The physician has ordered cyclosporine (Sandimmune) for the client who has undergone a kidney transplant. What will the nurse's priority assessment of this client include?
1. Assessing for infection
2. Assessing for peripheral edema
3. Assessing airway clearance
4. Assessing cardiac output
1
Rationale 1: Cyclosporine suppresses the immune response, so the nurse should assess the client for infection.
Rationale 2: Cyclosporine may result in decreased urine output, but this is not the priority concern.
Rationale 3: There isn't any correlation between airway clearance and cyclosporines.
Rationale 4: Hypertension may result from use of cyclosporine, but there is no direct relation to cardiac output.
Global Rationale: Cyclosporine suppresses the immune response, so the nurse should assess the client for infection. Cyclosporine may result in decreased urine output, but this is not the priority concern. There isn't any correlation between airway clearance and cyclosporines. Hypertension may result from use of cyclosporine, but there is no direct relation to cardiac output.
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