The nurse is caring for a client taking clopidogrel. For which adverse effect should the nurse monitor?
Flu-like symptoms
Constipation
Nervousness
Hypertension
The Correct Answer is A
A. Flu-like symptoms: Clopidogrel can cause adverse effects related to platelet inhibition and immune response, including flu-like symptoms such as fever, malaise, and body aches. Monitoring for these symptoms helps identify early reactions that may require intervention or discontinuation of the medication.
B. Constipation: Constipation is not commonly associated with clopidogrel use. While gastrointestinal discomfort may occur in some clients, it is not a primary adverse effect to monitor when administering this antiplatelet therapy.
C. Nervousness: Nervousness or anxiety is not a recognized adverse effect of clopidogrel. Monitoring for neurological or psychological changes is not typically necessary for this medication unless other comorbidities exist.
D. Hypertension: Clopidogrel does not usually cause elevated blood pressure. Monitoring blood pressure is part of routine assessment but is not specifically related to clopidogrel therapy or its adverse effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Depression: Montelukast has been associated with neuropsychiatric effects, including depression, anxiety, and suicidal thoughts. Clients should be instructed to report mood changes promptly to the healthcare provider to ensure early intervention and medication safety.
B. Blurred vision: Blurred vision is not a common adverse effect of montelukast. While any new visual changes should be evaluated, it is not the primary concern related to this medication.
C. Palpitations: Palpitations are not typically linked to montelukast therapy. Cardiovascular symptoms should still be monitored if present, but they are not the main adverse effect prompting urgent reporting.
D. Constipation: Constipation is generally mild and uncommon with montelukast. It does not require immediate reporting unless severe or persistent, making it a lower-priority adverse effect compared to neuropsychiatric symptoms.
Correct Answer is C
Explanation
A. Vitamin K: Vitamin K is used to reverse the effects of warfarin by promoting clotting factor synthesis. It is ineffective against dabigatran, a direct thrombin inhibitor, because dabigatran’s mechanism is independent of vitamin K–dependent clotting factors.
B. Activated charcoal: Activated charcoal can reduce the absorption of recently ingested dabigatran if given within a short timeframe after ingestion. However, it is not a specific antidote and is only useful in cases of recent overdose, not for urgent reversal in bleeding emergencies.
C. Idarucizumab: Idarucizumab is a monoclonal antibody fragment that specifically binds to dabigatran, neutralizing its anticoagulant effect. It acts rapidly and is indicated in life-threatening or uncontrolled bleeding or when urgent surgery is required, making it the definitive antidote.
D. Andexanet alfa: Andexanet alfa is an antidote for factor Xa inhibitors such as apixaban and rivaroxaban. It does not reverse dabigatran, which is a direct thrombin inhibitor, and therefore is not appropriate.
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