A nurse is assessing a client who has systemic lupus erythematosus and is taking hydroxychloroquine. The nurse should report which of the following adverse effects to the provider immediately?

pruritus

Diarrhea

Blurred Vision

Fatigue

Answer and Explanation

The Correct Answer is C

hydroxychloroquine is a quinoline that is used to suppress the immune system in autoimmune conditions. Among its side effects, it can cause retinal toxicity that warrants stopping the medications. Blurring of vision should, therefore, be reported immediately.
A, B, and D - these are potential adverse effects of hydroxychloroquine but do not require immediate attention

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Correct Answer is C

Explanation

Methotrexate causes hyperuricemia which may predispose to kidney stones. Adequate hydration help flush out the uric acid preventing stone formation
A-Although methotrexate can cause nausea and vomiting, this does not always happen, therefore, no need for the antiemetic before intake
B-Taking methotrexate with an NSAID increases risk of gastrointestinal irritation
D-Methotrexate cause stomatitis which may be aggravated by use of alcohol-based mouth wash

A. ‘Take this medication on an empty stomach’ B. ‘Expect abdominal pain with this medication’ C. 'Take the medication with a full glass of water." D. "Do not take this medication before bedtime."

Correct Answer is C

Explanation

Docusate sodium is used as a stool softener in these cases to promote bowel movements. Adequate water intake increases hydration and also works synergistically to promote bowel movements increasing its effectiveness.
A. Taking docusate on an empty stomach is not necessary. It can be taken with or without food.
B. Abdominal pain is not a common side effect of docusate. In fact, it is usually well tolerated.
D. There is no specific requirement to avoid taking docusate before bedtime. It can be taken at any time of day as directed by the healthcare provider.

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A nurse is assessing a client who has systemic lupus erythematosus and is taking hydroxychloroquine. The nurse should report which of the following adverse effects to the provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

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