NURS 505 (7, 17, 30, 49) Review Questions with Answers and Rationales
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Course
NURS 505
Institution
NURS 505
A client is receiving anakinra for treatment of rheumatoid arthritis. The client is scheduled to have arthroscopic evaluation of the right knee. What is the priority nursing diagnosis for this client after the procedure?
a) Risk for infection b) Risk for injury c) Impaired skin integrity d)Acute p...
NURS 505 (7, 17, 30, 49) Review
Questions with Answers and Rationales
A client is receiving anakinra for treatment of rheumatoid arthritis. The client is
scheduled to have arthroscopic evaluation of the right knee. What is the priority nursing
diagnosis for this client after the procedure?
a) Risk for infection
b) Risk for injury
c) Impaired skin integrity d)Acute pain ✅a) risk for infection
Although all the nursing diagnoses may be appropriate, the priority would be risk for
infection because the client is receiving anakinra, which suppresses the immune system
and places the client at higher risk for infection following an invasive procedure
A nurse is caring for a patient who is receiving azathioprine following kidney transplant.
For what serious adverse effect should the nurse monitor the patient?
a) Respiratory distress
b) Mental depression c)Infection
d) severe diarrhea ✅c) infection
Azathioprine and other immunosuppressant drugs can increase the risk of infection.
To help understand immunostimulant drug therapy, the client has come to the clinic for
a class on thrombopoiesis. The nurse explains that the term means the formation of
which types of blood cells?
a) Red cells
b) White cells
c) Platelets
d) C-reactive protein ✅c) Platelets
Thrombopoiesis is the formation of platelets. Red and white blood cells are not
thrombocytes. C-reactive protein is a blood test.
The nurse is caring for a child who will be receiving a renal transplant and who has
been prescribed cyclosporine. When teaching the parents and child about this drug, the
nurse should explain what primary rationale for administering this drug?
a) Prevention of organ rejection
b) Prevention of infection due to immunocompromised status
c) Preservation of remaining renal function
, d) Slowing of metabolic processes postoperatively to prevent an immune response
✅a) prevention of organ rejection
Cyclosporine is used to prevent or suppress rejection in a variety of transplant
situations, such as renal transplantation. The drug is an immunosuppressant so it would
increase the child's risk for infection. The drug has no effect on renal function or
metabolic processes.
A client is receiving oprelvekin. Which would suggest that the client is experiencing a
hypersensitivity reaction?
a) Cardiac arrhythmia
b) Mental status change c)Chest tightness
d) Fever ✅c) chest tightness
Oprelvekin has been associated with severe hypersensitivity reactions, as manifested
by chest tightness, difficulty breathing or swallowing, or swelling. Cardiac arrhythmias
and mental status changes are adverse effects associated with interleukin therapy and
do not suggest hypersensitivity. Fever is associated with the flulike adverse effects of
interleukin therapy, not hypersensitivity.
A nurse is providing patient education to a 45-year-old man who is taking cyclosporine
(Sandimmune). The nurse will provide the patient with education related to one of the
most common and severe adverse effects of cyclosporine, which is:
a) hyperthyroidism. b)nephrotoxicity.
c) gastritis.
d) cardiac effects. ✅b) nephrotoxicity
Nephrotoxicity is one of the most common and severe adverse effects of cyclosporine.
The other common and serious adverse effects are hepatotoxicity, malignancies, and
neurotoxicity. Gastritis may also occur but would not be considered as severe an
adverse effect as nephrotoxicity. The drug is not associated with hyperthyroidism or
cardiac effects.
A nurse is receiving report about a client who had a kidney transplant. Which
medications would the nurse expect to suppress organ rejection? (Select all that apply.)
a) antibiotics
b) corticosteroids
c) calcineurin inhibitors d)immunostimulant drugs e)colony-stimulating factors ✅b)
corticosteroids
c) calcineurin inhibitors
Drugs to suppress immunity in a client who has received a transplant include
corticosteroids, clacineurin inhibitors, mTOR inhibitors, IMDH inhibitors, biologics, and
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