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

Author Question: A client is receiving tacrolimus (Prograf) to prevent organ rejection. Which of the following is a ... (Read 49 times)

yoooooman

  • Hero Member
  • *****
  • Posts: 557
on: Jul 22, 2018
A client is receiving tacrolimus (Prograf) to prevent organ rejection. Which of the following is a nursing considerations associated with this medication?
 
  1. Give with cyclosporine (Sandimmune).
  2. Assess for hypoglycemia.
  3. Give with grapefruit juice.
  4. Assess platelet count for thrombocytopenia.

Question 2

A client who has undergone renal transplant is receiving ongoing therapy with cyclosporine (Sandimmune). The nurse would be sure to immediately report the results of periodic laboratory results that indicate which of the following?
 
  1. Decreased creatinine level
  2. Decreased hemoglobin level
  3. Elevated blood urea nitrogen (BUN) level
  4. Decreased white blood cell (WBC) count


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

akudia

  • Sr. Member
  • ****
  • Posts: 347
Reply #1 on: Jul 22, 2018
Answer to Question 1

4

Rationale: Tacrolimus (Prograf) is an alternative to cyclosporine for prevention of organ rejection in clients receiving an organ transplant. It should never be given with cyclosporine because of its toxic effects on the kidney. This medication will cause hyperglycemia (not hypoglycemia). Grapefruit juice can increase tacrolimus levels so it should be avoided to prevent toxicity. Tacrolimus suppresses the bone marrow, so it can cause anemia, thrombocytopenia, and neutropenia.

Answer to Question 2

3

Rationale: The use of cyclosporine (Sandimmune) can cause nephrotoxicity. This complication is detected by assessing for elevated levels of BUN and serum creatinine. Decreased hemoglobin level and decreased white blood cell (WBC) count are incorrect because cyclosporine does not depress the bone marrow.


yoooooman

  • Member
  • Posts: 557
Reply 2 on: Jul 22, 2018
Excellent

cassie_ragen

  • Member
  • Posts: 347
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Parkinson's disease is both chronic and progressive. This means that it persists over a long period of time and that its symptoms grow worse over time.

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

Did you know?

People with alcoholism are at a much greater risk of malnutrition than are other people and usually exhibit low levels of most vitamins (especially folic acid). This is because alcohol often takes the place of 50% of their daily intake of calories, with little nutritional value contained in it.

Did you know?

In the United States, there is a birth every 8 seconds, according to the U.S. Census Bureau's Population Clock.

Did you know?

Normal urine is sterile. It contains fluids, salts, and waste products. It is free of bacteria, viruses, and fungi.

Cade and colleagues discovered a way to improve athletic performance and prevent salt and water imba Cade and colleagues discovered a way to improve athletic performance and prevent salt and water imba
Nurse examining and measuring hematuria sample from client with a UTI Nurse examining and measuring hematuria sample from client with a UTI
To reduce stress on your client’s neck when the head is turned, put a towel under the shoulder and ... To reduce stress on your client’s neck when the head is turned, put a towel under the shoulder and ...
Endocrine Glands/Organ Functions Endocrine Glands/Organ Functions
Portable tabletop equipment that provides support for recipients receiving massage. Portable tabletop equipment that provides support for recipients receiving massage.
Position the client Position the client
Video: Phlebotomy

For a complete list of videos, visit our video library