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A nurse is planning care for a group of clients.
Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?

Losartan and atorvastatin.

Propranolol and raloxifene.

Digoxin and levothyroxine.

Furosemide and amikacin.

Answer and Explanation

The Correct Answer is D

Combining furosemide with certain aminoglycoside antibiotics like amikacin may increase the risk of hearing loss.

The nurse should monitor this client for hearing loss related to a medication interaction.

Choice A is wrong because there is no known interaction between losartan and atorvastatin that can cause hearing loss.

Choice B is wrong because there is no known interaction between propranolol and raloxifene that can cause hearing loss.

Choice C is wrong because there is no known interaction between digoxin and levothyroxine that can cause hearing loss.

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Correct Answer is D

Explanation

The nurse should instruct the client to monitor and report bruising as an adverse effect of taking clopidogrel.

Clopidogrel increases the risk of bleeding, which can be severe or life- threatening.

Choice A is wrong because blurred vision is not a common adverse effect of clopidogrel.

Choice B is wrong because constipation is not a common adverse effect of clopidogrel.

Choice C is wrong because weight loss is not a common adverse effect of clopidogrel.

A. "If I were you, I would get the vaccine to keep my family safe.” B. "Influenza can be very serious to anyone who does not receive the vaccine.” C. "The influenza vaccine is strongly encouraged, but I understand you would like to decline right now.” D. "The influenza vaccine is mandatory for all clients before discharge, so you will need to sign an against medical advice form.”

Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale:

This response is not appropriate because it is judgmental and may make the client feel defensive.
It is important for the nurse to respect the client's right to make their own decisions about their health care.
Telling the client what they should do can undermine their autonomy and potentially damage the nurse-client relationship.
It's crucial for the nurse to remain objective and avoid imposing their personal opinions or beliefs onto the client.

Choice B rationale:

This response is also not appropriate because it is using scare tactics to try to persuade the client to get the vaccine.
This approach can be counterproductive and may further alienate the client.
It's important to provide accurate information about the risks and benefits of the vaccine in a neutral and non-threatening manner.

Choice C rationale:

This is the most appropriate response because it acknowledges the client's right to refuse the vaccine while still encouraging them to get it.
It also demonstrates respect for the client's autonomy and validates their feelings.
This approach is more likely to foster a positive nurse-client relationship and keep the door open for future discussions about vaccination.

Choice D rationale:

This response is not accurate because the influenza vaccine is not mandatory for all clients before discharge.
It is important for the nurse to provide accurate information to the client.
Threatening the client with an against medical advice form is not appropriate and may be considered a form of coercion.

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A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is to start taking clopidogrel. The nurse should instruct the client to monitor and report which of the following adverse effects of the medication?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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A nurse is planning care for a group of clients.
Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?