A nurse is reinforcing teaching about cyclosporine with a client who is postoperative following a kidney transplant. Which of the following statements indicates an understanding of the information?

"I can take ibuprofen to treat headaches."

"I will get out of bed slowly in the morning."

"I can expect hair loss when taking this medication."

"I will call my doctor if I have a sore throat."

Answer and Explanation

The Correct Answer is D

A. "I can take ibuprofen to treat headaches.": Ibuprofen can increase the risk of kidney damage and should be avoided in transplant clients.
B. "I will get out of bed slowly in the morning.": While this is good general advice, it is not specific to cyclosporine therapy.
C. "I can expect hair loss when taking this medication.": Hair loss is not a common side effect of cyclosporine.
D. "I will call my doctor if I have a sore throat.": Cyclosporine suppresses the immune system, making the client more susceptible to infections, such as sore throat.

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Correct Answer is B

Explanation

A. "I will crush the tablet to make it easier to swallow.": Sustained-release tablets should not be crushed or chewed, as this alters the release mechanism.

B. "I will increase my daily intake of fiber and fluid.": Verapamil can cause constipation, so increasing fiber and fluid intake helps prevent this side effect.

C. "I will follow up with monthly laboratory tests to check for anemia.": Verapamil does not typically require monitoring for anemia.

D. "I will sit upright for 30 minutes after taking the medication.": This advice is more relevant for medications that can cause esophageal irritation, such as bisphosphonates, not verapamil.

A. Dyspnea B. Urticaria C. Chills D. Vomiting

Correct Answer is C

Explanation

A. Dyspnea: Dyspnea is more indicative of fluid overload or an anaphylactic reaction.
B. Urticaria: Urticaria is a hallmark of an allergic reaction to transfused plasma proteins.
C. Chills: A febrile nonhemolytic reaction, the most common transfusion reaction, is characterized by chills, fever, and sometimes mild dyspnea or headache.
D. Vomiting: Vomiting is not a typical manifestation of a febrile nonhemolytic reaction.

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Body System	Findings
Vital Signs/General History	Temperature 35.4 °C (97.6 °F), oral Heart rate 75/min Respiratory rate 16/min Blood pressure 100/74 mmHg Oxygen saturation 99% on room air Client is a vegetarian and takes a multivitamin daily Client reports having three to four alcoholic beverages a couple times per week.
Integumentary	Skin color is consistent with genetic background. No rashes or lesions. The client has varicose veins.
Cardiovascular/Respiratory	S1S2 auscultated. No murmurs. All peripheral pulses 2+. Lung sounds clear bilaterally.
Gastrointestinal/Genitourinary	Abdomen soft, nontender. Normoactive bowel sounds in all 4 quadrants. Last bowel movement was 3 days ago. Voids four to five times a day. Urine is clear, yellow, and odorless. Last menstrual period was 3 months ago.
Neurologic/Musculoskeletal	Alert and oriented to person, place, and time. Client takes diazepam as needed for anxiety. Client has full range of motion and is able to maintain flexion against resistance in all four extremities.

A nurse is reinforcing teaching about cyclosporine with a client who is postoperative following a kidney transplant. Which of the following statements indicates an understanding of the information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for sustained-release verapamil. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The nurse should identify which of the following findings as an indication of a febrile nonhemolytic reaction?

Correct Answer is C

Explanation

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