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 D
Explanation
Choice A rationale:
Ibuprofen is not the first step in medication therapy for OA. It can be used for pain relief but is not recommended during pregnancy.
Choice B rationale:
Restricting all physical activity is not recommended. Moderate exercise can help maintain joint flexibility and strength.
Choice C rationale:
Pregnancy can impact OA due to weight gain and hormonal changes. However, keeping weight gain within recommended limits can help manage symptoms.
Choice D rationale:
Pain from OA may increase due to pregnancy weight gain. This is an important point to include in teaching.
Correct Answer is D
Explanation
Choice A rationale:
While it’s generally recommended to take medication with food to prevent stomach upset, allopurinol does not need to be taken on an empty stomach.
Choice B rationale:
Aspirin can increase the risk of bleeding, and since allopurinol can occasionally cause blood disorders, it’s not recommended to take these two medications together without medical advice.
Choice C rationale:
Allopurinol tablets should not be crushed. They should be swallowed whole with a glass of water.
Choice D rationale:
Drinking plenty of fluids while taking allopurinol can help prevent the formation of kidney stones, a potential side effect of the medication.
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