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A nurse is assessing a client who is receiving gemfibrozil. The nurse should identify which of the following findings as an adverse effect of this medication?

A.

Dependent edema.

B.

Muscle tenderness.

C.

Tremors.

D.

Hyperkalemia.

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

Dependent edema is not a common adverse effect of gemfibrozil. It is more commonly associated with other conditions such as heart failure.

 

Choice B rationale

 

Muscle tenderness is a known adverse effect of gemfibrozil. It can indicate myopathy or rhabdomyolysis, which are serious conditions that require medical attention.

 

Choice C rationale

 

Tremors are not a common adverse effect of gemfibrozil. They are more commonly associated with neurological conditions or other medications.

 

Choice D rationale

 

Hyperkalemia is not a common adverse effect of gemfibrozil. It is more commonly associated with medications that affect renal function or potassium balance. .

 


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Crushing hydroxychloroquine tablets can alter the drug’s release and absorption, potentially leading to suboptimal therapeutic effects or increased side effects.

Choice B rationale

Discontinuing hydroxychloroquine when symptoms subside can lead to a flare-up of rheumatoid arthritis symptoms. It is important to continue the medication as prescribed to maintain disease control.

Choice C rationale

Regular eye exams are necessary while taking hydroxychloroquine because the medication can cause retinal toxicity, which can lead to vision changes or loss if not monitored and managed appropriately.

Choice D rationale

Taking a double dose of hydroxychloroquine can increase the risk of side effects and toxicity. It is important to take the medication as prescribed and not to double up on doses.

Correct Answer is D

Explanation

Choice A rationale

Phenytoin is an anticonvulsant used to control seizures and is not indicated for the treatment of adrenal insufficiency.

Choice B rationale

Calcitonin is used to treat conditions like osteoporosis and hypercalcemia, not adrenal insufficiency.

Choice C rationale

Buspirone is an anxiolytic used to treat anxiety disorders and is not used for adrenal insufficiency.

Choice D rationale

Fludrocortisone is a synthetic corticosteroid that is used to replace aldosterone in patients with adrenal insufficiency. It helps maintain sodium balance and blood pressure.

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