You are caring for a postoperative heart transplant patient who is receiving azathioprine (Imuran). The patient asks you what this medication is for. What would your answer to this patient be?
A) Azathioprine decreases the risk of thrombus formation.
B) Azathioprine ensures adequate cardiac output.
C) Azathioprine increases the number of white blood cells.
D) Azathioprine minimizes rejection.
Ans: D
Feedback: Heart transplant patients are constantly balancing the risk of rejection with the risk of infection. Most commonly, patients receive cyclosporine or tacrolimus (FK506, Prograf), azathioprine (Imuran), or mycophenolate mofetil (CellCept), and corticosteroids (prednisone) to minimize rejection. Therefore options A, B, and C are incorrect.
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