A nurse is caring for a client receiving febuxostat for long-term treatment of gout. Which of the following adverse effects should the nurse closely monitor for?
Hypertension
Malignant Hyperthermia
Steven's Johnson Syndrome
Renal impairment
The Correct Answer is D
A. Hypertension is not a direct adverse effect of febuxostat; monitoring blood pressure is important but not the primary concern with this medication.
B. Malignant hyperthermia is a rare condition typically associated with certain anesthetic agents and is not related to febuxostat.
C. Steven's Johnson Syndrome is a serious skin reaction that can occur with some medications, but it is not specifically associated with febuxostat.
D. Renal impairment is a known risk with febuxostat, and the nurse should monitor renal function closely, as gout can also be exacerbated by kidney issues and febuxostat is primarily excreted by the kidneys.
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Related Questions
Correct Answer is B
Explanation
A. Daily weight monitoring is not specifically indicated for doxazosin, and significant weight loss is typically not a primary concern with this medication.
B. Doxazosin can cause first-dose hypotension, leading to dizziness; thus, the client should be advised to lie down after the initial dose to minimize this risk.
C. Increasing potassium intake is not necessary with doxazosin; there are no direct interactions that would warrant dietary changes regarding potassium.
D. Impaired taste is not a commonly reported side effect of doxazosin; this statement is misleading and not relevant to the medication's profile.
Correct Answer is A
Explanation
A. Ciprofloxacin is a fluoroquinolone antibiotic that is effective against Bacillus anthracis, the bacterium that causes anthrax. It is often used as a first-line treatment for exposure to anthrax, especially in its inhalational form.
B. While amoxicillin/clavulanate can treat certain infections, it is not the preferred treatment for anthrax. It is less effective against anthrax compared to ciprofloxacin.
C. Nystatin is an antifungal medication used to treat fungal infections and is not indicated for anthrax treatment.
D. Metronidazole is primarily used for anaerobic bacterial and protozoal infections, making it inappropriate for treating anthrax.
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