A nurse is assessing a client who is receiving gemfibrozil. The nurse should identify which of the following findings as an adverse effect of this medication?

Dependent edema.

Muscle tenderness.

Tremors.

Hyperkalemia.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Dependent edema is not a common adverse effect of gemfibrozil. It is more commonly associated with other conditions such as heart failure.
Choice B rationale
Muscle tenderness is a known adverse effect of gemfibrozil. It can indicate myopathy or rhabdomyolysis, which are serious conditions that require medical attention.
Choice C rationale
Tremors are not a common adverse effect of gemfibrozil. They are more commonly associated with neurological conditions or other medications.
Choice D rationale
Hyperkalemia is not a common adverse effect of gemfibrozil. It is more commonly associated with medications that affect renal function or potassium balance.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

A. It is expected for your stools to be black while taking this medication. Contraindicated. Black stools can indicate gastrointestinal bleeding and should be reported to a healthcare provider immediately.

B. Take this medication with an antacid if you experience heartburn from the medication. Contraindicated. Antacids can interfere with the absorption of many medications and should not be taken without consulting a healthcare provider.

C. Drinking orange juice with this medication decreases the absorption of the medication. Indicated. Certain medications can have reduced absorption when taken with acidic beverages like orange juice.

D. You can take this medication with meals if you experience discomfort when taking on an empty stomach. Indicated. Taking medication with food can help reduce gastrointestinal discomfort.

A. “This medication can cause constipation.”. B. “I will contact the provider if my throat becomes sore.”. C. “I will weigh myself once a week while on this medication.”. D. “This medication should be taken as needed when symptoms occur.”.

Correct Answer is B

Explanation

Choice A rationale
Methimazole does not typically cause constipation. It is used to treat hyperthyroidism by inhibiting the production of thyroid hormones.
Choice B rationale
A sore throat can be a sign of agranulocytosis, a serious side effect of methimazole that involves a dangerously low white blood cell count. Patients are advised to contact their provider if they experience a sore throat.
Choice C rationale
While monitoring weight is important for patients with hyperthyroidism, it is not a specific instruction related to methimazole use.
Choice D rationale
Methimazole should be taken regularly as prescribed, not on an as-needed basis.

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A nurse is assessing a client who is receiving gemfibrozil. The nurse should identify which of the following findings as an adverse effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to provide teaching to the client about the new prescription. For each teaching statement made by the nurse, click to specify if the teaching statement is indicated or contraindicated for the client.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

A nurse is providing teaching to a client who has a new prescription for methimazole for the treatment of hyperthyroidism. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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