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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Diarrhea is not a direct risk of stopping TPN abruptly.
B. Abruptly stopping TPN can cause hypoglycemia because the high glucose content in TPN leads to increased insulin production. Without the continuous glucose infusion, blood sugar levels can drop rapidly.
C. Hypovolemia is not a common outcome from stopping TPN suddenly.
D. Erythema at the site is unrelated to the cessation of TPN and more commonly related to local site reactions or infection.
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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