An older adult patient has a prescription for cyclosporine following a kidney transplant. Which information in the patient's health history has the most implications for planning patient teaching about the medication at this time?
a. The patient restricts salt to treat prehypertension.
b. The patient drinks 3 to 4 quarts of fluids every day.
c. The patient has many concerns about the effects of cyclosporine.
d. The patient has a glass of grapefruit juice every day for breakfast.
ANS: D
Grapefruit juice can increase the toxicity of cyclosporine. The patient should be taught to avoid grapefruit juice. High fluid intake will not affect cyclosporine levels or renal function. Cyclosporine may cause hypertension, and the patient's many concerns should be addressed, but these are not potentially life-threatening problems.
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