A client who had a recent kidney transplant is taking cyclosporin.
Which dietary restriction should the practical nurse reinforce with the client and family members?

Potatoes

Eggs

Grapefruit

Spinach

Answer and Explanation

The Correct Answer is C

Choice C rationale

Cyclosporine is a medication used to prevent organ rejection in transplant patients. Grapefruit and grapefruit juice should be avoided by patients taking cyclosporine as it may alter the drug’s metabolism, making the drug’s actions unpredictable.

Choice A rationale

There is no specific restriction on consuming potatoes for patients taking cyclosporine.

Choice B rationale

There is no specific restriction on consuming eggs for patients taking cyclosporine.

Choice D rationale

There is no specific restriction on consuming spinach for patients taking cyclosporine.

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Correct Answer is D

Explanation

The correct answer is Choice D, Hold the medication until the meal tray arrives. Acarbose is an oral antidiabetic medication that works by slowing the digestion of carbohydrates in the small intestine, thereby reducing the rise in blood glucose after meals. It is important to take acarbose at the start of each main meal, as it works on the food that is consumed. If the meal is delayed, the medication should also be delayed.

A. Observe the client for development of involuntary movements of the lips and tongue. B. Administer the medication at least 30 minutes before the client’s meals. C. Assess the skin daily for areas of ecchymosis or other signs of bleeding. D. Ensure peak and trough serum levels are collected with the third dose of medication.

Correct Answer is C

Explanation

Choice A rationale

Involuntary movements of the lips and tongue are typically associated with antipsychotic medications, not nonsteroidal anti-inflammatory drugs (NSAIDs) like ketorolac15. Therefore, observing the client for these symptoms would not be a relevant intervention for a client taking ketorolac15.

Choice B rationale

Administering the medication at least 30 minutes before meals is not a specific requirement for ketorolac15. Therefore, this would not be a necessary intervention for a client taking this medication15.

Choice C rationale

Ketorolac, like other NSAIDs, can increase the risk of bleeding15. This can manifest as areas of ecchymosis (bruising) or other signs of bleeding on the skin15. Therefore, assessing the skin daily for these signs would be an important intervention for a client taking ketorolac15.

Choice D rationale

Peak and trough serum levels are typically monitored for medications with a narrow therapeutic index, such as certain antibiotics15. Ketorolac does not typically require

monitoring of serum levels15. Therefore, ensuring peak and trough serum levels are collected would not be a necessary intervention for a client taking this medication15.

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A client who had a recent kidney transplant is taking cyclosporin. Which dietary restriction should the practical nurse reinforce with the client and family members?

Choice C rationale

Choice A rationale

Choice B rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is caring for a client who has a finger stick blood glucose result of 130 mg/dL (7.21 mmol/L). Prior to administering the scheduled dose of acarbose, the PN is informed that the morning meal trays will be delayed 30 minutes. Which action should the PN take?

Correct Answer is D

Explanation

The practical nurse (PN) is helping with the care plan for a client who is taking the nonsteroidal anti-inflammatory drug ketorolac for painful back muscle spasms. What intervention should the PN include in the client’s care plan?

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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A client who had a recent kidney transplant is taking cyclosporin. Which dietary restriction should the practical nurse reinforce with the client and family members?

The practical nurse (PN) gives the expectorant guaifenesin to a client with an upper respiratory tract infection. Which statement shows that the client has understood the instructions related to the use of the expectorant?

A client who had a recent kidney transplant is taking cyclosporin.
Which dietary restriction should the practical nurse reinforce with the client and family members?