A patient taking mycophenolate mofetil (CellCept) as prophylaxis ...

[melly21297]

A patient taking mycophenolate mofetil (CellCept) as prophylaxis for rejection of an allogenic heart develops fatigue, sweating, and a large neck mass. The patient must be immediately assessed for which complications? (Select all that apply.)
 
  a. Thyroid disease
  b. Lymphoma
  c. Streptococcal pharyngitis
  d. Sepsis
  e. Lyme disease

Question 2

A patient has taken cyclosporine (Sandimmune) since receiving a heart transplant 5 years earlier. The nurse should frequently assess the patient for which signs and symptoms? (Select all that apply.)
 
  a. Infection
  b. Increased appetite
  c. Goiter
  d. Nephrotoxicity
  e. Increased bone density

[parshano]

Answer to Question 1

ANS: B, C, D
The patient requires immediate assessment for lymphoma and sepsis, which are major adverse effects of immunosuppressive drugs. The patient also may be susceptible to streptococcal pharyngitis.
Thyroid disease and Lyme disease are not adverse effects of mycophenolate mofetil.

Answer to Question 2

ANS: A, D
The nurse should frequently assess the patient for evidence of infection and nephrotoxicity, because cyclosporine suppresses the immune system and may cause nephrotoxicity.
Cyclosporine is not known to increase appetite, cause goiter, or increase bone density.

[melly21297]

Gracias!

[ASDFGJLO]

Thanks for the timely response, appreciate it