A client must begin medication therapy with mycophenolate mofetil (CellCept) to prevent organ rejection following renal transplantation. The nurse plans to provide which of the following teaching points to the client?
1. Take the dose following meals.
2. Notify the physician if a fever develops.
3. Open the capsule and mix with food before use.
4. Take the medication with an aluminum-based antacid.
2
Rationale: The client should contact the physician if unusual bleeding, bruising, sore throat, mouth sores, abdominal pain, or fever occurs. Antacids containing magnesium and aluminum may decrease the absorption of the medication and should not be taken with the medication. The medication is given in combination with corticosteroids and cyclosporine. CellCept may be administered on an empty stomach. The capsules should not be opened or crushed.
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A) School nurse B) Hearing aide salesperson C) Audiologist D) Office nurse
The nurse is performing an admission assessment on a forensic client. Which of the following would be most important for the nurse to include when explaining the purpose of the assessment to the client?
A) "This is just a routine assessment, and we will be discussing specific events that have led to you being admitted to this unit." B) "I will be asking you questions so we can determine how to best meet your needs." C) "It is important during this initial assessment that you relate the specific details of the crimes of your case so we can effectively treat you." D) "I will be asking you questions that will focus on mental health and behavioral issues rather than on the specific details of any crimes associated with your case."
A nurse consults a drug manual before giving a medication to an 80-year-old patient. The manual states that elderly patients are at increased risk for hepatic side effects. Which action by the nurse is correct?
a. Contact the provider to discuss an order for pretreatment laboratory work. b. Ensure that the drug is given in the correct dose at the correct time to minimize the risk of adverse effects. c. Notify the provider that this drug is contraindicated for this patient. d. Request an order to give the medication intravenously so that the drug does not pass through the liver.
A child has an evulsed (knocked-out) tooth. Which medium should the nurse instruct the parents to place the tooth in for transport to the dentist?
a. In cold milk b. In cold water c. In warm salt water d. In a dry, clean jar