TEST BANK FOR PHARMACOLOGY 10TH EDITION BY MCCUISTION
Chapter 30: Transplant Drugs McCuistion: Pharmacology: A Patient-Centered Nursing Process Approach, 10th Edition MULTIPLE CHOICE 1. The nurse is teaching a patient who will begin taking basiliximab in conjunction with a kidney
transplant. Which of the following would be appropriate to include when counseling the patient? a. The drug is used to boost the immune system. b. The drug is taken by mouth before and after the transplant surgery. c. Nausea, vomiting, fever, and chills are common side effects. d. Basiliximab is primarily used for patients receiving a heart transplant. ANS: C
Nausea, vomiting, fever, and chills are common side effects. Basiliximab provides intense immunosuppression to reduce the risk for acute rejection during the initial transplant period. The drug is administered intravenously 2 hours before transplant surgery followed by a second dose 4 days after transplantation. Basiliximab is approved for induction therapy in kidney transplant patients. DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing Intervention: Patient Teaching MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 2. A patient who has had an organ transplant is prescribed cyclosporine for maintenance therapy.
N
Which statement by the patient indicates further teaching is needed? a. “I will have to have blood tests drawn regularly while taking this medication.” b. “I should avoid drinking grapefruit juice while on this medication.” c. “I have to avoid receiving live vaccines.” d. “Cyclosporine does not enter breast milk so there are no concerns with breast feeding.” ANS: D
Cyclosporine is present in breast milk. Because of the potential for serious adverse drug reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother. Therapeutic drug monitoring and safety labs are required. Grapefruit juice can affect the metabolism of cyclosporine and should be avoided. Patients should not receive live vaccines while taking cyclosporine. DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Nursing Intervention: Patient Teaching MSC: NCLEX: Physiological Integrity: Pathophysiology 3. Your patient is taking belatacept and develops posttransplant lymphoproliferative disorder
(PTLD). PTLD primarily affects: a. the liver b. the heart c. the kidneys
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