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NR 293 Exam 1 - All chapters test bank.pdf file:///C:/Users/HP/Desktop/SSSSSSS/NR%20293%20Exam%201%
NR 293 Exam 1 -All Chapters Test Bank Questions &
Verified Answers
1. 1. A patient must be treated immediately for acute organ transplant rejec- tion. The
nurse anticipates that muromonab-CD3 (Orthoclone OKT3) will be ordered.What is the
priority assessment before beginning drug therapy withmuromonab-CD3?
a. Serum potassium level
b. Fluid volume status
c. Electrocardiogram
d. Blood glucose level:
ANS: B
Assess fluid volume status because muromonab-CD3 is contraindicated in thepresence of
fluid overload. The other options are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 777TOP:
NURSING PROCESS: Assessment
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2. 2. A patient is about to undergo a kidney transplant. She will be given an
immunosuppressant drug before, during, and after surgery to minimize organrejection.
During the preoperative teaching session, which information will thenurse include about
the medication therapy?
a. Several days before the surgery, the medication will be administered orally.
b. The oral doses need to be taken 1 hour before meals to maximize absorp-tion.
c. Mix the oral liquid with juice in a disposable Styrofoam cup just before
administration.
d. Intramuscular injections of the medication will be needed for several dayspreceding
surgery.:
ANS: A
Several days before transplant surgery, immunosuppressant drugs need to be takenby the oral
route, if possible, to avoid intramuscular injections and the risk for infectioncaused by the
injections. Avoid Styrofoam containers because the medication mayadhere to the side of the
container. These medications are taken with food to minimize gastrointestinal upset.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 778TOP:
NURSING PROCESS: Implementation
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3. 3. A patient has an order for cyclosporine (Sandimmune). The nurse finds that
cyclosporine-modified (Neoral) is available in the automated medicationcabinet. Which
action by the nurse is correct?
a. Hold the dose until the prescriber makes rounds.
b. Give the cyclosporine-modified drug.
c. Double-check the order, and then give the cyclosporine-modified drug.
d. Notify the pharmacy to obtain the Sandimmune form of the drug.:
ANS: D
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The nurse must double-check the formulation before giving cyclosporine. Cy- closporine-
modified products (such as Neoral or Gengraf) are interchangeable witheach other but are not
interchangeable with Sandimmune. In this case, the nurse must obtain the Sandimmune form of
the drug from the pharmacy.The other optionsare incorrect.
DIF: COGNITIVE LEVEL: Analyzing (Analysis) REF: p. 778TOP: NURSING
PROCESS: Implementation
4. 4. The nurse is preparing to administer an injection of monoclonal anti- bodies.
Which additional drug will the nurse administer to minimize adversereactions to the
monoclonal antibodies?
a. A nonsteroidal anti-inflammatory drug
b. A benzodiazepine
c. An opioid pain reliever
d. A corticosteroid:
ANS: D
The monoclonal antibodies basiliximab and daclizimab have a tendency to cause the allergy-like
reaction known as cytokine release syndrome, which can be severeand even involve anaphylaxis.
In an effort to avoid or alleviate this problem, it is recommended that an injection of a
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