Author Question: A patient who is taking azathioprine Imuran to prevent rejection of a renal transplant develops gout ... (Read 41 times)

EAugust

  • Hero Member
  • *****
  • Posts: 550
A patient who is taking azathioprine Imuran to prevent rejection of a renal transplant develops gout and the provider orders allopurinol. The nurse will contact the provider to discuss:
 
  a. decreasing the allopurinol dose.
  b. decreasing the azathioprine dose.
  c. increasing the allopurinol dose.
  d. increasing the azathioprine dose.

Question 2

A patient is diagnosed with an infection caused by Staphylococcus aureus, and the prescriber orders intravenous gentamicin and penicillin (PCN). Both drugs will be given twice daily. What will the nurse do?
 
  a. Administer gentamicin, flush the line, and then give the penicillin.
  b. Give the gentamicin intravenously and the penicillin intramuscularly.
  c. Infuse the gentamicin and the penicillin together to prevent fluid overload.
  d. Request an order to change the penicillin to vancomycin.



ririgirl15

  • Sr. Member
  • ****
  • Posts: 385
Answer to Question 1

B
Allopurinol delays conversion of mercaptopurine to inactive products and increases the risk of azathioprine toxicity. Patients taking the two concurrently should have an approximate 70 re-duction in the azathioprine dose. Altering the allopurinol dose is not indicated.

Answer to Question 2

A
Gentamicin should not be infused with penicillins in the same solution, because PCN inactivates gentamicin; therefore, the nurse should give one first, flush the line, and then give the other. The nurse cannot give a drug IM when it is ordered IV without an order from the prescriber. These two drugs should not be infused in the same solution. There is no indication for changing the PCN to vancomycin; that should be done for serious infections.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

EAugust

  • Hero Member
  • *****
  • Posts: 550
Both answers were spot on, thank you once again




 

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

Did you know?

Approximately one in three babies in the United States is now delivered by cesarean section. The number of cesarean sections in the United States has risen 46% since 1996.

Did you know?

The longest a person has survived after a heart transplant is 24 years.

Did you know?

Illicit drug use costs the United States approximately $181 billion every year.

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.

For a complete list of videos, visit our video library