A nurse is reinforcing teaching about cyclosporine with a client who is postoperative following a kidney transplant. Which of the following statements indicates an understanding of the information?
"I can take ibuprofen to treat headaches."
"I will get out of bed slowly in the morning."
"I can expect hair loss when taking this medication."
"I will call my doctor if I have a sore throat."
The Correct Answer is D
A. "I can take ibuprofen to treat headaches.": Ibuprofen can increase the risk of kidney damage and should be avoided in transplant clients.
B. "I will get out of bed slowly in the morning.": While this is good general advice, it is not specific to cyclosporine therapy.
C. "I can expect hair loss when taking this medication.": Hair loss is not a common side effect of cyclosporine.
D. "I will call my doctor if I have a sore throat.": Cyclosporine suppresses the immune system, making the client more susceptible to infections, such as sore throat.
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Related Questions
Correct Answer is B
Explanation
A. "I will crush the tablet to make it easier to swallow.": Sustained-release tablets should not be crushed or chewed, as this alters the release mechanism.
B. "I will increase my daily intake of fiber and fluid.": Verapamil can cause constipation, so increasing fiber and fluid intake helps prevent this side effect.
C. "I will follow up with monthly laboratory tests to check for anemia.": Verapamil does not typically require monitoring for anemia.
D. "I will sit upright for 30 minutes after taking the medication.": This advice is more relevant for medications that can cause esophageal irritation, such as bisphosphonates, not verapamil.
Correct Answer is B
Explanation
A. WBC: White blood cell count is unrelated to warfarin therapy.
B. INR: Warfarin’s anticoagulant effect is monitored using the International Normalized Ratio (INR). A therapeutic INR range is typically 2–3 for most indications.
C. Platelets: While platelets are important for overall clotting, INR is the specific measure for warfarin.
D. APTT: Activated partial thromboplastin time (APTT) is used to monitor heparin, not warfarin.
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