The nurse is caring for a child who is experiencing an acute renal transplant rejection and is to receive muromonab-CD3 . Which of the following would the nurse most likely expect to assess after the first dose is administered?
A) Fever with chills, chest tightness
B) Cough, hyperkalemia
C) Photosensitivity, gastrointestinal (GI) upset
D) Urinary retention, decreased appetite
A
Feedback:
The first dose of muromonab-CD3 can cause fever, chills, chest tightness, wheezing, nausea, and vomiting. Cough and hyperkalemia are associated with angiotensin-converting enzyme inhibitors. Photosensitivity and GI upset are often associated with diuretics. Urinary retention and decreased appetite are associated with imipramine.
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