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

Author Question: A nurse provides teaching to a patient who has undergone kidney transplantation and will begin ... (Read 84 times)

leo leo

  • Hero Member
  • *****
  • Posts: 566
on: Jul 23, 2018
A nurse provides teaching to a patient who has undergone kidney transplantation and will begin taking cyclosporine (Sandimmune), a glucocorticoid, and sirolimus (Rapamune).
 
  Which statement by the patient indicates understanding of the teaching?
  a. I should take sirolimus at the same time as the cyclosporine.
  b. I will need to have my blood sugar checked regularly.
  c. I will need to take an antibiotic to prevent lung infections.
  d. Taking this combination of drugs lowers my risk of kidney damage.

Question 2

A patient has undergone liver transplantation. The provider orders cyclosporine (Sandimmune), prednisone, and sirolimus (Rapamune). What will the nurse do?
 
  a. Question the order for sirolimus.
  b. Request an order for a serum glucose level.
  c. Request an order for a macrolide antibiotic.
  d. Suggest changing the cyclosporine to tacrolimus.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

angrybirds13579

  • Sr. Member
  • ****
  • Posts: 344
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Immunosuppressant drugs increase the risk of infections, especially the BK virus, which can cause renal damage, and other organisms that cause lung infections. Patients taking these drugs must take antibiotics for the first 12 months to help prevent infection. Sirolimus and cyclosporine should be taken 4 hours apart. Patients with diabetes may have trouble with glucose tolerance and require monitoring. Taking cyclosporine and sirolimus increases the risk of renal damage.

Answer to Question 2

ANS: A
Sirolimus is given to prevent rejection in renal transplantation; it has no proof of efficacy in patients with heart, lung, or liver transplants. A serum glucose level is not indicated; patients taking repaglinide for diabetes should be monitored closely while taking cyclosporine. Although antibiotic prophylaxis may be necessary, macrolide antibiotics increase the level of cyclosporine. Tacrolimus is more toxic than cyclosporine.


leo leo

  • Hero Member
  • *****
  • Posts: 566
Reply #2 on: Jul 23, 2018
TY


angrybirds13579

  • Sr. Member
  • ****
  • Posts: 344
Reply #3 on: Jul 23, 2018
You're welcome


« previous next »
 

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Did you know?

According to the National Institute of Environmental Health Sciences, lung disease is the third leading killer in the United States, responsible for one in seven deaths. It is the leading cause of death among infants under the age of one year.

Did you know?

Sperm cells are so tiny that 400 to 500 million (400,000,000–500,000,000) of them fit onto 1 tsp.

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

Anti-aging claims should not ever be believed. There is no supplement, medication, or any other substance that has been proven to slow or stop the aging process.

Kidney Disease symptoms and prevention Kidney Disease symptoms and prevention
Magnet hospital nurse requirements Magnet hospital nurse requirements
Patient teaching: ear assessment Patient teaching: ear assessment
Patient teaching: abdominal assessment Patient teaching: abdominal assessment
Calipers being used to measure body fat on the triceps of a patient. Calipers being used to measure body fat on the triceps of a patient.
Amyloid plaques (stained blue) in the brain of a deceased patient who had Alzheimer’s disease. Amyloid plaques (stained blue) in the brain of a deceased patient who had Alzheimer’s disease.
Video: Mutations and translation

For a complete list of videos, visit our video library