A common complication of using thrombolytic drugs S
Nausea
Hypertension
Fever
Bleeding
The Correct Answer is D
A) Nausea
Nausea is not the most common or primary complication associated with thrombolytic drugs. While some patients may experience nausea as a minor side effect, it is not the hallmark complication of thrombolytic therapy. Thrombolytic drugs are used to dissolve blood clots, and their primary concern is related to bleeding due to their potent effect on clotting factors.
B) Hypertension
Hypertension (high blood pressure) is not typically associated with thrombolytic therapy. In fact, thrombolytic drugs are more likely to cause hypotension (low blood pressure) in some cases, especially if bleeding complications lead to significant blood loss.
C) Fever
Fever can occur as a side effect of many medications or conditions, but it is not a common or direct complication of thrombolytic therapy. Fever may occasionally arise as a response to infection, inflammation, or even the breakdown of clots, but it is not a primary concern when using thrombolytic drugs.
D) Bleeding
Bleeding is the most common and serious complication associated with thrombolytic drugs. These medications work by breaking down fibrin, the protein responsible for clot formation, to dissolve blood clots. While this is beneficial in conditions like myocardial infarction, stroke, or pulmonary embolism, it increases the risk of bleeding throughout the body. Bleeding can occur at various sites, including internal bleeding, gastrointestinal bleeding, and bleeding at the injection site.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Given:
Ordered dose of amoxicillin: 30 mg/kg/day divided every 12 hours
Toddler's weight: 33 lbs
Concentration of amoxicillin suspension: 200 mg/5 mL
Step 1: Convert the toddler's weight from pounds to kilograms:
1 pound (lb) = 0.453592 kilograms (kg)
Weight in kg = 33 lbs x 0.453592 kg/lb = 14.968 kg
Step 2: Calculate the total daily dose of amoxicillin:
Total daily dose (mg) = Ordered dose (mg/kg/day) x Weight (kg)
Total daily dose (mg) = 30 mg/kg/day x 14.968 kg
Total daily dose (mg) = 449.04 mg/day
Step 3: Calculate the dose per administration:
Since the medication is given every 12 hours, there are 2 administrations per day.
Dose per administration (mg) = Total daily dose (mg) / Number of administrations per day
Dose per administration (mg) = 449.04 mg/day / 2 administrations/day
Dose per administration (mg) = 224.52 mg
Step 4: Calculate the volume to be administered:
Volume (mL) = Dose per administration (mg) / Concentration (mg/mL)
Volume (mL) = 224.52 mg / (200 mg/5 mL)
Volume (mL) = 224.52 mg x (5 mL / 200 mg)
Volume (mL) = 5.613 mL
Step 5: Round to the nearest tenth:
Volume (mL) ≈ 5.6 mL
Correct Answer is B
Explanation
A) "If I develop new symptoms like severe diarrhea, I should ignore them and finish the antibiotics."
New symptoms like severe diarrhea, especially if it is watery or bloody, can be a sign of a superinfection, such as Clostridium difficile (C. diff), which is associated with antibiotic use. It is essential for the client to report these symptoms to their healthcare provider immediately. Ignoring such symptoms can lead to serious complications.
B) "I need to finish all my antibiotics and report any unusual symptoms like a white coating on my tongue to my doctor."
Completing the full course of antibiotics is crucial to fully eradicate the infection and prevent the development of antibiotic resistance. The white coating on the tongue could indicate a fungal superinfection, such as oral thrush, which requires medical attention. This statement demonstrates an understanding of the importance of finishing antibiotics and recognizing potential side effects or superinfections.
C) "It is okay to share my antibiotics with family members if they have similar symptoms to mine."
Antibiotics should never be shared with others, even if they have similar symptoms. The antibiotics prescribed to a client are tailored to treat their specific infection, and taking the wrong antibiotic can lead to ineffective treatment, drug resistance, or adverse reactions. Sharing medication is dangerous and illegal.
D) "I should stop taking the antibiotics as soon as I feel better to avoid any side effects."
It is important to complete the full course of antibiotics as prescribed, even if the client starts feeling better before the course is finished. Stopping antibiotics prematurely can result in the infection not being fully treated, leading to a relapse or the development of antibiotic-resistant bacteria.
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