A nurse is reinforcing teaching about cyclosporine (an immunosuppression medication) for a client who is postoperative following a renal transplant. Which of the following statements by the client indicates an understanding of the teaching?
"This medication will help my new kidney make adequate urine."
"I will need to take this medication for the rest of my life."
"I will take this medication until my BUN returns to normal."
"This medication will boost my immune system."
The Correct Answer is B
A. "This medication will help my new kidney make adequate urine": Cyclosporine suppresses the immune system to prevent organ rejection but does not directly affect urine production.
B. "I will need to take this medication for the rest of my life": Lifelong immunosuppression is required to maintain the function of a transplanted organ.
C. "I will take this medication until my BUN returns to normal": The medication is necessary regardless of lab values to prevent rejection.
D. "This medication will boost my immune system": Cyclosporine suppresses, not boosts, the immune system.
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Related Questions
Correct Answer is D
Explanation
A. Release of memory T-cells: Memory T-cells are involved in Type IV delayed hypersensitivity, not Type I reactions.
B. Organ rejection: Organ rejection is associated with Type IV hypersensitivity reactions, not Type I.
C. Damage to blood vessels: This is more characteristic of Type III hypersensitivity reactions.
D. Release of histamine: Type I hypersensitivity reactions, such as anaphylaxis and allergic rhinitis, are triggered by the release of histamine from mast cells after IgE-mediated sensitization.
Correct Answer is A
Explanation
A. Perform hand hygiene before and after care: Hand hygiene is the most effective way to prevent infection transmission.
B. Implement neutropenic precautions: This is important but comes after basic infection control measures.
C. Move the client to a positive-airflow room: Positive airflow rooms are used for highly immunocompromised clients but are not the first action.
D. Ensure all visitors wear masks: This is a precautionary measure but secondary to hand hygiene.
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