A nurse is caring for a client who has HIV-I infection and is prescribed zidovudine as part of antiretroviral therapy. The nurse should monitor the client for Which of the following adverse effects of this medication?

Renal failure

Metabolic alkalosis

Aplastic anemia

Cardiac dysrhythmia

Answer and Explanation

The Correct Answer is C

Zidovudine (AZT) is an antiretroviral drug used in treatment of HIV to suppress viral replication. It causes aplastic anemia, suppression of the bone marrow, leasing to reduces production of all hematopoietic cell lines including red blood cells, white blood cells, and platelets.

A, B, and D - are not associated with Zidovudine use

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Correct Answer is D

Explanation

Rationale- Levothyroxine is a synthetic form of thyroxine that is used in the management of symptomatic hypothyroidism. It is used to provide the body with thyroxine to sustain basal metabolism in cases of hypothyroidism.

A-Levofloxacin is a fluoroquinolone antibiotic for treatment of infections

B- Ionizing radiation used in the destroying active thyroid tissue in the cases of hyperthyroidism

C- Sumatriptan is serotonin antagonist used in the treatment of migraines

A. "Clients who have glaucoma should not take warfarin." B. "Clients who have rheumatoid arthritis should not take warfarin." C. "Clients who are pregnant should not take warfarin." D. "Clients who have hyperthyroidism should not take warfarin."

Correct Answer is C

Explanation

Warfarin is a coumarin anticoagulant that has potential to increase the risk of bleeding. When taken during pregnancy, warfarin causes fetal bleeding. Warfarin is also teratogenic and it causes various birth defects including skeletal abnormalities, hypoplastic nose, intellectual disabilities and deafness hence it's contraindicated. Pregnant women who require anticoagulation are put of heparin in the place of warfarin to prevent these complications.
A. B, D - are not contraindications for warfarin use.

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A nurse is caring for a client who has HIV-I infection and is prescribed zidovudine as part of antiretroviral therapy. The nurse should monitor the client for Which of the following adverse effects of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

Correct Answer is D

Explanation

A nurse is educating a group of clients about the contraindications of warfarin therapy. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?

A nurse in an emergency department is preparing to administer theophylline by continuous intravenous (IV) infusion to a client who is experiencing an asthma attack. Which of the following actions should the nurse take?

A nurse is preparing to administer blood to a client. The unit of blood on hand is type B, and the client has type AB blood. Which of the following actions should the nurse take?

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

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A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?

A nurse is caring for a client Who is postoperative following abdominal surgery and reports incisional pain. The surgeon has prescribed morphine 4 mg IV bolus every 6 hr as needed. Before administering this medication, the nurse should complete Which priority assessment?