A nurse is assessing a client who has systemic lupus erythematosus and is taking hydroxychloroquine. The nurse should report which of the following adverse effects to the provider immediately?

pruritus

Diarrhea

Blurred Vision

Fatigue

Answer and Explanation

The Correct Answer is C

hydroxychloroquine is a quinoline that is used to suppress the immune system in autoimmune conditions. Among its side effects, it can cause retinal toxicity that warrants stopping the medications. Blurring of vision should, therefore, be reported immediately.
A, B, and D - these are potential adverse effects of hydroxychloroquine but do not require immediate attention

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Correct Answer is B

Explanation

Liver cirrhosis interferes with the synthesis of vitamin K dependent coagulation factors leading to a prolonged prothrombin time (PT). Administration of vitamin K improves clotting function by replenishing the deficient clotting factors.
A. Heparin is an anticoagulant medication that works by inhibiting blood clotting. It can further increase the risk of bleeding.
C. Warfarin is an oral anticoagulant medication commonly used to prevent blood clots and like heparin, increases risk of bleeding.
D. Ferrous sulfate is an iron supplement used to treat iron deficiency anemia but not effect on coagulation.

A. Liver function tests B. Thyroid function studies C. Blood glucose levels D. Gallbladder studies

Correct Answer is A

Explanation

Rifampin and pyrazinamide are hepatotoxic agents that may cause liver failure. The client should therefore have serial liver function tests to promote client safety while on the medications.
B, C, D- Rifampin and pyrazinamide have no effect on the thyroid, blood glucose or gall bladder.

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A nurse is assessing a client who has systemic lupus erythematosus and is taking hydroxychloroquine. The nurse should report which of the following adverse effects to the provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer?

Correct Answer is B

Explanation

A nurse is caring for a client who has tuberculosis and new prescriptions for rifampin and pyrazinamide. Which of the following laboratory tests should the nurse instruct the client will be required while on this medication regimen?

Correct Answer is A

Explanation

A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For Which if the following adverse effects should the nurse instruct the client to report to the provider?

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