The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban.
Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?
Diminished ability to taste and smell food.
Genital itching and burning with discharge.
Hard, dry stools that are difficult to pass.
Appearance of bruising in arms and legs.
The Correct Answer is D
The correct answer is Choice D. Rationale:
Rivaroxaban is an anticoagulant medication used to treat and prevent blood clots. One of the common side effects of rivaroxaban is bruising. This occurs because rivaroxaban prevents blood clots by thinning the blood, which can lead to increased bleeding and bruising. If a patient on rivaroxaban presents with the appearance of bruising in arms and legs, it could indicate excessive bleeding, which is a serious side effect that should be reported immediately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Antiretroviral medications can indeed decrease Acquired Immunodeficiency Syndrome (AIDS) related complications. These medications work by blocking the replication of the HIV virus, thereby reducing the viral load in the body. This allows the immune system to recover and fight off infections and diseases that are associated with AIDS12.
Choice B rationale
This statement is correct. While antiretroviral medications are highly effective in managing HIV infection, they do not cure the disease. The primary goal of antiretroviral therapy is to reduce the viral load to undetectable levels, but this does not mean the virus is completely eliminated from the body. HIV remains in latent reservoirs within the body, and if antiretroviral therapy is stopped, the virus can rebound.
Choice C rationale
Antiretroviral medications can decrease the viral load to an undetectable level. This means that the amount of HIV in the blood is so low that it cannot be detected by standard blood tests. Achieving an undetectable viral load is a key goal of antiretroviral therapy as it indicates that the treatment is working effectively.
Choice D rationale
While antiretroviral medications significantly reduce the risk of transmitting the virus, they do not completely prevent it. Having an undetectable viral load greatly reduces the risk of transmission, but it does not eliminate it. Therefore, other preventive measures, such as using condoms and practicing safe sex, should still be followed.
Correct Answer is B
Explanation
Choice A rationale
Montelukast does not increase the production of mucus in the lungs. In fact, it helps to reduce inflammation and may be used to prevent asthma attacks.
Choice B rationale
Montelukast is a leukotriene modifier that helps to reduce inflammation and prevent asthma attacks and exercise-induced bronchoconstriction. It works by blocking the action of leukotriene D4 in the lungs resulting in decreased inflammation and relaxation of smooth muscle. This prophylactic limitation of the inflammatory response to allergens is a key function of montelukast.
Choice C rationale
Montelukast does not contract the smooth muscles located in the respiratory tract. Instead, it helps to relax the smooth muscles in the lungs, reducing inflammation and making it easier to breathe.
Choice D rationale
Montelukast does not directly repair damaged tissue in the base of the lungs. Its primary function is to prevent and manage symptoms of asthma and allergies by reducing inflammation in the airways.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.