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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:
This patient is unstable (low BP) and should be assigned to a more experienced nurse.
Choice B rationale:
This patient is stable and requires teaching, which is appropriate for a new graduate.
Choice C rationale:
This patient is unstable (confused, DKA) and should be assigned to a more experienced nurse.
Choice D rationale:
This patient is unstable (chest pain) and should be assigned to a more experienced nurse.

A. "Take the medication on an empty stomach.”. B. "Take aspirin in conjunction with this medication.”. C. "Crush the medication before taking it.”. D. "Drink 2 liters of fluid each day while taking the medication.”. .

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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A client with systemic lupus has been ordered hydroxychloroquine. Which of the following adverse effects is of most concern?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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A client with systemic lupus has been ordered hydroxychloroquine.

Which of the following adverse effects is of most concern?.