A nurse caring for a client who has been on cyclosporine for six months following a renal allograft reviews the laboratory data and notes that the blood urea nitrogen and serum creatinine have shown a consistent elevation in the last two weeks
The nurse would correctly identify these findings as indicating which problem?
1. Metabolic acidosis
2. Metastatic carcinoma
3. An anaphylactic reaction
4. Cyclosporine side effects
Correct Answer: 4
Rationale 1: These are not symptoms of metabolic acidosis.
Rationale 2: These are not symptoms of metastatic carcinoma. There would be other organ signs.
Rationale 3: Anaphylactic reactions include rashes, wheezing, and increasing shortness of breath.
Rationale 4: Side effects of cyclosporine include nephrotoxicity.
Global Rationale: The primary adverse effect of cyclosporine is nephrotoxicity, with up to 75% of patients experiencing a reduction in urine flow. These findings do not represent metabolic acidosis, metastatic carcinoma, or anaphylactic reaction.
You might also like to view...
The NAPNES Code of Ethics
A) describes the minimum standards of practical/vocational nursing. B) describes the maximum standards of practical/vocational nursing. C) lists the rules of good conduct of practical/vocational nurses. D) outlines the laws surrounding the practical/vocational nurse.
Which of these hygiene needs does not diminish with aging?
a. bathing c. oral care b. foot care d. hair care
Organizations practicing the New Science of Leadership differ from those using Scientific or Newtonian principles. The Old Newtonian principles fostered which of the following?
A. Risk or financial management B. Quality and prioritization C. Use of integrated documentation D. Short- and long-term planning with cen-tralized decision making
Chaleff asserts that followers do not orbit around a leader. Instead, followers and leaders both orbit around their:
A. Organization's mission B. Mutual purpose C. Personal needs D. Shared history