The nurse is preparing to administer an inhaled corticosteroid to a client. Which condition in the client's medical history should cause the nurse to monitor the client more closely while on this medication?
Sulfa allergy
Diabetes mellitus
Asthma
Cataracts
The Correct Answer is B
A. Sulfa allergy: Inhaled corticosteroids are not sulfonamide-based medications, so a history of sulfa allergy does not increase the risk of adverse effects. Monitoring for allergic reactions related to sulfa is not necessary.
B. Diabetes mellitus: Inhaled corticosteroids can increase blood glucose levels by promoting gluconeogenesis and reducing insulin sensitivity. Clients with diabetes are at risk for hyperglycemia, so closer monitoring of blood glucose is essential while on this medication.
C. Asthma: Asthma is an indication for inhaled corticosteroids rather than a risk factor for adverse effects. While monitoring for effectiveness is important, asthma itself does not necessitate additional safety monitoring beyond standard care.
D. Cataracts: Long-term systemic corticosteroid use is associated with an increased risk of cataracts, but inhaled corticosteroids have a much lower systemic absorption. While eye exams may be part of long-term care, immediate close monitoring is not typically required for cataracts.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Seizure: Seizures are not a common manifestation of hydralazine toxicity. While severe hypotension could contribute to CNS symptoms, seizures are not a typical or expected clinical finding with this medication.
B. Hypertension: Hydralazine is a direct vasodilator used to lower blood pressure. Hypertension is not associated with hydralazine toxicity; instead, excessive hypotension may occur if the drug effect is too strong.
C. Tachycardia: Tachycardia is a common clinical finding associated with hydralazine toxicity. The vasodilation caused by hydralazine can lead to reflex sympathetic stimulation, resulting in an increased heart rate as the body attempts to maintain cardiac output and blood pressure.
D. Constipation: Constipation is not related to hydralazine use or toxicity. This adverse effect is not expected and does not indicate toxicity from the medication.
Correct Answer is A
Explanation
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.
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