The nurse is caring for a patient taking tacrolimus (Prograf) on a renal telemetry unit. Which adverse effect associated with this medication would most concern the nurse?
a. Gingival hyperplasia
b. Blood glucose level of 120
c. Risk of infection
d. Tremors and insomnia
ANS: D
Tremors are the adverse effect that causes the most concern, because they may indicate neurotoxicity.
Gingival hyperplasia is an anticipated effect of the medication.
Hyperglycemia may be a concern, but the value given is just a borderline value.
Risk of infection is a concern for any patient with a renal transplant, but an actual infection would be more likely to concern the nurse.
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