The nurse is reviewing discharge instructions for a client starting a new medication. The client asks the nurse "how would I know if I to this medication The best response by the nurse is

“Most allergic responses include hives or a rash."

“Common allergic reactions made fever and diarrhea.”

“You might feel cold and sweaty of you are having an allergic reaction.”

“Nausea and vomiting usually mean you are allergic to the medication.”

Answer and Explanation

The Correct Answer is A

A. "Most allergic responses include hives or a rash.": Allergic reactions often present with hives (urticaria), rash, itching, and sometimes anaphylaxis. Severe reactions can cause airway swelling, difficulty breathing, and hypotension.

B. "Common allergic reactions may include fever and diarrhea." Fever and diarrhea are more typical of infections, not allergic reactions.

C. "You might feel cold and sweaty if you are having an allergic reaction." Cold, clammy skin may indicate shock, but it is not specific to allergies.

D. "Nausea and vomiting usually mean you are allergic to the medication." GI symptoms may indicate intolerance but not necessarily an allergy.

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Correct Answer is C

Explanation

Here is the rationale for each choice:

A. HbA1C 5.9%: HbA1C is a measure of long-term glucose control in patients, often used in diabetes management. A value of 5.9% is slightly above the normal range (4–5.7%) but does not indicate hepatotoxicity.

B. Albumin 3.8 g/dl: Albumin is a protein produced by the liver, and its levels can reflect liver function. A normal range is 3.5–5 g/dl, and 3.8 g/dl falls within this range. Thus, it does not indicate hepatotoxicity.

C. Alanine aminotransferase (ALT) 67 units/l: ALT is an enzyme primarily found in the liver and is a key marker for liver injury. The normal range for ALT is approximately 7–56 units/l. A value of 67 units/l is slightly elevated, which may suggest mild liver damage or hepatotoxicity. This result should be reported to the provider, as it could be associated with the medication’s impact on the liver.

D. Aspartate aminotransferase (AST) 39 units/l: AST is another enzyme used to evaluate liver function, though it is less specific to the liver than ALT, as AST is also found in other tissues such as the heart and muscles. The normal range for AST is roughly 10–40 units/l.

A. Sodium 126 mEq/l B. Chloride 99 mmol/l C. Albumin 4.9 mg/dl D. Potassium 3.6 mEq/l

Correct Answer is A

Explanation

A. Sodium 126 mEq/L: This value indicates hyponatremia, which can cause confusion, seizures, and fluid imbalance. Normal sodium levels are 135-145 mEq/L, so this is a critical finding.

B. Chloride 99 mmol/L: This is within the normal range (96-106 mmol/L), so it is not concerning.

C. Albumin 4.9 mg/dL: Normal albumin levels are 3.5-5.0 mg/dL, so this value is within range.

D. Potassium 3.6 mEq/L: Normal potassium levels are 3.5-5.0 mEq/L. This value is on the lower end but still within normal limits.

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The nurse is reviewing discharge instructions for a client starting a new medication. The client asks the nurse "how would I know if I to this medication The best response by the nurse is

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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