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 C

Explanation

Montelukast is a leukotriene receptor antagonist used for the long-term control of asthma. Among the side effects, montelukast causes drowsiness and hence should be taken at night before bed to avoid interference with daily activities.
A. Montelukast is an oral preparation that does not require a spacer unlike inhalers such as salbutamol
B. Montelukast is used controller therapy rather than a reliever in acute asthmatic attack
D. Rinsing the mouth is relevant in the use of inhaled corticosteroids to prevent oral thrush but not montelukast.

A. Instruct the client to use an electric toothbrush. B. Check the value of the client’s current platelet count. C. Have the client make an appointment to see the dentist. D. Explain to the client that this is an expected adverse effect.

Correct Answer is B

Explanation

Methotrexate is immunomodulatory that inhibits DNA synthesis and repair but blocking the metabolism of DNA building blocks. In addition to it disease modifying effects on targeted tissues, it also affects rapidly dividing cells such as the bone marrow leading to reduced platelets that causes bleeding. Information on number of platelets is important to guide the next action

A-Electric brush will worsen the bleeding

C-This is important but not priority as the bleeding is likely related to the medication

D- Explaining is important but does not address the issue at hand

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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 evaluating teaching on a client Who has a new prescription for montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse in a provider's clinic is assessing a client Who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?

Correct Answer is B

Explanation

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