A client with systemic lupus erythematosus (SLE) is receiving nonsteroidal anti- inflammatory drug (NSAID) therapy. Which side effect of NSAID therapy should the nurse immediately report to the health care provider?

Melena

Decreased vision

Pancytopenia

Hyperglycemia

Answer and Explanation

The Correct Answer is C

Pancytopenia refers to a decrease in all three major blood cell types: red blood cells (anemia), white blood cells (leukopenia), and platelets (thrombocytopenia). It is a potentially serious side effect that can lead to increased susceptibility to infections, anemia-related symptoms (fatigue, weakness), and an increased risk of bleeding. Prompt reporting is necessary for further

evaluation and appropriate management.

While melena (dark, tarry stools) is a concerning side effect, it typically indicates gastrointestinal bleeding, which should also be reported promptly but may not require immediate action unless the bleeding is severe or accompanied by other symptoms.

Decreased vision can be a side effect of certain medications, including NSAIDs, but it does not usually require immediate reporting unless it is severe or rapidly progressive. Hyperglycemia (high blood sugar) can occur with NSAID therapy, especially in individuals with preexisting diabetes or impaired glucose tolerance. While it should be monitored and managed appropriately, it does not typically require immediate reporting unless it is extremely high or associated with other concerning symptoms.

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Correct Answer is ["A","C","D","F"]

Explanation

Muscle rigidity is a hallmark sign of malignant hyperthermia. It commonly affects the muscles of the jaw and upper chest.

Malignant hyperthermia can lead to rapid and shallow breathing, resulting in tachypnea. Malignant hyperthermia is characterized by a significant increase in body temperature, often exceeding 38.8°C (101.8°F).

Malignant hyperthermia can cause irregular heart rhythms or dysrhythmias, including tachycardia or arrhythmias.

The manifestations of hypertension and skin mottling are not typically associated with malignant hyperthermia. Hypertension (high blood pressure) is more commonly seen in conditions such as hypertensive emergencies or certain cardiovascular disorders. Skin mottling, which refers to irregular or patchy skin coloration, is not a specific manifestation of malignant hyperthermia.

A. Considered primary treatment for small cell lung cancer (SCLC) B. Used to prevent metastasis to the brain C. Electric current heats and destroys tumor cells D. Best procedure for cure of lung cancer E. Medications that block molecules involved in tumor

Correct Answer is ["A","B","C","D","E"]

Explanation

a. Considered primary treatment for small cell lung cancer (SCLC): Chemotherapy b. Used to prevent metastasis to the brain: Prophylactic cranial radiation

c. Electric current heats and destroys tumor cells: Radiofrequency ablation d. Best procedure for cure of lung cancer: Surgery

e. Medications that block molecules involved in tumor: Biologic and targeted

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A client with systemic lupus erythematosus (SLE) is receiving nonsteroidal anti- inflammatory drug (NSAID) therapy. Which side effect of NSAID therapy should the nurse immediately report to the health care provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which manifestations would the nurse expect for a client with a history of malignant hyperthermia (MH)? Select all that apply.

Correct Answer is ["A","C","D","F"]

Explanation

Match using the choices provided:

Correct Answer is ["A","B","C","D","E"]

Explanation

What signs and symptoms are associated with a hypersensitivity reaction that can present with a Cephalosporin?

Aminophylline is prescribed for a client with acute bronchitis. A nurse administers the medication, knowing that the primary action of this medication is to:

A patient, age 23, underwent a rhinoplasty 6 hours ago. After administering his pain medication, the nurse notes that he is swallowing frequently. What is the most likely cause of the swallowing?

A nurse practitioner orders 1 liter of 0.9% normal saline to infuse over 6 hours. How many milliliters per hour will the nurse program the IV infusion device? Round off.

In reviewing the electrolytes of a patient, the nurse notes the serum potassium level has increased from 4.3 mEq/L to 5.9 mEq/L. Which assessment does the nurse initiate first to prevent further harm?

Which condition or changes indicate to the nurse that a patient with a tracheostomy requires suctioning? Select all that apply.

Your patient is ordered a loop diuretic at 1000. Which finding below would require you to hold the dose and notify the physician for further orders?

Which medication should the nurse anticipate being used first in the emergency department for relief of severe respiratory distress related to asthma?