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 D

Explanation

During the first week or last week of a 28-day cycle pack of oral contraceptives increases the risk of contraceptive failure. However, the client should take the missed dose as soon as they remember, even if it means taking two pills in one day. After taking the missed dose, the client should continue taking the remaining pills in the pack at the usual time, one pill per day. Due to increased risk of failure, client should use an emergency pill or condom for the next 7 days
A -stopping the pills and switching to a different contraceptive method is not necessary after missing one dose
B –missing a pill does not automatically indicate pregnancy. Testing can be considered in presence of typical signs and symptoms of pregnancy
C- abstaining from vaginal intercourse until after the next period is not necessary. Risk of pregnancy can be addressed by use of back up contraception like condoms.

A. Metallic taste B. Hearing loss C. Olfactory changes D. Alterations in touch

Correct Answer is A

Explanation

Metronidazole is an antimicrobial agent used in the treatment of infections caused by anaerobic organisms. Its oral preparation commonly leaves an unpleasant metallic taste which is transient.
B, C, D -Metronidazole is not associated with hearing loss, olfactory changes or alterations in touch

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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 at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?

Correct Answer is D

Explanation

A nurse is teaching a client who is taking metronidazole. Which of the following sense alterations should the nurse include as an adverse effect of metronidazole?

Correct Answer is A

Explanation

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