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NUR333 PrepU CH. 17 Questions With Complete Solutions
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NUR333 PrepU CH. 17 Questions With Complete Solutions
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NUR333 PrepU CH. 17 Questions With Complete SolutionsA 34-year-old man is prescribed interferon alfa-2a for the
treatment of chronic hepatitis C. When teaching John about the
medication, which side effect will the nurse explain is among
the most common?
Nausea and changes in taste
Significant weight loss
Changes in blood pressure
Dry skin - Correct response:
Nausea and changes in taste
Explanation:
The most common adverse effects of interferon alfa-2a are
dizziness, confusion, lethargy, flu-like symptoms, anorexia,
nausea, and changes in taste. Other adverse effects include
hypotension or hypertension, edema, arrhythmias, depression of
bone marrow function, increased liver enzymes, rash, dry skin,
partial alopecia, and glucose intolerance. Blood pressure
changes and dry skin are adverse reactions to the medication but
not common. Weight loss is not an adverse reaction of the
medication.
A 53-year-old man is receiving cyclosporine in order to prevent
rejection of a transplanted kidney. The nurse should prioritize
assessments related to:
nausea.
dizziness.
respiratory depression.
infection. - Correct response:
infection.
Explanation:
,Because of the immune system suppression that results from
cyclosporin therapy, assessments related to infection are a high
priority, superseding the importance of assessments of dizziness,
nausea, or respiratory depression.
A client diagnosed with anemia asks what the cause of anemia
is. Which is the nurse's best response?
It is caused by a variety of reasons.
It is caused by inadequate production of WBCs.
It is caused by a decrease in the number of RBCs.
It is caused by an increase in the number of platelets. - Correct
response:
It is caused by a decrease in the number of RBCs.
Explanation:
Anemia is a condition caused by an insufficient amount of
hemoglobin delivering oxygen to the tissues. Causes of anemia
include a decrease in the number of RBCs, a decrease in the
amount of hemoglobin in RBCs, or both. A variety of reasons
does not specify the causes of anemia. Anemia is not associated
with WBCs or platelets.
A client has been discharged from the hospital after a kidney
transplant. Which nursing intervention is the first line of defense
against the immunosuppressant client developing an infection?
Ensure visitors do not come to the home.
Teach the client to wear a mask consistently.
Administer prophylactic antibiotics.
Teach the client the importance of personal hygiene. - Correct
response:
Teach the client the importance of personal hygiene.
Explanation:
, With clients who are taking immunosuppressant drugs, a major
role of the home care nurse is to assess the environment for
potential sources of infection, assist clients and other members
of the household to understand the client's susceptibility to
infection, and teach ways to decrease risks of infection.
Meticulous environmental cleansing as well as personal and
hand hygiene are required. Visitors do not necessarily need to be
wholly barred from the home, and a mask is not always
required. Prophylactic antibiotics are not normally used.
A client has been prescribed oral cyclosporine following a
successful liver transplant. When providing education, the nurse
should advise the client to avoid mixing the drug with what
liquid?
grapefruit juice
milk
vegetable juices
low-pH beverages - Correct response:
grapefruit juice
Explanation:
Clients should be cautioned against mixing cyclosporine with
grapefruit juice because it inhibits metabolism. Dairy, vegetable,
and acidic beverages are not necessarily contraindicated.
A client is administered cyclosporine to prevent rejection of a
kidney transplant. Which is a major adverse effect of
cyclosporine?
Congestive heart failure
Nephrotoxicity
Anaphylaxis
Respiratory arrest - Correct response:
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