs. Adalimumab would be effective for the patient's RA but would not prevent rejection of the transplanted liver. Sirolimus is used to prevent rejection of kidney transplants but would not be effective for either of the patient's diagnoses. Cyclosporine would be appropriate to prevent liver rejection but would not treat RA.

Answer to Question 2

A
Feedback:
GI problems such as nausea, vomiting, flatulence, constipation, or diarrhea can occur with lovastatin. Increased appetite is not associated with lovastatin but patients may think that taking this drug means they can now eat anything they want and this would indicate the need for further teaching. Confusion and mental disorientation are not associated with this drug. Hiccups, sinus congestion, and dizziness would require exploration for cause because they are not normally associated with lovastatin therapy.