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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 B

Explanation

Choice A rationale

Decreased excretion of urine sodium is not an expected therapeutic effect of bumetanide. Bumetanide is a loop diuretic that works by inhibiting the reabsorption of sodium and chloride in the ascending loop of Henle, leading to increased excretion of sodium and water.

Choice B rationale

Increased urinary output is the expected therapeutic effect of bumetanide. As a potent loop diuretic, bumetanide increases the excretion of water and electrolytes, which helps reduce fluid accumulation in conditions like ascites.

Choice C rationale

Decreased serum glucose is not associated with bumetanide. Bumetanide primarily affects fluid and electrolyte balance and does not have a significant impact on blood glucose levels.

Choice D rationale

Increased blood pressure is not an expected effect of bumetanide. On the contrary, bumetanide can help lower blood pressure by reducing fluid volume and decreasing the workload on the heart.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Potassium level should be reviewed because captopril can cause hyperkalemia due to its effect on aldosterone secretion.

Choice B rationale

WBC with differential should be reviewed because captopril can cause neutropenia or agranulocytosis, especially in patients with renal impairment or collagen vascular disease.

Choice C rationale

BUN level should be reviewed because captopril can affect renal function, leading to increased BUN levels.

Choice D rationale

Hemoglobin level is not typically affected by captopril, so it is not a priority for review.

Choice E rationale

Glucose level is not typically affected by captopril, so it is not a priority for review.

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