A liver transplant patient is receiving azathioprine (Imuran). What nursing goal is critical for this patient?
a. Maintain bed rest with minimal exertion.
b. Minimize his risk for infection.
c. Allow several visitors.
d. Monitor vital signs every 15 minutes.
B
Graft rejection is slowed through the use of chemical agents that interfere with the immune response process. Included are corticosteroids, cyclosporine (Neoral, Sandimmune), and azathioprine (Imuran). This chemical therapy is referred to as immunosuppressive (the administration of agents that significantly interfere with the ability of the immune system to respond to antigenic stimulation by inhibition of cellular and humoral immunity) therapy.
You might also like to view...
A patient is seen regularly for hypertension. When he comes today for his regular appointment, he asks for a decongestant, because he has a bad head cold. The physician would probably:
1. order a decongestant. 2. order an antibiotic because of the possibility of infection. 3. not give a decongestant because that medication might increase the patient's hypertension. 4. order an expectorant and hydrate the patient.
The nurse is caring for a child with psoriasis. What local manifestations does the nurse expect to assess in this child? (Select all that apply.)
a. Development of wheals b. First lesions appear in the scalp c. Round, thick, dry reddish patches d. Lesions appear in intergluteal folds e. Patches are covered with coarse, silvery scales
When one of your assigned clients complains about the boredom and confinement associated with being in a wheelchair, you could BEST provide a respite for the client by:
a. sharing laughter or discussing current events of the day b. putting the client back to bed for a nap c. placing the client in front of a window so he or she can look out d. having the client think about the fact that he or she is still alive
The nursing student is asked to administer a tepid bath to a child with a fever. The student avoids which of the following when performing this procedure?
1. Applies alcohol-soaked cloths over the child's body 2. Uses a water toy to distract the child during the bath 3. Places lightweight pajamas on the child after the bath 4. Squeezes water over the child's body, using the washcloth