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 A
Explanation
Choice A rationale
Colchicine and allopurinol are commonly used to manage gout. Colchicine can cause gastrointestinal side effects, including diarrhea. Therefore, it’s important for patients to report any such symptoms to their healthcare provider.
Choice B rationale
While a low-grade fever could potentially be a side effect of many medications, it is not specifically associated with colchicine or allopurinol.
Choice C rationale
Anorexia is not a common side effect of either colchicine or allopurinol.
Choice D rationale
Thinning hair is not a common side effect of either colchicine or allopurinol.
Correct Answer is A
Explanation
Choice A rationale
The patient is receiving a nucleoside/nucleotide reverse transcriptase inhibitor (NRTI) for HIV
treatment and reports experiencing malaise, fatigue, and anorexia. These symptoms, along
with the observed increased respiratory rate, could be indicative of liver toxicity, a known
potential side effect of NRTIs. Therefore, reviewing liver function tests would be most
important in this case.
Choice B rationale
While arterial blood gases can provide valuable information about a patient’s respiratory
status, they may not be the most relevant in this context. The patient’s symptoms and the side
effect profile of NRTIs suggest that liver function may be a more pressing concern.
Choice C rationale
A complete blood count (CBC) can provide a broad overview of a patient’s general health, but it
may not provide the specific information needed to assess the patient’s current symptoms and
potential medication side effects.
Choice D rationale
A basic metabolic panel can provide information about a patient’s kidney function, electrolyte
levels, and blood sugar levels, among other things. However, given the patient’s symptoms and
medication regimen, liver function tests may be more relevant.
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