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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. "I have a nagging, dry cough." A dry cough is a well-known adverse effect of lisinopril and other ACE inhibitors. This occurs in some clients due to the accumulation of bradykinin and can be bothersome enough to require discontinuation of the medication.
B. "I have a heightened sense of taste." A heightened sense of taste is not a common side effect of lisinopril. It is not an indication of an adverse effect and may be unrelated to the medication.
C. "I have to urinate frequently." Frequent urination is not a typical side effect of lisinopril. However, it could be related to other conditions such as a urinary tract infection or diabetes, and it is not commonly associated with ACE inhibitors.
D. "I seem to be bruising more easily." Easy bruising is more commonly associated with medications like anticoagulants or antiplatelets, rather than lisinopril. While bruising is possible, it is not a primary concern with ACE inhibitors.
Correct Answer is D
Explanation
Rationale:
A. Increase the oxygen flow rate by 1 L if the client experiences dyspnea: Oxygen therapy should be adjusted according to the prescribed rate by the healthcare provider. Dyspnea should be assessed, but changes in oxygen flow require professional supervision.
B. Replace cotton blankets with wool and synthetic blankets: Cotton is a safer material for individuals using oxygen therapy, as wool and synthetic fibers are more likely to generate static electricity, increasing the risk of fire. Cotton is less flammable and more appropriate.
C. Store oxygen tanks on their side when not in use: Oxygen tanks should be stored upright to ensure stability and prevent the valve from becoming damaged. Storing them on their side can lead to dangerous situations, such as the tank rolling or the valve being compromised.
D. Notify the fire department that oxygen is in use in the home: Notifying the fire department is an important safety measure when using oxygen therapy. Oxygen is highly flammable, and it is critical for the fire department to be aware of its presence in the home in case of an emergency.
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