The nurse is caring for a patient after recent renal transplantation. The patient is taking sirolimus [Rapamune] to prevent transplant rejection. What other medications would the nurse expect the patient to be taking?
a. Rifampin and ketoconazole
b. Carbamazepine and phenobarbital
c. Cyclosporine and glucocorticoids
d. Amphotericin B and erythromycin
C
Sirolimus should be used in conjunction with cyclosporine and glucocorticoids to reduce the risk of transplant rejection. Rifampin can reduce and ketoconazole can increase therapeutic levels of sirolimus and cyclosporine; therefore, they are not indicated for transplant patients. Carbamaze-pine and phenobarbital are not indicated, because they can reduce the therapeutic levels of siro-limus and cyclosporine. Amphotericin B and erythromycin are not indicated, because they can increase the therapeutic levels of sirolimus and cyclosporine.
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The parents of a 9-year-old boy have been told by the child's teacher that he exhibits symptoms of attention-deficit/hyperactivity disorder (ADHD)
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The RN has chosen the nursing diagnosis of Risk for impaired skin integrity related to immobility. The correct goal/outcome statement for the diagnosis would be:
a. patient will sit in chair at bedside for 15 minutes after each meal. b. nurse will assist patient to chair every shift. c. nurse will assess skin and record condition every shift. d. patient will change position frequently.
A child that has rhythmic, repetitive, involuntary movements is exhibiting:
1. Tremors. 2. Dystonia. 3. Contractures. 4. Tics.