Dialysis And Transplant Care Practice Test

A 58-year-old man who is 6 months post-deceased donor renal transplant presents for follow-up. His medications include tacrolimus, mycophenolate mofetil, and prednisone. His blood pressure today is 155/95 mm Hg; it was 150/92 mm Hg one month ago. He has no other medical history. His serum creatinine is stable at 1.4 mg/dL and potassium is 4.2 mEq/L. Which of the following is the most appropriate initial agent for managing his hypertension?

A 45-year-old woman on continuous ambulatory peritoneal dialysis (CAPD) for end-stage renal disease presents to the emergency department with a 2-day history of diffuse abdominal pain, fever, and nausea. Her peritoneal dialysis effluent is cloudy. A sample of the effluent is sent for cell count, Gram stain, and culture. The cell count shows 450 WBC/μL with 85% neutrophils. What is the most appropriate next step in management?