A client with systemic lupus has been ordered hydroxychloroquine.
Which of the following adverse effects is of most concern?.
Extreme nausea.
Pruritus.
Diarrhea.
Blurry vision.
The Correct Answer is D
Choice A rationale:
Extreme nausea is a common side effect of hydroxychloroquine, but it’s not the most concerning.
Choice B rationale:
Pruritus is a possible side effect of hydroxychloroquine, but it’s not the most concerning.
Choice C rationale:
Diarrhea is a common side effect of hydroxychloroquine, but it’s not the most concerning.
Choice D rationale:
Blurry vision is a serious side effect of hydroxychloroquine and can indicate retinal damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
A clear liquids diet is often recommended for patients with gastrointestinal issues as it allows the digestive system to rest. However, this diet lacks adequate nutrition for long-term use.
Choice B rationale:
A regular diet may exacerbate the patient’s abdominal discomfort, especially since her pain worsens after meals.
Choice C rationale:
Maintaining the patient NPO (nothing by mouth) is typically done before procedures that require anesthesia, such as a HIDA scan, to reduce the risk of aspiration.
So, the correct answer is Choice C: Maintain patient NPO. This is because the patient is scheduled for a HIDA scan, and it’s standard practice to keep patients NPO prior to such procedures.
Correct Answer is D
Explanation
Choice A rationale:
While inflammation in the joints is a symptom of rheumatoid arthritis, it is not a contraindication for taking aspirin.
Choice B rationale:
Joint pain that is not relieved with rest is a common symptom of rheumatoid arthritis, but it is not a contraindication for taking aspirin.
Choice C rationale:
A recent headache is not a contraindication for taking aspirin. In fact, aspirin is often used to relieve headaches.
Choice D rationale:
Bloody stools can be a sign of gastrointestinal bleeding, which can be exacerbated by aspirin use due to its blood-thinning properties.
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