The nurse knows that which two immunosuppressants are the most effective?
a. Azathioprine (Imuran) and everolimus (Zortress)
b. Cyclosporine (Sandimmune) and tacrolimus (Prograf)
c. Methotrexate (Rheumatrex) and muromonab-CD3 (Orthoclone OKT3)
d. Sirolimus (Rapamune) and methylprednisolone
ANS: B
Cyclosporine and tacrolimus are the most effective immunosuppressants available.
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A patient has conductive hearing loss caused by otosclerosis and has repeatedly refused surgery. To facilitate communication with the patient, the nurse should:
A) Sit or stand in front of the patient when speaking B) Use exaggerated lip and mouth movements when talking C) Stand in front of a light or window when speaking D) Say the patient's name loudly before starting to talk
When teaching a client who is HIV positive, the nurse should explain that the virus can be transmitted
a. as soon as manifestations of illness appear. b. once the diagnosis has been made. c. only to another susceptible host. d. to anyone having contact with blood or semen.
The nurse should be sure to assess for the use of dietary supplements among clients taking anticoagulation medications to avoid the potential for:
1. Muscle cramps. 2. Excessive bleeding. 3. Weight gain. 4. Bone health.
A 46-year-old woman with a subclavian triple-lumen catheter is transferred from a critical care unit after an extended stay for respiratory failure. Which action is important for the nurse to take?
A. Change the injection cap after the administration of IV medications. B. Use a 5-mL syringe to flush the catheter between medications and after use. C. During removal of the catheter, have the patient perform the Valsalva maneuver. D. If resistance is met when flushing, use the push-pause technique to dislodge the clot.