Question 1

Your patient is taking belatacept and develops posttransplant lymphoproliferative disorder (PTLD). PTLD primarily affects:

Accepted Answer

A)  the liver 
B)  the heart 
C)  the kidneys 
D)  the nervous system 
A)  the liver 
B)  the heart 
C)  the kidneys 
D)  the nervous system D

Question 2

The patient tells the nurse that he understands that transplant rejection may happen and asks what can be done to minimize risk of rejection and other negative outcomes. What will the nurse include in the teaching?

Accepted Answer

A)  "An anti-T-cell antibody should be used in conjunction with corticosteroid therapy for best results." 
B)  "ATG rabbit started immediately after transplant can help prevent rejection." 
C)  "Transplant rejection drugs can be used and while they have unwanted side effects, none are deadly." 
D)  "Caution needs to be taken when other immunosuppressant drugs are administered to avoid serious infections." 
A)  "An anti-T-cell antibody should be used in conjunction with corticosteroid therapy for best results." 
B)  "ATG rabbit started immediately after transplant can help prevent rejection." 
C)  "Transplant rejection drugs can be used and while they have unwanted side effects, none are deadly." 
D)  "Caution needs to be taken when other immunosuppressant drugs are administered to avoid serious infections." D

Question 3

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?

Accepted Answer

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. 
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. C

Question 4

A patient who has had an organ transplant is prescribed cyclosporine for maintenance therapy. Which statement by the patient indicates further teaching is needed?

Accepted Answer

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." 
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."

Question 5

Combination of corticosteroids with certain antibiotics can result in which of the following?

Accepted Answer

A)  Increased risk of QT prolongation and arrhythmias 
B)  Increased risk of hypokalemia 
C)  Increased risk of hyperglycemia 
D)  Increased risk of ophthalmic toxicity 
A)  Increased risk of QT prolongation and arrhythmias 
B)  Increased risk of hypokalemia 
C)  Increased risk of hyperglycemia 
D)  Increased risk of ophthalmic toxicity

Exam 30: Transplant Drugs

Your patient is taking belatacept and develops posttransplant lymphoproliferative disorder (PTLD). PTLD primarily affects:

The patient tells the nurse that he understands that transplant rejection may happen and asks what can be done to minimize risk of rejection and other negative outcomes. What will the nurse include in the teaching?

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 patient who has had an organ transplant is prescribed cyclosporine for maintenance therapy. Which statement by the patient indicates further teaching is needed?

Combination of corticosteroids with certain antibiotics can result in which of the following?

The Nursing Process and Patient-Centered Care

Drug Development and Ethical Considerations

Pharmacokinetics, Pharmacodynamics, and Pharmacogenetics

Pharmacogenetics

Complementary and Alternative Therapies

Pediatric Considerations

Geriatric Considerations

Drugs of Abuse

Safety and Quality

Drug Administration

Drug Calculations

Fluid Volume and Electrolytes

Vitamin and Mineral Replacement

Nutritional Support

Adrenergic Agonists and Antagonists

Cholinergic Agonists and Antagonists

Stimulants

Depressants

Antiseizure Drugs

Drugs for Parkinson Disease and Alzheimer Disease

Drugs for Neuromuscular Disorders and Muscle Spasms

Antipsychotics and Anxiolytics

Antidepressants and Mood Stabilizers

Antiinflammatories

Analgesics

Antibacterials

Antituberculars, Antifungals, and Antivirals

Peptides, Antimalarials, and Anthelmintics

Hiv- and Aids-Related Drugs

Vaccines

Anticancer Drugs

Targeted Therapies to Treat Cancer

Biologic Response Modifiers

Upper Respiratory Disorders

Lower Respiratory Disorders

Cardiac Glycosides, Antianginals, and Antidysrhythmics

Diuretics

Antihypertensives

Anticoagulants, Antiplatelets, and Thrombolytics

Antihyperlipidemics and Peripheral Vasodilators

Gastrointestinal Tract Disorders

Antiulcer Drugs

Eye and Ear Disorders

Dermatologic Disorders

Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

Antidiabetics

Urinary Disorders

Pregnancy and Preterm Labor

Labor, Delivery, and Postpartum

Neonatal and Newborn

Womens Reproductive Health

Mens Reproductive Health

Sexually Transmitted Infections

Adult and Pediatric Emergency Drugs

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