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 ["A","C","D"]
Explanation
Choice A rationale: Meperidine can cause respiratory depression, leading to shallow breathing.
Choice B rationale: Diarrhea is not a common effect of meperidine.
Choice C rationale: Meperidine can cause urinary retention.
Choice D rationale: Meperidine can cause hypotension.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale: NSAIDs, including ketorolac, can affect renal function and may require dose adjustment in patients with impaired renal function.
Choice B rationale: Apical pulse is not typically assessed before administering ketorolac.
Choice C rationale: Serum potassium is not directly affected by ketorolac.
Choice D rationale: Ketorolac is associated with an increased risk of bleeding, so assessing the patient's bleeding risk is important.
Choice E rationale: Ketorolac is contraindicated in pregnant women, especially in the third trimester, due to the risk of premature closure of the ductus arteriosus in the fetus.
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