The client taking cyclosporine to prevent liver transplant rejection calls the clinic to report a sore throat. The nurse will
Advise the patient to drink warm tea with honey and stay home
Ask the patient about fever and report the call to the provider.
Tell the patient to stop cyclosporine and report the call to the provider.
Reassure the client that this is an expected effect and will resolve.
The Correct Answer is B
Choice A rationale: A sore throat in a patient taking immunosuppressive medications requires further assessment and intervention beyond home remedies.
Choice B rationale: Assessing for fever is crucial, as an infection in a patient on immunosuppressive therapy can be serious and requires prompt attention.
Choice C rationale: Stopping cyclosporine abruptly without guidance from the provider can lead to rejection; this decision should be made by the healthcare provider.
Choice D rationale: Reassurance alone may not be appropriate, given the potential seriousness of infection in an immunocompromised patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: A blood pressure reading of 130/80 mmHg is within the normal range and would not be a priority to report.
Choice B rationale: Expiratory wheezing is a potential adverse effect of propranolol, especially in patients with a history of asthma or other respiratory conditions. It should be reported promptly to the provider.
Choice C rationale: Hunger and thirst are not typically associated with adverse effects of propranolol.
Choice D rationale: A pulse of 98 beats/min is within the normal range and would not be a priority to report.
Correct Answer is B
Explanation
Choice A rationale: Dopamine is not the appropriate medication for an allergic reaction. It is a neurotransmitter and is not used in the treatment of anaphylaxis.
Choice B rationale: Epinephrine is the first-line treatment for anaphylaxis, including severe difficulty breathing and swelling of the tongue. It acts quickly to reverse the symptoms of an allergic reaction.
Choice C rationale: Norepinephrine is not the medication of choice for an allergic reaction. It primarily acts as a vasoconstrictor and is used in conditions like septic shock.
Choice D rationale: Pseudoephedrine is a decongestant and is not the appropriate medication for treating an allergic reaction with respiratory distress.
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