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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Omeprazole is a (PPI) proton pump inhibitor used to inhibit excessive acid secretion in the stomach. Persistent exposure of the stomach lining to acid leads to epigastric pain, bloating and feelings of early satiety. Reduction of acid secretion helps to relieve dyspeptic symptoms caused by irritation of gastric mucosa by the acid.
B. Omeprazole is not used for management of headaches
C, D- Omeprazole does not have effect on appetite or bowel movements. Absence of headache
Correct Answer is C
Explanation
Furosemide is a loop diuretic that blocks water reabsorption in the loop of Henle promoting diuresis. It also causes potassium loss in urine leading to hypokalemia. Checking potassium levels before administration of furosemide prevents worsening already existing hypokalemia.
Hypokalemia causes complications like cardiac dysrhythmias, muscle weakness, and fatigue. The nurse should monitor the client for signs and symptoms of hypokalemia and notify the provider appropriately
A, B, D- furosemide has no effect on cortisol, albumin and bicarbonate.
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