The client receives cyclosporine (Neoral). The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?
1. "I must check my blood pressure; it can run low with this medication."
2. "I cannot have grapefruit while I am on this medication."
3. "Mealtimes will have no effect on when I take this medication."
4. "I might have an increased urine output with this medication."
2
Rationale 1: Cyclosporine (Neoral) can cause hypertension, not hypotension.
Rationale 2: Grapefruit increases blood levels of cyclosporine (Neoral) and should not be consumed by the client while taking cyclosporine (Neoral).
Rationale 3: Food decreases the absorption of cyclosporine (Neoral).
Rationale 4: Cyclosporine (Neoral) can decrease, not increase, urine output.
Global Rationale: Grapefruit increases blood levels of cyclosporine (Neoral), and should not be consumed by the client while taking cyclosporine (Neoral). Cyclosporine (Neoral) can cause hypertension, not hypotension. Food decreases the absorption of cyclosporine (Neoral). Cyclosporine (Neoral) can decrease, not increase, urine output.
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