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."

Answer and Explanation

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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Correct Answer is B

Explanation

A. Damage to kidneys, which cause a decrease in erythropoietin production: This describes anemia of chronic disease or kidney-related anemia, not pernicious anemia.
B. Destruction of gastric parietal cells, which decrease intrinsic factor production: Pernicious anemia results from the loss of intrinsic factor, essential for vitamin B12 absorption in the intestine.
C. Decrease in RBC in the bone marrow: This is more characteristic of aplastic anemia or bone marrow suppression rather than pernicious anemia.
D. Hemolysis of RBC: This describes hemolytic anemia rather than pernicious anemia.

A. Stop the transfusion B. Call the blood bank to report the reaction C. Administer oxygen D. Call the physician

Correct Answer is A

Explanation

A. Stop the transfusion: The immediate priority is to halt the infusion to prevent further exposure to the offending blood product.
B. Call the blood bank to report the reaction: This is done after the transfusion is stopped and the patient is stabilized.
C. Administer oxygen: Oxygen administration may be required if the patient shows signs of respiratory distress but is not the immediate first action.
D. Call the physician: Notifying the physician is important but only after stopping the transfusion and assessing the client.

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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?

Nursing Test Bank

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