Page 2207 - Saunders Comprehensive Review For NCLEX-RN

3. Can cause rash, acne, anemia, thrombocytopenia, joint
pain, diarrhea, and hypokalemia.
4. Everolimus can cause mouth sores, infections,
swelling and edema

Monitor the client taking an immunosuppressant closely for

signs of infection.
III. Immunizations: See Chapter 18 for more information
IV. Antimicrobials (Box 63-3)
A. Inhibit the growth of bacteria
B. Include medication classifications of aminoglycosides,
cephalosporins, fluoroquinolones, macrolides, lincosamides,
monobactams, penicillins and penicillinase-resistant penicillins,
sulfonamides, streptogramins, tetracyclines, antimycobacterials,
and others (see Box 63-3)
C. Adverse effects (Table 63-1)

D. Nursing considerations

1. Assess for allergies.
2. Monitor appropriate laboratory values before therapy
as appropriate and during therapy to assess for
adverse effects.
3. Report adverse effects to the primary health care
provider if any occur.
4. Determine the appropriate method of administration
and provide instructions to the client.
5. Monitor intake and output.
6. Encourage fluid intake (unless contraindicated).
7. Initiate safety precautions because of possible central
nervous system effects.
8. Teach the client about the medication and how to take
it; emphasize the importance of completing the full
prescribed course.

Box 63-1

Medications for Human Immunodeficiency Virus
(HIV) and Acquired Immunodeficiency Syndrome
(AIDS)

Nucleoside-Nucleotide Reverse Transcriptase Inhibitors (NRTIs)

▪ Abacavir
▪ Abacavir/lamivudine

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