A client has a new prescription for rituximab. Which of the following findings should the nurse instruct the client to report?

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Fever. When a client is prescribed rituximab, a monoclonal antibody used to treat various conditions like autoimmune diseases and certain types of cancers, they are at risk for developing infusion-related reactions, including fever. Fever can be a sign of an infusion reaction or an infection, which can be serious and require immediate medical attention. Option A) Dizziness is a common side effect of rituximab but is not typically a serious concern unless severe. Option C) Urinary frequency and Option D) Dry mouth are not commonly associated with rituximab use and would not be a priority for the nurse to instruct the client to report. Educationally, this question highlights the importance of understanding common side effects and potential adverse reactions associated with specific medications. Nurses need to educate clients on what symptoms to report promptly to ensure their safety and well-being while undergoing treatment. This knowledge helps nurses intervene early if complications arise, improving client outcomes and overall quality of care.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Hypertension. Bevacizumab is a medication that works by inhibiting the growth of blood vessels that feed tumors. One of the common side effects of bevacizumab is hypertension due to its mechanism of action. Monitoring blood pressure is crucial to detect and manage any increase in blood pressure promptly. Option B) Hypokalemia, Option C) Hyperglycemia, and Option D) Hypocalcemia are not typically associated with bevacizumab treatment. Hypokalemia is more commonly seen with diuretic use, hyperglycemia with corticosteroid use, and hypocalcemia with medications that interfere with calcium metabolism. In an educational context, understanding the side effects of medications is essential for nurses to provide safe and effective care to their patients. Pharmacology knowledge allows nurses to anticipate, recognize, and manage potential adverse effects of medications, ensuring patient safety and positive treatment outcomes. Regular monitoring and assessment play a crucial role in early detection and intervention in case of side effects.

Correct Answer: B

Rationale: In the context of pharmacology and specifically with docetaxel therapy, it is crucial for the nurse to instruct the client to report dyspnea. Docetaxel is a chemotherapy medication known to cause pulmonary toxicity, including interstitial pneumonia and acute respiratory distress syndrome. Dyspnea can be an early sign of these serious respiratory adverse effects and prompt reporting can lead to timely intervention to prevent further complications. Regarding the other options: A) Flushing is not typically associated with docetaxel therapy, so it is not a priority finding to report. C) Hyperglycemia is a potential side effect of some medications but is not a common or significant adverse effect of docetaxel. D) Tinnitus is not a common side effect of docetaxel and is not a priority finding in this context. Educationally, this question highlights the importance of understanding common side effects and potential adverse reactions of medications, as well as the significance of prioritizing specific findings that could indicate serious complications. Nurses need to be vigilant in educating clients about potential side effects and the importance of timely reporting to ensure safe and effective pharmacological therapy.

Correct Answer: B

Rationale: The healthcare professional should monitor the client for ototoxicity when receiving carboplatin. Ototoxicity is a known serious adverse effect associated with this medication, characterized by damage to the inner ear structures leading to hearing loss or balance issues. Monitoring for hearing changes and balance problems is crucial to detect ototoxicity early and prevent further complications.

Correct Answer: A

Rationale: In pharmacology, understanding the administration instructions for medications is crucial to ensure their efficacy and safety. In the case of Metformin, the correct instruction to take the medication with the first bite of food is essential. Metformin is an oral antidiabetic medication that helps manage blood sugar levels. Taking it with food helps reduce the gastrointestinal side effects commonly associated with Metformin, such as nausea and diarrhea. Option B, taking Metformin on an empty stomach, is incorrect because it can exacerbate the gastrointestinal side effects of the medication. Option C, taking Metformin before bedtime, is also incorrect as it may increase the risk of hypoglycemia during sleep. Option D, taking the medication every other day, is incorrect as Metformin is typically prescribed for daily use to maintain consistent blood sugar control. Educationally, this rationale highlights the importance of understanding medication administration instructions to optimize therapeutic outcomes and minimize adverse effects. It emphasizes the need for nurses to provide clear and accurate instructions to clients starting new medications to promote medication adherence and patient safety.