The nurse is caring for a patient who has been taking cyclosporine for 9 months to prevent rejection of a renal allograft
Upon reviewing the patient's laboratory results, the nurse notes that the blood urea nitrogen and serum creatinine have risen sharply in the past 2 weeks. The nurse should suspect __________ and assess the patient for other signs and symptoms related to ___________.
a. leukocytosis; infection
b. fluid volume overload; congestive heart failure
c. hypotension; dehydration
d. nephrotoxicity; organ rejection
ANS: D
The nurse should suspect nephrotoxicity and investigate signs and symptoms related to organ rejection because of the rising creatinine and blood urea nitrogen.
Nothing indicates that the patient has an infection or leukocytosis.
Nothing indicates that the patient has a fluid volume overload or CHF.
Nothing indicates that the patient has hypotension or dehydration.
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