A nurse is caring for a client who has HIV-I infection and is prescribed zidovudine as part of antiretroviral therapy. The nurse should monitor the client for Which of the following adverse effects of this medication?

Renal failure

Metabolic alkalosis

Aplastic anemia

Cardiac dysrhythmia

Answer and Explanation

The Correct Answer is C

Zidovudine (AZT) is an antiretroviral drug used in treatment of HIV to suppress viral replication. It causes aplastic anemia, suppression of the bone marrow, leasing to reduces production of all hematopoietic cell lines including red blood cells, white blood cells, and platelets.

A, B, and D - are not associated with Zidovudine use

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Correct Answer is A

Explanation

Taking colchicine with food can help minimize the gastrointestinal side effects of the medication. Therefore, advising the client to take the medication with food if nausea develops is appropriate.
B. Increasing intake of grapefruit is not recommended with colchicine. Grapefruit can interact with certain medications, including colchicine, and may increase the risk of side effects.
C. Monitoring for muscle pain is not typically associated with colchicine use. Muscle pain is not a common side effect of colchicine.
D. Increased bruising is not typically associated with colchicine use. Bruising is not a common side effect of colchicine.

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 caring for a client who has HIV-I infection and is prescribed zidovudine as part of antiretroviral therapy. The nurse should monitor the client for Which of the following adverse effects of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include?

Correct Answer is A

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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