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 B
Explanation
A. Report clear-colored sputum to the provider: Clear-colored sputum is typically normal and not an indication of infection or complication. The client does not need to report it unless accompanied by other concerning symptoms.
B. Increase your oral fluid intake: Guaifenesin is an expectorant that works by thinning and loosening mucus in the airways. Increasing fluid intake helps optimize its effectiveness, making coughs more productive and facilitating mucus clearance.
C. Report symptoms that last longer than 2 days: Symptoms of a sinus infection often last longer than two days, and short-duration monitoring is insufficient. Clients are usually advised to report persistent or worsening symptoms after about 7–10 days, so this instruction is inaccurate.
D. This medication will stop your cough: Guaifenesin does not suppress cough; instead, it loosens mucus to make coughing more productive. Telling the client it will stop their cough could lead to misunderstanding of the medication’s purpose and effectiveness.
Correct Answer is C
Explanation
A. Decreased inflammation: Vasodilators primarily act on vascular smooth muscle to relax blood vessels, reducing systemic vascular resistance. They do not directly target inflammatory pathways, so reducing inflammation is not their therapeutic effect.
B. Increased heart rate: While some vasodilators may cause reflex tachycardia as a secondary response to lowered blood pressure, an increased heart rate is not the intended therapeutic effect. The primary goal is to reduce vascular resistance and blood pressure.
C. Decreased blood pressure: The main therapeutic effect of vasodilators is the relaxation of arterial and sometimes venous smooth muscle, which lowers systemic vascular resistance. This results in decreased blood pressure, easing the workload on the heart and improving tissue perfusion.
D. Increased platelet count: Vasodilators do not affect platelet production or function. Their mechanism of action is centered on vessel relaxation rather than hematologic changes, so platelet count remains unaffected.
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