V., a 62-year-old retired orchestra teacher, moved to Florida after her husband died. Over the past few years she has developed renal problems and last year was told that she needed a kidney...

V., a 62-year-old retired orchestra teacher, moved to Florida after her husband died. Over the past few years she has developed renal problems and last year was told that she needed a kidney transplant. After a year of waiting and undergoing hemodialysis, she was told that her niece was a match and was willing to donate a kidney. She has had the transplant, and after 1 week, the transplant seems to be successful so far. Cyclosporine is one of the immunosuppressants she will be receiving. She was given her first dose of cyclosporine 12 hours before surgery and is now receiving oral doses. The nurse has provided instructions on how to take the oral doses at home. 1. The next day, when another nurse comes in with V.’s morning medications, V. says, “You can’t give me the medicine like that. Don’t you know how to mix it?” What do you think the nurse did wrong? 2. What important measures will be taken to prevent toxicity? 3. V. tells the nurse that she can’t wait to get home and relax by her pool. She is also looking forward to getting her strength back and going shopping with her girlfriends. How will the nurse respond to these statements? 4. After V. gets home, she calls the office to ask about eating grapefruit. “The pill bottle says no grapefruit, but I thought the doctor said I could have a little bit. I have a wonderful grapefruit tree in my backyard, and I love fresh grapefruit juice. What should I do?” What is the nurse’s best answer?