The primary healthcare provider prescribes Hydroxychloroquine for a patient. What information should the nurse include when discussing this medication with the patient?
This medication may cause hair loss.
This medication may cause a burst of energy.
This medication should be taken on an empty stomach.
The most serious adverse effect of this medication is retinal damage.
The Correct Answer is D
Rationale for Choice A:
Hydroxychloroquine does not typically cause hair loss as a significant side effect. While some anecdotal reports have suggested hair thinning as a possibility, it's not a well-established or common occurrence in clinical studies.
If a patient experiences hair loss while on hydroxychloroquine, it's essential to rule out other potential causes, such as underlying medical conditions, stress, or nutritional deficiencies.
It's also important to note that some individuals may have a personal predisposition to hair loss, and medications can sometimes trigger or exacerbate this issue.
Rationale for Choice B:
Hydroxychloroquine is not known to cause a burst of energy. In fact, some patients may experience fatigue or drowsiness as a side effect.
It's crucial to inform patients about potential side effects to manage expectations and promote adherence to treatment.
If a patient experiences unexpected energy changes while taking hydroxychloroquine, it's essential to report this to their healthcare provider for further evaluation.
Rationale for Choice C:
Hydroxychloroquine is generally recommended to be taken with food or milk to reduce potential gastrointestinal side effects such as nausea and vomiting.
Taking it on an empty stomach could increase the risk of these side effects, which could impact medication adherence and effectiveness.
Rationale for Choice D:
Retinal damage is the most serious adverse effect of hydroxychloroquine. It can lead to irreversible vision loss if not detected and managed early.
Patients taking hydroxychloroquine must undergo regular eye examinations to monitor for any signs of retinal toxicity.
Early detection and prompt discontinuation of the medication can often prevent permanent vision loss.
It's crucial for nurses to educate patients about this potential risk and emphasize the importance of regular eye exams.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Explaining legal requirements to inform sex partners at this initial stage is not the most appropriate or supportive intervention.
The client is in a state of emotional distress and may not be receptive to information about legal obligations. It's crucial to first address the client's emotional needs and provide support before discussing legal matters.
Prematurely focusing on legalities could further overwhelm the client and potentially hinder the development of a trusting relationship with the nurse.
Choice C rationale:
Offering to inform the family for the client, while well-intentioned, may not respect the client's autonomy and right to privacy. The decision to disclose HIV status to family members is a personal one that should be made by the client, not the nurse.
It's important to empower the client to make their own choices about disclosure and provide support throughout the process.
Choice D rationale:
Determining if a clergy member would help could be a valuable resource for some clients, but it should not be the first or only intervention.
It's essential to first assess the client's individual needs and preferences regarding spiritual support.
Not all clients may find comfort in religious or spiritual guidance, and some may prefer to seek support from other sources.
Choice B rationale:
Assessing the client for support systems is the most appropriate initial intervention because it focuses on the client's immediate needs for emotional support and connection.
By identifying existing support systems (such as family, friends, or community organizations), the nurse can help the client access resources that can provide comfort, understanding, and assistance in coping with the diagnosis.
This approach recognizes the client's emotional state and prioritizes their psychosocial well-being, which is essential in the initial stages of coping with an HIV diagnosis.
Correct Answer is D
Explanation
Choice A rationale:
Affiliation with a medical or nursing school can offer some benefits, but it's not the most crucial factor to consider when seeking a new job.
Nurses in these facilities may have opportunities for professional development and involvement in research, but these benefits might not be available to all nurses.
The quality of the work environment, staffing levels, and support for nurses can vary significantly in facilities affiliated with schools.
Prioritizing Magnet status ensures a focus on nursing excellence and a commitment to providing a supportive work environment.
Choice B rationale:
Having the latest technology can be appealing, but it doesn't guarantee a positive work experience for nurses.
The most important factors for job satisfaction and quality patient care are often related to the work environment, staffing levels, and leadership support.
Magnet hospitals prioritize these factors, leading to better outcomes for both nurses and patients.
Choice C rationale:
Inquiring about nurse-patient ratios is essential, but it's not the only indicator of a positive work environment.
Magnet hospitals typically have favorable nurse-patient ratios, but they also excel in other areas that contribute to job satisfaction and quality care.
These areas include: shared governance, leadership support, professional development opportunities, and a focus on evidence-based practice.
Choice D rationale:
Magnet status is the highest recognition a hospital can achieve for nursing excellence.
It signifies a commitment to: quality patient care, positive work environments for nurses, professional development, and shared governance.
Research consistently demonstrates that Magnet hospitals have: lower nurse turnover rates, higher patient satisfaction scores, and better patient outcomes.
Seeking employment in a Magnet hospital is the most beneficial advice for a nurse looking for a job that prioritizes nursing excellence, job satisfaction, and quality patient care.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.