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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
Step 1 is: Calculate the total amount of warfarin required. The healthcare provider has prescribed 7.5 mg of warfarin.
Step 2 is: Subtract the amount of warfarin already administered. The patient has already received 2 tablets, each containing 2.5 mg of warfarin, for a total of 5 mg.
Step 3 is: Calculate the additional amount of warfarin required. The total amount required (7.5 mg) minus the amount already administered (5 mg) equals 2.5 mg.
Step 4 is: Determine the number of additional tablets required. Since each tablet contains 2.5 mg of warfarin, the patient should receive 1 additional tablet.
Correct Answer is C
Explanation
Choice A rationale
Heart rate is an important vital sign to monitor in patients, but it is not the primary outcome
data to prioritize when administering a 20% mannitol intravenous (IV) solution. Mannitol is a diuretic that works by increasing the amount of urine produced. Therefore, while heart rate can be affected by fluid balance changes, it is not the most directly relevant outcome to monitor in this context.
Choice B rationale
Ankle circumference could be an indicator of peripheral edema, which might suggest fluid
overload or poor kidney function. However, in the context of mannitol administration, which is a diuretic and would be expected to decrease fluid overload, ankle circumference is not the primary outcome to monitor.
Choice C rationale
Urinary output is the correct answer. Mannitol is an osmotic diuretic that increases urine
production. It is used to reduce intracranial and intraocular pressure by drawing water out of tissues and into the bloodstream, from where it can be excreted by the kidneys. Therefore, urinary output is the most direct measure of its effectiveness and is the key outcome that should be monitored.
Choice D rationale
Dietary intake is always important to monitor in patients, especially those receiving IV
therapy, as it can impact electrolyte balance and overall health status. However, it is not the primary outcome to monitor when administering mannitol.
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