A patient taking mycophenolate mofetil (CellCept) as prophylaxis for rejection of an allogenic heart develops fatigue, sweating, and a large neck mass. The patient must be immediately as-sessed for which complications? (Select all that apply.)
a. Thyroid disease
b. Lymphoma
c. Streptococcal pharyngitis
d. Sepsis
e. Lyme disease
B, C, D
The patient requires immediate assessment for lymphoma and sepsis, which are major adverse effects of immunosuppressive drugs. The patient also may be susceptible to streptococcal pha-ryngitis.
Thyroid disease and Lyme disease are not adverse effects of mycophenolate mofetil.
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A postanesthesia care unit (PACU) nurse is assessing a postoperative client with a nasogastric (NG) tube. What laboratory values would warrant intervention by the nurse? (Select all that apply.)
a. Blood glucose: 120 mg/dL b. Hemoglobin: 7.8 mg/dL c. pH: 7.68 d. Potassium: 2.9 mEq/L e. Sodium: 142 mEq/L
A patient on the high-risk OB unit is receiving magnesium sulfate. The nurse notes that her magnesium level is 14 mEq/L. Which of the following actions by the nurse is most appropriate?
A. Bring the crash cart to the patient's room. B. Document the findings in the woman's chart. C. Order another blood level in 6 hours. D. Prepare to administer calcium gluconate.
A newborn weighing 6.6 lb is prescribed zidovudine (ZDV) 2 mg/kg every 6 hours to reduce the risk of maternal transmission of HIV. The pharmacy prepares an infusion of 1,000 mg of the medication in 1 L of 0.9% normal saline
How many milliliters of the medication will the nurse infuse for each dose? (Numeric value only.)
A client is prescribed Lorazepam (Ativan) and a glucocorticoid during chemotherapy treatments. What is the nurse's best action?
a. Call the health care provider and question the order. b. Only administer the Ativan if the client seems anxious. c. Administer the two medications at least 12 hours apart. d. Administer the medications and assess the client for relief.