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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 ["A","B","C","D","F"]

Explanation

Choice A rationale

Assessing the client’s gag reflex before offering oral intake is essential to prevent aspiration. The gag reflex may be diminished after moderate sedation and the use of local anesthetics during bronchoscopy.

Choice B rationale

Listening to the client’s breath sounds is important to detect any abnormalities, such as wheezing, crackles, or decreased breath sounds, which could indicate complications like bronchospasm or pneumothorax.

Choice C rationale

Monitoring the client’s oxygen saturation is crucial to ensure adequate oxygenation and detect any signs of respiratory distress or hypoxemia following the procedure.

Choice D rationale

Monitoring the client for manifestations of bleeding is necessary because bronchoscopy can cause trauma to the airways, leading to bleeding. Signs of bleeding may include hemoptysis or a drop in hemoglobin levels.

Choice E rationale

Assessing the client’s puncture site is not applicable in this context, as bronchoscopy does not involve a puncture site. This option is incorrect.

Choice F rationale

Observing the client for manifestations of a pneumothorax is important because bronchoscopy can occasionally cause a pneumothorax, especially if a biopsy is performed. Signs of pneumothorax include sudden chest pain, dyspnea, and decreased breath sounds on the affected side. .

Correct Answer is A

Explanation

Choice A rationale

A white coating in the mouth can indicate oral thrush, a common side effect of inhaled corticosteroids like beclomethasone. This requires prompt treatment to prevent further complications.

Choice B rationale

Nausea is a less common side effect of beclomethasone and is not as urgent as oral thrush.

Choice C rationale

Myalgia (muscle pain) is a less common side effect and not as critical as oral thrush.

Choice D rationale

Headache is a common side effect but not as urgent as oral thrush.

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