A client is prescribed Clopidogrel. Which of the following laboratory values should be monitored to assess for potential adverse effects?

Correct Answer: B

Rationale: In pharmacology, it is crucial to understand the monitoring parameters for medications to ensure patient safety and efficacy. In the case of Clopidogrel, which is an antiplatelet medication, the correct laboratory value to monitor is the platelet count. Clopidogrel works by inhibiting platelet aggregation, so monitoring platelet count helps assess its effectiveness and potential adverse effects like thrombocytopenia. White blood cell count (Option A) is not typically monitored specifically for Clopidogrel unless there are other indications for doing so, as it is not directly related to the medication's mechanism of action. Hemoglobin (Option C) and blood glucose (Option D) are also not directly influenced by Clopidogrel and are not the primary parameters to monitor for this medication. Educationally, understanding the rationale behind monitoring specific laboratory values for different medications is crucial for nursing practice. It ensures that nurses can interpret and act on laboratory results effectively, optimizing patient care and safety. By knowing the correct parameters to monitor for Clopidogrel, nurses can provide comprehensive care and promptly identify any potential adverse effects.

Correct Answer: B

Rationale: Diltiazem is a calcium channel blocker that can cause bradycardia as an adverse effect due to its negative chronotropic properties, slowing down the heart rate. Therefore, the nurse should monitor the client for signs of bradycardia by regularly assessing the heart rate to prevent potential complications.

Correct Answer: B

Rationale: When a client is prescribed Digoxin, monitoring potassium levels is crucial as hypokalemia can increase the risk of Digoxin toxicity. Low potassium levels can potentiate the effects of Digoxin on the heart, leading to toxicity. Therefore, regular monitoring of potassium levels helps in preventing adverse effects and ensuring the safe use of Digoxin.

Correct Answer: B

Rationale: Nifedipine is a calcium channel blocker commonly used to treat hypertension and angina. The correct answer is B) Edema. Nifedipine can cause peripheral edema due to its vasodilatory effects, leading to fluid accumulation in the extremities. This adverse effect is important to monitor as it can impact the client's comfort and compliance with the medication. A) Hypertension is incorrect because Nifedipine is actually used to treat hypertension by causing vasodilation and reducing blood pressure. C) Hyperglycemia is not a common adverse effect of Nifedipine. In fact, calcium channel blockers are typically considered safe for patients with diabetes. D) Bradycardia is unlikely with Nifedipine as it does not have a direct effect on heart rate. In fact, it may cause reflex tachycardia as a compensatory mechanism for the drop in blood pressure. Educationally, understanding the common adverse effects of medications is crucial for safe medication administration and patient monitoring. Nurses need to be familiar with potential side effects to provide comprehensive care, educate patients, and intervene promptly if adverse reactions occur.

Correct Answer: B

Rationale: In pharmacology, understanding the adverse effects of medications is crucial for safe and effective patient care. In this scenario, the correct answer is B) Peripheral edema. Amlodipine is a calcium channel blocker commonly prescribed for hypertension and angina. One of its common side effects is peripheral edema, which is the accumulation of fluid in the extremities. Tachycardia (option A) is unlikely with amlodipine as it actually helps lower heart rate by dilating blood vessels, reducing the workload on the heart. Hyperglycemia (option C) is not a common adverse effect of amlodipine. Hypertension (option D) is the condition being treated by amlodipine, so it wouldn't be an adverse effect to monitor. Educationally, this question emphasizes the importance of recognizing common side effects of medications to provide appropriate monitoring and care for patients. Understanding the pharmacological actions and side effect profiles of medications is essential for nursing practice to ensure patient safety and well-being.