The nurse is caring for a patient who has been taking cyclosporine (Sandimmune). During a follow-up appointment, the patient starts making conversation. What comment by the patient would most concern the nurse?
a. "I have coffee every morning."
b. "I enjoy tea in the afternoons."
c. "I drink grapefruit juice with my breakfast."
d. "I take aspirin for headaches."
ANS: C
Grapefruit juice has been shown to increase cyclosporine levels by 50% to 200% and may lead to toxicity.
Coffee, tea, and aspirin are not contraindicated for patients taking cyclosporine.
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A patient's uvula raises midline when she says "ahh," and she has a positive gag reflex. The nurse has just tested which cranial nerves?
a. IX and X b. IX and XII c. X and XII d. XI and XII
The nurse is caring for a pediatric patient with hemophilia who receives antihemophilic factor several times a year. What should this patient be regularly screened for? (Select all that apply.)
A) HIV B) Hepatitis C) Anemia D) Infection E) Cardiomyopathy
Barbiturates should not be used in patients with:
a. a history of anxiety. b. suicidal tendencies. c. an allergy to benzodiazepines. d. a history of drowsiness with the use of these agents.
It is recommended that at least 50% of the protein fed to PD patients be of HBV. What does that mean and why is it important?