This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 38-year-old patient who had a kidney transplant 8 years ago is receiving the immunosuppressants ... (Read 78 times)

hubes95

  • Hero Member
  • *****
  • Posts: 561
on: Jun 25, 2018
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.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

perkiness

  • Sr. Member
  • ****
  • Posts: 348
Reply #1 on: Jun 25, 2018
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

  • Member
  • Posts: 561
Reply 2 on: Jun 25, 2018
Great answer, keep it coming :)

kusterl

  • Member
  • Posts: 315
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

There are immediate benefits of chiropractic adjustments that are visible via magnetic resonance imaging (MRI). It shows that spinal manipulation therapy is effective in decreasing pain and increasing the gaps between the vertebrae, reducing pressure that leads to pain.

Did you know?

Cucumber slices relieve headaches by tightening blood vessels, reducing blood flow to the area, and relieving pressure.

Did you know?

Eating carrots will improve your eyesight. Carrots are high in vitamin A (retinol), which is essential for good vision. It can also be found in milk, cheese, egg yolks, and liver.

Did you know?

Thyroid conditions cause a higher risk of fibromyalgia and chronic fatigue syndrome.

The skullcap from Trinil, Java is the type specimen for H. erectus and is about 900,000 years old. The skullcap from Trinil, Java is the type specimen for H. erectus and is about 900,000 years old.
Types of kidney stones found in an adult. Types of kidney stones found in an adult.
ROM exercises on a patient’s wrist: extension. ROM exercises on a patient’s wrist: extension.
Walkers help the patient ambulate safely. Walkers help the patient ambulate safely.
Orientation and structure of a nephron, the functional unit of the kidney. Orientation and structure of a nephron, the functional unit of the kidney.
The Serial Numbers for Each Day of the Year The Serial Numbers for Each Day of the Year
Video: Muscular System Animation

For a complete list of videos, visit our video library