A renal transplant client is prescribed azathioprine to prevent ...

[burton19126]

A renal transplant client is prescribed azathioprine to prevent rejection. The nurse should:
 
  a. teach the client how to administer her medication SC.
  b. teach the client's significant other how to administer her medication IM.
  c. monitor the client for gum hyperplasia.
  d. monitor the client's uric acid level.

Question 2

A liver transplant client is prescribed azathioprine and allopurinol. The nurse understands that when these two agents are used together:
 
  a. the dose of the allopurinol must be less than half the normal dose.
  b. the dose of the azathioprine is reduced to 1/3 to 1/4 the normal dose.
  c. both doses are decreased when used simultaneously.
  d. there is no interaction between them, so no dose alterations are necessary.

[cpetit11]

Answer to Question 1

ANS: D

Feedback
A Incorrect: Azathioprine is administered either IV or orally.
B Incorrect: Azathioprine is administered either IV or orally.
C Incorrect: This is an adverse effect of cyclosporine.
D Correct: This is a chemical derivative of 6-mercaptopurine that can increase uric acid levels.

Answer to Question 2

ANS: B

Feedback
A Incorrect: The allopurinol dose is based on the uric acid level.
B Correct: The dose of the azathioprine is reduced to 1/3 to 1/4 the normal dose.
C Incorrect: The azathioprine dose is decreased.
D Incorrect: The azathioprine dose is decreased.

[burton19126]

TYSM

[essyface1]

Excellent