The client taking cyclosporine to prevent liver transplant rejection calls the clinic to report a sore throat. The nurse will
Advise the patient to drink warm tea with honey and stay home
Ask the patient about fever and report the call to the provider.
Tell the patient to stop cyclosporine and report the call to the provider.
Reassure the client that this is an expected effect and will resolve.
The Correct Answer is B
Choice A rationale: A sore throat in a patient taking immunosuppressive medications requires further assessment and intervention beyond home remedies.
Choice B rationale: Assessing for fever is crucial, as an infection in a patient on immunosuppressive therapy can be serious and requires prompt attention.
Choice C rationale: Stopping cyclosporine abruptly without guidance from the provider can lead to rejection; this decision should be made by the healthcare provider.
Choice D rationale: Reassurance alone may not be appropriate, given the potential seriousness of infection in an immunocompromised patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Physical dependence is one aspect of substance use disorder, but it does not encompass the entire definition.
Choice B rationale: Repeated use of certain drugs can lead to molecular changes in the brain, contributing to addiction.
Choice C rationale: Treatment for substance abuse disorder can be effective even if not entirely voluntary, as involuntary treatment may be court-mandated or involve other external factors.
Choice D rationale: Medications, such as methadone and buprenorphine, are commonly used in the treatment of substance use disorder, challenging the idea that medications should not be used.
Correct Answer is A
Explanation
Choice A rationale: Patient-controlled analgesia (PCA) devices provide a controlled dose of medication when the patient presses the button. However, the onset of action for morphine is typically faster than 10 minutes.
Choice B rationale: PCA devices often have a lock-out period to prevent patients from administering too many doses too quickly and risking overdose.
Choice C rationale: Patient-controlled analgesia is designed for the patient to self- administer the medication. Allowing family members to press the button may lead to inaccurate dosing.
Choice D rationale: Morphine should be administered as needed, not preemptively.
Administering the medication 10 minutes before physical therapy could result in excessive sedation.
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