A 38-year-old patient who had a kidney transplant 8 years ago is ...

[hubes95]

A 38-year-old patient who had a kidney transplant 8 years ago is receiving the immunosuppressants tacrolimus (Prograf), cyclosporine (Sandimmune), and prednisone (Deltasone). Which assessment data will be of most concern to the nurse?
 
  a. The blood glucose is 144 mg/dL.
  b. There is a nontender axillary lump.
  c. The patient's skin is thin and fragile.
  d. The patient's blood pressure is 150/92.

Question 2

Which information in a patient's history indicates to the nurse that the patient is not an appropriate candidate for kidney transplantation?
 
  a. The patient has type 1 diabetes.
  b. The patient has metastatic lung cancer.
  c. The patient has a history of chronic hepatitis C infection.
  d. The patient is infected with the human immunodeficiency virus.

[perkiness]

Answer to Question 1

ANS: B
A nontender lump suggests a malignancy such as a lymphoma, which could occur as a result of chronic immunosuppressive therapy. The elevated glucose, skin change, and hypertension are possible side effects of the prednisone and should be addressed, but they are not as great a concern as the possibility of a malignancy.

Answer to Question 2

ANS: B
Disseminated malignancies are a contraindication to transplantation. The conditions of the other patients are not contraindications for kidney transplant.

[hubes95]

Thanks for the timely response, appreciate it

[amandalm]

Great answer, keep it coming