A nurse is assessing a client who has a urinary tract infection and is receiving cefaclor. The nurse should monitor the client for which of the following adverse effects of the medication?

Photosensitivity

Blurred vision

Diarrhea

Hypoglycemia

Answer and Explanation

The Correct Answer is C

Rationale:

A. Photosensitivity: Photosensitivity is a known side effect of some antibiotics, particularly tetracyclines, but it is not commonly associated with cefaclor. The nurse should monitor for other more likely adverse effects of cefaclor.

B. Blurred vision: Blurred vision is not a typical side effect of cefaclor. Although some antibiotics may cause visual disturbances, this is not commonly seen with cefaclor, and there is no evidence linking cefaclor to blurred vision.

C. Diarrhea: Diarrhea is a common side effect of cefaclor, as it can disrupt the normal balance of gut bacteria. Antibiotics like cefaclor can cause gastrointestinal disturbances, including diarrhea, due to the killing of both harmful and beneficial bacteria in the intestines.

D. Hypoglycemia: Hypoglycemia is not a typical side effect of cefaclor. Although some medications can lower blood sugar, cefaclor is not generally associated with causing hypoglycemia, making this less relevant for monitoring in a client receiving cefaclor.

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Correct Answer is B

Explanation

Rationale:

A. Loss of skin turgor: Loss of skin turgor is a sign of dehydration, not hypervolemia. Hypervolemia typically results in fluid retention, leading to other symptoms such as weight gain.

B. Weight gain: Weight gain is a common sign of hypervolemia due to the accumulation of excess fluid in the body. It is often one of the first indicators of fluid overload.

C. Hypotension: Hypotension is more commonly associated with hypovolemia (fluid deficit) rather than hypervolemia. In hypervolemia, blood pressure is more likely to increase due to the excess fluid volume.

D. Bradycardia: Bradycardia is not typically associated with hypervolemia. Hypervolemia can lead to tachycardia (increased heart rate) as the body tries to compensate for the excess fluid volume.

A. Provide analgesic medication prior to physical activities. B. Administer naloxone if the client's respiratory rate is greater than 24/min. C. Withhold analgesic medication unless the client reports pain. D. Inform the client to monitor for loose stools while taking opioid analgesia

Correct Answer is A

Explanation

Rationale:

A. Provide analgesic medication prior to physical activities: Administering analgesic medication prior to physical activities helps facilitate recovery by minimizing pain, which can encourage the client to engage in necessary activities such as deep breathing, coughing, and ambulation to prevent complications like pneumonia or blood clots.

B. Administer naloxone if the client's respiratory rate is greater than 24/min: Naloxone is used to reverse opioid overdose, particularly if the respiratory rate is low (less than 12/min). A respiratory rate greater than 24/min does not require naloxone administration.

C. Withhold analgesic medication unless the client reports pain: Withholding analgesics can hinder the client's ability to participate in activities necessary for recovery. Managing pain proactively, rather than reactively, is essential to help the client with early mobilization.

D. Inform the client to monitor for loose stools while taking opioid analgesia: Opioids are more likely to cause constipation rather than loose stools. Clients taking opioid analgesia should be informed about the risk of constipation..

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A nurse is assessing a client who has a urinary tract infection and is receiving cefaclor. The nurse should monitor the client for which of the following adverse effects of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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