You are caring for a patient who has been diagnosed with chronic rhinosinusitis. While admitting this patient for the clinic visit, the patient asks, "Will this chronic infection hurt my new kidney?"
What do you, as a nurse, know about chronic rhinosinusitis in transplant patients? (Mark all that apply.)
A) It may be linked to primary or secondary immune deficiency or treatment with immunosuppressive therapy.
B) Typical symptoms may be blunted or absent due to immunosuppression.
C) Taking immunosuppressive drugs can contribute to chronic rhinosinusitis.
D) Chronic rhinosinusitis can damage the transplanted organ.
E) Immunosuppressive drugs can cause organ rejection.
Ans: A, B, C
Feedback: URIs, specifically chronic rhinosinusitis and recurrent acute rhinosinusitis, may be linked to primary or secondary immune deficiency or treatment with immunosuppressive therapy (ie, for cancer or organ transplantation). Typical symptoms may be blunted or absent due to immunosuppression. There is no evidence of damage to the transplanted organ due to chronic rhinosinusitis. Immunosuppressive drugs do not cause organ rejection.
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