A client is taking the immunosuppressant medication, azathioprine (Imuran), for the treatment of Crohn's disease. What statement made by the client demonstrates an understanding of the side effects of this medication?
"I will drink at least 3 L of fluid per day."
"I will stop taking my medication if I notice any side effects and then notify the doctor."
"I will notify the doctor if I am not having a bowel movement daily."
"I will notify the doctor if I have a fever or any other signs of infection."
The Correct Answer is D
A. "I will drink at least 3 L of fluid per day.": While staying hydrated is beneficial, fluid intake is not directly related to the side effects or safety concerns of azathioprine. Some medications can affect the kidneys, making hydration crucial, but it's not the primary concern related to immune suppression.
B. "I will stop taking my medication if I notice any side effects and then notify the doctor.": Abruptly discontinuing azathioprine without physician approval may worsen Crohn's disease or cause withdrawal issues. Medication changes should always be guided by the healthcare provider to ensure safety and continuity of care.
C. "I will notify the doctor if I am not having a bowel movement daily.": Constipation is not a primary concern with azathioprine therapy, and bowel patterns may vary with Crohn’s flares. Monitoring for signs of infection or bone marrow suppression is far more critical with this drug.
D. "I will notify the doctor if I have a fever or any other signs of infection.":
Azathioprine suppresses immune function, increasing the risk for potentially serious infections. Prompt reporting of fever allows for early intervention to prevent sepsis or other complications in immunocompromised individuals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Participate in a study group and prepare well before exams: While preparation reduces uncertainty and improves confidence, it is a general academic strategy. It does not directly address acute anxiety symptoms during the test-taking moment.
B. Use breathing techniques to reduce anxiety: Breathing exercises activate the parasympathetic nervous system, helping lower heart rate and calm the mind. This behavioral technique is effective in managing immediate physiological symptoms of anxiety during testing.
C. Write "I can do this" on an index card and place in view: Positive affirmations may boost confidence but do not directly reduce the body’s physical stress response. They are supportive but less effective in the moment compared to relaxation techniques.
D. Use meditation prior to exams: Meditation is helpful for long-term stress management, but breathing techniques are easier to apply in real-time situations. For acute anxiety just before or during testing, breathing exercises offer more immediate relief.
Correct Answer is A
Explanation
A. Population of African descent: Individuals of African descent have a higher prevalence of hypertension, often developing it at a younger age and experiencing more severe complications. Early screening is essential for prevention and management.
B. Japanese population: While hypertension can occur, it tends to present later and may be more influenced by dietary factors such as sodium intake rather than genetics alone.
C. Mexican population: This group may be at risk due to obesity or lifestyle factors, but the risk is generally not as early or as severe as in African descent populations.
D. Asian population: Asians may develop hypertension, but it typically occurs at older ages and is not as strongly associated with early onset as seen in African descent populations.
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