Exhibits
A nurse is caring for a client in an outpatient clinic.
Complete the following sentence by using the lists of options.
The client is at risk for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
The client is at risk for decreased absorption due to medication interactions.
Rationale
Esomeprazole works by reducing the production of stomach acid, thereby raising the pH level in the stomach. Levothyroxine, like many other medications, is absorbed primarily in the upper part of the small intestine where a more acidic environment is optimal for absorption. When stomach acid production is reduced by esomeprazole, the pH of the stomach increases, which can decrease the dissolution and absorption of levothyroxine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Amiodarone does not typically cause fever as a direct adverse effect. Fever may indicate an underlying infection or another unrelated condition.
B. Amiodarone is more likely to cause hypotension (low blood pressure) rather than hypertension. It can have a negative inotropic effect on the heart, leading to decreased cardiac output and potentially lowering blood pressure.
C. Bradycardia is a well-known adverse effect of amiodarone. Amiodarone can prolong the QT interval and affect the sinus node function, leading to bradycardia. It is important for nurses to monitor heart rate closely in clients taking amiodarone, as bradycardia can be symptomatic and may necessitate dose adjustment or discontinuation of the medication.
D. Amiodarone does not typically affect respiratory rate. Respiratory adverse effects associated with amiodarone include pulmonary toxicity, which manifests as pulmonary fibrosis or pneumonitis rather than bradypnea.
Correct Answer is B
Explanation
B. Hearing loss can indeed be an adverse effect associated with furosemide use, especially when high doses are administered rapidly intravenously or when the medication is used long-term. This occurs due to furosemide's potential to cause ototoxicity, affecting the inner ear and leading to hearing impairment.
A. Furosemide is not known to increase blood pressure. In fact, it typically helps reduce blood pressure by reducing fluid volume through its diuretic action. Therefore, increased blood pressure would not be an adverse effect of furosemide.
C Ankle edema is not typically an adverse effect of furosemide. In fact, furosemide is used to treat edema by reducing fluid retention, so the presence of ankle edema would indicate inadequate response to the medication or progression of the underlying condition.
D. Furosemide is not known to cause decreased blood sugar levels. Instead, it can cause electrolyte imbalances such as hypokalemia (low potassium levels), which might manifest with symptoms similar to hypoglycemia but does not directly lower blood sugar levels.
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