NU 553 Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!!

NU 553 Comprehensive Resource To Help You Ace Exams Includes Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS Guaranteed Pass First Attempt!! Current Update!! 1. After receiving an allograft liver transplant, a patient is prescribed cyclosporine [Sandimmune] oral solution. What is the most critical component of patient teaching that the nurse should stress? A. The medication will help prevent transplant rejection. B. The oral solution can be mixed with orange juice. C. The medication will be taken every day for life. D. The medication causes reversible increase of hair growth. - Correct Answer: The medication will be taken every day for life. Allograft recipients must take immunosuppressants for life to prevent transplant rejection. The other concepts are important to teach the patient but are not as high a priority. 2. A patient is prescribed sirolimus [Rapamune] and cyclosporine [Sandimmune] after renal transplantation. It is most important for the nurse to closely monitor which value? A. Serum creatinine B. Aspartate aminotransferase C. Serum potassium D. Partial thromboplastin time - Correct Answer: Serum creatinine Sirolimus combined with cyclosporine poses a significant risk of renal injury. Renal function (serum creatinine, serum blood urea nitrogen, and urinary creatinine clearance) should be monitored. 3. When caring for a 21-year-old female patient, post kidney transplantation, who is taking cyclosporine [Sandimmune] and repaglinide [Prandin], what should the nurse do? A. Administer the medication with grapefruit juice. B. Monitor the patient for hyperglycemia. C. Encourage the patient to take an oral contraceptive. D. Assess the patient for signs and symptoms of infection. - Correct Answer: D. Assess the patient for signs and symptoms of infection. Cyclosporine increases the risk of infections, which develop in 74% of those treated. Activation of latent infection with the BK virus can result in kidney damage, primarily in kidney recipients. Patients should be warned about early signs of infection (fever, sore throat) and instructed to report them immediately. 4. A patient who takes over-the counter-diphenhydramine [Benadryl] for seasonal allergy symptoms complains of drowsiness. What should the nurse do? A. Instruct the patient to drink caffeinated beverages. B. Recommend taking the medication with meals. C. Ask the patient's health care provider to prescribe hydroxyzine [Vistaril]. D. Tell the patient to take cetirizine [Zyrtec] instead of diphenhydramine. - Correct Answer: D. Tell the patient to take cetirizine [Zyrtec] instead of diphenhydramine. Second-generation antihistamines, such as cetirizine, cross the blood-brain barrier poorly and hence produce much less sedation than first-generation antihistamines. 5. A patient has chronic idiopathic urticaria. Which medication would be appropriate for the nurse to administer for this condition? A. Fexofenadine [Allegra] B. Loratadine [Claritin] C. Azelastine [Astelin] D. Diphenhydramine [Benadryl] - Correct Answer: A. Fexofenadine [Allegra] Fexofenadine [Allegra] is approved for chronic idiopathic urticaria. Diphenhydramine is approved for acute urticaria. 6. Which statement regarding antihistamine administration to older adults does the nurse identify as true? A. Antihistamines cause CNS excitation in older adults. B. Larger doses of antihistamines are needed for older adults. C. Antihistamines can be used to reduce intraocular pressure. D. Older men with benign prostatic hypertrophy can experience worse symptoms when taking antihistamines. - Correct Answer: D. Older men with benign prostatic hypertrophy can experience worse symptoms when taking antihistamines. When used in older adults, antihistamines can cause sedation; smaller doses should be used initially and titrated up if needed. Also, these medications can worsen glaucoma or benign prostatic hyperplasia. 7. A patient is prescribed celecoxib [Celebrex] and warfarin [Coumadin]. The nurse should monitor the patient for what? A. Renal toxicity B. Bleeding C. Stroke symptoms D. Dysrhythmias - Correct Answer: B. Bleeding Celecoxib may increase the anticoagulant effects of warfarin; the risk of bleeding is increased. 8. A patient drinks five to six alcoholic beverages per day and takes acetaminophen [Tylenol] for pain relief. The nurse should caution the patient to do what? A. Limit intake of acetaminophen to less than 2000 mg/day B. Avoid taking acetaminophen for pain C. Take acetaminophen with food to reduce the risk of liver damage D. Avoid taking any pain reliever other than acetaminophen - Correct Answer: A. Limit intake of acetaminophen to less than 2000 mg/day Patients who drink three or more alcoholic beverages per day should limit their acetaminophen dosage to less than 2000 mg/day to prevent hepatic injury. 9. Non-aspirin NSAIDs differ from aspirin in all but which way? A. They cause reversible inhibition of COX, so their effects decline as soon as their blood levels decline. B. They can suppress platelet aggregation, but they are not used to prevent MI and stroke. C. They increase the risk of MI and stroke and therefore should be used in the lowest effective dosage for the shortest possible time. D. They are safe to use in children with chickenpox or influenza. - - Correct Answer: D. They are safe to use in children with chickenpox or influenza. As with aspirin, these drugs should not be given to children with chickenpox or influenza, owing to the possibility of precipitating Reye's syndrome. All other statements are true. 10. A patient with a history of a severe anaphylactic reaction to penicillin has an order to receive cephalosporin. What should the nurse do? A. Administer the cephalosporin as ordered. B. Contact the health care provider for a different antibiotic. C. Administer a test dose of cephalosporin to determine reactivity. D. Have an epinephrine dose available when administering the cephalosporin. - Correct Answer: B. Contact the health care provider for a different antibiotic. A few patients with penicillin allergy (about 1%) display cross-sensitivity to cephalosporins. If at all possible, patients with penicillin allergy should not be treated with any member of the penicillin family. Use of cephalosporins depends on the intensity of the allergic response to penicillin; if the penicillin allergy is mild, use of cephalosporins is probably safe. However, if the allergy is severe, cephalosporins should be avoided.