Question

Which data obtained when assessing a patient who had a kidney transplant 8 years ago and who is receiving the immunosuppressants tacrolimus (Prograf), cyclosporine (Sandimmune), and prednisone (Deltasone) will be of most concern to the nurse?

a. The blood glucose is 144 mg/dL.
b. The patient's blood pressure is 150/92.
c. There is a nontender lump in the axilla.
d. The patient has a round, moonlike face.

Answer 1

The data that will be of most concern to the nurse is a nontender lump in the axilla, which can indicate an infection or malignancy in a patient who had a kidney transplant and is receiving immunosuppressive drugs.

Step-by-step explanation:

The data that will be of most concern to the nurse when assessing a patient who had a kidney transplant 8 years ago and is receiving the immunosuppressants tacrolimus (Prograf), cyclosporine (Sandimmune), and prednisone (Deltasone) is option c. There is a nontender lump in the axilla. This can be a sign of lymphadenopathy, which might indicate an infection or malignancy.

The use of immunosuppressive drugs, such as cyclosporine, tacrolimus, and prednisone, increases the risk of infections and certain cancers. Therefore, any abnormal lumps or masses should be thoroughly evaluated by a healthcare provider.