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

The nurse should identify the concerns that the client has regarding to the medications prescribed. This allows the nurse and the provider to demystify any incorrect information the client might have or address any other underlying issues.

A. Just documenting does not address the client’s issues and shows lack of empathy

C. Explaining is important but the reason for refusal could be something else

D. The nurse should not use any reason to try and force the client to take the medications

A. “If I get a rash from this medication, I will take my usual antihistamine” B. “If I get a fever while taking this medication I will take some aspirin” C. "I need to increase my fluid intake while taking this medication” D. "1 should take this medicine on an empty stomach."

Correct Answer is C

Explanation

Allopurinol is used to lower uric acid levels in the body in gouty arthritis preventing acute attacks. Increasing fluid intake while taking allopurinol is important because it helps to prevent the formation of kidney stones by flushing out uric acid, a potential side effect of the medication
A. Taking an antihistamine for a rash caused by allopurinol is not recommended without consultation
B. Taking aspirin for a fever while on allopurinol is not recommended without consultation with a physician
D. Allopurinol can be taken with or without food.

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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 preparing to administer medications to a client who states, "I don 't want to take those drugs." Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is providing teaching to a client Who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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