Question

A client with kidney transplant 6 months ago is experiencing malaise, fever, severe pain in the right flank and decreased urine output. Urine abd blood cultures were negative. She is currently taking g cyclosporine and mycophenolate mofetil (immunosupressives) aling with prednisone (glucocrticiod) which medication can the expect to add to the regime.

A. Gentamicin, an aminoglycoside

B. Amphotericin B a polyene antifungal

C. Antithymocyte globulin (rabbit) an immunosuppressant

E. Acyclvir an antiviral

Answer 1

While the symptoms mimic pyelonephritis/UTI, a negative blood culture and low urine output indicate that the client might be suffering from organ rejection. Thus, the option C is correct.