A nurse is caring for a client who received alteplase 12 hr ago following a thrombotic stroke. The nurse should monitor the client for which of the following adverse effects?
Laryngospasm
Polycythemia
Hemorrhage
Steatorrhea
The Correct Answer is C
A. Laryngospasm: Laryngospasm is not a commonly associated adverse effect of alteplase administration. It is more commonly associated with airway irritants or allergic reactions.
B. Polycythemia: Polycythemia, or an abnormally high red blood cell count, is not a typical adverse effect of alteplase administration. Alteplase is a thrombolytic agent used to dissolve blood clots and is not associated with increasing red blood cell production.
C. Hemorrhage: Hemorrhage, or bleeding, is the most significant adverse effect associated with alteplase administration. Alteplase works by promoting fibrinolysis and can increase the risk of bleeding, including intracranial hemorrhage, particularly in the context of thrombolytic therapy for stroke.
D. Steatorrhea: Steatorrhea, or fatty stools, is not a commonly associated adverse effect of alteplase administration. It is more commonly associated with malabsorption disorders or pancreatic insufficiency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
- Nausea is a common side effect of lisinopril but does not typically require immediate reporting unless severe or persistent.
- Dry cough is a common side effect of lisinopril but does not typically require immediate reporting unless severe or persistent.
- Eyelid edema can indicate angioedema, a serious adverse reaction to lisinopril that requires immediate medical attention.
- Insomnia is not a common side effect of lisinopril and does not typically require immediate reporting.
Correct Answer is C
Explanation
A. Peripheral edema: Peripheral edema is not a commonly reported adverse effect of paroxetine.
It is more commonly associated with medications such as calcium channel blockers and certain antihypertensive agents.
B. Alopecia: Alopecia, or hair loss, is not a commonly reported adverse effect of paroxetine. Hair loss is more commonly associated with certain chemotherapy agents and other medications.
C. Drowsiness: Drowsiness is a common side effect of paroxetine and other selective serotonin reuptake inhibitors (SSRIs). Clients should be advised to monitor for drowsiness, especially when starting the medication or adjusting the dosage. Drowsiness can affect activities such as driving or operating machinery and may indicate the need for dosage adjustment or medication change.
D. Tinnitus: Tinnitus, or ringing in the ears, is not a commonly reported adverse effect of paroxetine. It is more commonly associated with medications such as certain antibiotics (e.g., aminoglycosides) and high-dose aspirin.
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