After teaching a client who is recovering from pancreas transplantation, the nurse assesses the client's understanding. Which statement made by the client indicates a need for additional education?
a. "If I develop an infection, I should stop taking my corticosteroid."
b. "If I have pain over the transplant site, I will call the surgeon immediately."
c. "I should avoid people who are ill or who have an infection."
d. "I should take my cyclosporine exactly the way I was taught."
ANS: A
Immunosuppressive agents should not be stopped without the consultation of the transplantation physician, even if an infection is present. Stopping immunosuppressive therapy endangers the transplanted organ. The other statements are correct. Pain over the graft site may indicate rejection. Anti-rejection drugs cause immunosuppression, and the client should avoid crowds and people who are ill. Changing the routine of anti-rejection medications may cause them to not work optimally.
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