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."

Answer and Explanation

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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Correct Answer is C

Explanation

A. Increasing the dose too soon is inappropriate; therapeutic effects take time to manifest.
B. Amitriptyline can be taken with or without food; stomach contents do not affect its efficacy.
C. Most antidepressants, including amitriptyline, require 2-4 weeks for therapeutic effects. The client needs reassurance and education.
D. Switching medications prematurely is unnecessary unless severe side effects occur.

A. Request a different medication from the provider. B. Premedicate the client with diphenhydramine. C. Administer the medication to the client. D. Request a different route of administration from the provider.

Correct Answer is C

Explanation

A. Request a different medication from the provider: Erythromycin is an alternative to penicillin for patients with penicillin allergies and can be administered safely.
B. Premedicate the client with diphenhydramine: This is not necessary unless the client has a history of allergic reactions to erythromycin or other antibiotics.
C. Administer the medication to the client: Erythromycin is a macrolide antibiotic and is safe for clients who are allergic to penicillin.
D. Request a different route of administration from the provider: The route of administration (oral) is appropriate unless there is a specific concern.

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Prescribed Medication	Nursing Instruction
Albuterol	Take your albuterol when you are having difficulty breathing. Hold your breath for 20 seconds when taking your albuterol.
Salmeterol	Take the salmeterol 5 minutes before the albuterol when you need both medications. Take the salmeterol 2 times each day.
Fluticasone	Rinse out your mouth after taking the fluticasone. Take the fluticasone as needed for an asthma attack.

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who started taking amitriptyline 6 days ago. The client reports that the medication is not helping. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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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?

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