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 B

Explanation

hydrochlorothiazide is a thiazide diuretic which lowers blood pressure through inhibition of water reabsorption in the renal tubules. Like all diuretics, it should be taken early in the morning to avoid sleep interruption due to frequent urination.

A. muscle pain is an adverse effect of hydrochlorothiazide that should be reported.

C. therapeutic effect is monitored using blood pressure measurements

D. hydrochlorothiazide can be taken with or without food

A. Expect stools to turn black. B. Anticipate the tablets to smell like vinegar. C. Monitor for tinnitus. D. Take the tablets on an empty stomach.

Correct Answer is C

Explanation

Aspirin is a salicylate that has multiple effects. When taken in excess in susceptible individuals it can cause tinnitus due to salicylism. The client should be advised to report any tinnitus to the provider as this may be a sign of aspirin toxicity.
A. Black stool is the client signifies upper GI bleeding that should be monitored for and reported if it occurs
B. Aspirin tablets have a vinegar smell when hydrolysis has taken place and should not be taken at this point
D. Aspirin should be taken with meals or after meals

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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 providing teaching to a client who has hypertension and a new prescription for hydrochlorothiazide. Which of the following instructions should the nurse provide?

Correct Answer is B

Explanation

A nurse is teaching a client who has a new prescription for aspirin to prevent cardiovascular disease. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is providing teaching to a client Who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?

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