Blood work has been drawn on a client who has been taking cyclosporine (Sandimmune) following allogenic liver transplantation
The nurse checks the results of which of the following tests to determine the presence of an adverse effect related to this medication? 1. Hematocrit level
2. Hemoglobin level
3. Cholesterol level
4. Blood urea nitrogen (BUN) level
4
Rationale: Nephrotoxicity is one of the most common adverse effects of cyclosporine. Nephrotoxicity is evaluated by monitoring the BUN and creatinine levels. "Hematocrit level," "hemoglobin level," and "cholesterol level" are unrelated to the adverse effects associated with the administration of this medication.
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A nurse is caring for a client who is newly diagnosed with rheumatoid arthritis (RA). The client asks the nurse what the difference is between RA and osteoarthritis (OA). Which responses by the nurse are the most appropriate?
Select all that apply. A) "The onset of OA is gradual while the onset of RA may be rapid." B) "With OA, multiple joints are symmetrically affected; RA affects one joint at a time." C) "The affected joints in RA feel cold to the touch while the joints affected by OA are warm or hot to the touch." D) "OA is slowly progressive while RA is characterized by exacerbations and remissions." E) "The pain and stiffness with RA is with activity; OA pain and stiffness is predominant upon arising."
The preoperative nurse is preparing a patient for surgery. Identify the interventions the nurse will perform. Choose all that apply
1) Inform the family to wait in the surgical waiting room. 2) Prepare the surgical suite for the operation. 3) Remove the patient's dentures and contact lenses. 4) Assist the patient to complete a living will.
A client has returned from a cardiac angiography via the left femoral artery. Two hours after the procedure, the nurse notes that the left pedal pulse is weak. What is the nurse's best action?
a. Elevate the leg and apply a sandbag to the entrance site. b. Increase the flow rate of intravenous flu-ids. c. Assess the color and temperature of the left leg. d. Document the finding as left pedal pulse of +1/4.
The patient with hypertension is receiving nifedipine (Procardia XL). The nurse determines that the patient needs additional medication education when the patient selects which menu for breakfast?
1. Whole-wheat pancakes with syrup, and bacon, oatmeal, and orange juice 2. Eggs, whole-wheat toast with butter, cereal, milk, and grapefruit juice 3. Eggs and sausage, a biscuit with margarine, coffee with cream, and cranberry juice 4. Egg and cheese omelet, tea with sugar and lemon, hash brown potatoes, and prune juice