A nurse is assessing a client who is receiving clindamycin. Which of the following findings should the nurse identify as an adverse effect of this medication?

Watery diarrhea

Report of blurred vision

Hypertension

Agitation

Answer and Explanation

The Correct Answer is A

A.   Clindamycin is associated with a common adverse effect of watery diarrhea, which may indicate Clostridium difficile-associated diarrhea (CDAD) or pseudomembranous colitis.
B.   Blurred vision is not a typical adverse effect of clindamycin.

C.   Hypertension is not a typical adverse effect of clindamycin.

D. Agitation is not a typical adverse effect of clindamycin.

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Correct Answer is ["A","C","D","E"]

Explanation

A. "Consumption of a high protein meal can reduce the effectiveness of the medication."
High-protein meals can interfere with levodopa absorption in the intestine, reducing its effectiveness. Clients should consume protein in moderate amounts and distribute intake throughout the day.

B. "You may notice your urine becomes lighter in color."
Levodopa can cause urine, sweat, and saliva to become darker (brown, red, or black), not lighter. This is a harmless side effect but should be discussed with the client.

C. "You may initially notice an increase in involuntary movements."
Levodopa can cause dyskinesia (involuntary movements), especially with prolonged use or at higher doses. These movements can include facial twitching, jerking, or head bobbing.

D. "The medication can cause nausea, so take with a meal."
Levodopa can cause nausea, particularly when first starting the medication. Taking it with food can help reduce gastrointestinal discomfort, but avoiding high-protein meals is important.

E. "This medication can make you light-headed if you stand up too quickly from a seated or lying position."
Levodopa can cause orthostatic hypotension, leading to dizziness or light-headedness when changing positions. Clients should be advised to rise slowly to prevent falls.

A. Hypomagnesemia B. Hypocalcemia C. Hyponatremia D. Hypokalemia

Correct Answer is C

Explanation

A. Hypomagnesemia: While lithium can affect magnesium levels, starting a new exercise program is not typically associated with hypomagnesemia. Hypomagnesemia may result in muscle weakness, tremors, and cardiac dysrhythmias.
B. Hypocalcemia: Starting a new exercise program is not typically associated with hypocalcemia. Hypocalcemia may present with muscle cramps, tetany, and seizures.
C. Hyponatremia: Starting a new exercise program may lead to dehydration and electrolyte imbalances, including hyponatremia (low sodium levels). This can have profound effects on patients taking lithium. Symptoms of hyponatremia include weakness, confusion, and seizures.
D. Hypokalemia is not a common occurrence among individuals doing exercise.

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A nurse is assessing a client who is receiving clindamycin. Which of the following findings should the nurse identify as an adverse effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in a provider's office. Exhibits Which of the following statements should the nurse include when teaching the client about the prescribed LEVODPA? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?

Correct Answer is C

Explanation

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