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

Author Question: A patient with a liver transplant has been receiving cyclosporine (Sandimmune) for 6 months. The ... (Read 46 times)

neverstopbelieb

  • Hero Member
  • *****
  • Posts: 534
on: Jul 23, 2018
A patient with a liver transplant has been receiving cyclosporine (Sandimmune) for 6 months. The nurse reviews this patient's laboratory results and notes a sharp increase in the blood urea nitrogen (BUN) and serum creatinine.
 
  Vital signs are normal, and the patient reports no discomfort. What does the nurse suspect?
  a. Hepatotoxicity
  b. Infection
  c. Organ rejection
  d. Nephrotoxicity

Question 2

The parent of a child receiving the polio vaccine wants to know why the oral polio vaccine (OPV) is not given. The nurse will explain to this parent that the oral preparation:
 
  a. can cause paralytic poliomyelitis.
  b. contains antigens that increase allergic reactions.
  c. is less effective than the IPV.
  d. is more expensive to administer.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

yifu223

  • Sr. Member
  • ****
  • Posts: 302
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
An elevation of BUN and serum creatinine is an indication of nephrotoxicity, which occurs in 75 of patients taking cyclosporine. Hepatotoxicity would cause elevations in liver enzymes, not the BUN and creatinine. Infection would be associated with fever. Organ rejection of a renal transplant would cause elevation in the BUN and creatinine but also would cause tenderness at the graft site and fever.

Answer to Question 2

ANS: A
The OPV is composed of live virus and has the potential to cause paralytic poliomyelitis; therefore, it is no longer given. The oral form is no more antigenic than the IPV, and the latter is just as effective. The oral form is not more expensive.


neverstopbelieb

  • Member
  • Posts: 534
Reply 2 on: Jul 23, 2018
Gracias!

duy1981999

  • Member
  • Posts: 341
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

The first war in which wide-scale use of anesthetics occurred was the Civil War, and 80% of all wounds were in the extremities.

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

Did you know?

Serum cholesterol testing in adults is recommended every 1 to 5 years. People with diabetes and a family history of high cholesterol should be tested even more frequently.

Did you know?

To maintain good kidney function, you should drink at least 3 quarts of water daily. Water dilutes urine and helps prevent concentrations of salts and minerals that can lead to kidney stone formation. Chronic dehydration is a major contributor to the development of kidney stones.

Did you know?

Blood in the urine can be a sign of a kidney stone, glomerulonephritis, or other kidney problems.

The general survey includes assessing every patient for signs of distress. The general survey includes assessing every patient for signs of distress.
Emphysema. (a) Illustration comparing normal lungs and emphysemic lungs. The inserts illustrate how Emphysema. (a) Illustration comparing normal lungs and emphysemic lungs. The inserts illustrate how
Patient Teaching Patient Teaching
Helping maintain accurate patient records is a critical part of the medical assistant's work. Helping maintain accurate patient records is a critical part of the medical assistant's work.
Example of a patient statement. Example of a patient statement.
Positioning the Patient in the Fowler’s Position Positioning the Patient in the Fowler’s Position
Video: Hyperglycemia Animation

For a complete list of videos, visit our video library