A client is receiving treatment with carboplatin. Which of the following findings should the nurse monitor?

Correct Answer: B

Rationale: In the case of a client receiving treatment with carboplatin, the nurse should primarily monitor for ototoxicity. Carboplatin is known to cause damage to the inner ear, leading to hearing loss or other auditory problems. Monitoring for signs of ototoxicity, such as tinnitus, vertigo, or hearing loss, is crucial to prevent permanent damage and adjust the treatment plan if necessary. Option A, hyperglycemia, is not directly associated with carboplatin use. While some chemotherapeutic agents can lead to metabolic disturbances, carboplatin is not typically linked to hyperglycemia. Option C, hypertension, is also not a common side effect of carboplatin. Hypertension may be a concern with other medications or conditions, but it is not a primary focus when monitoring a client on carboplatin. Option D, bradycardia, is not a typical finding associated with carboplatin. Bradycardia is more commonly linked to certain cardiac medications or conditions and is not a known side effect of carboplatin. Educationally, understanding the side effects and monitoring parameters of chemotherapeutic agents like carboplatin is crucial for nurses caring for oncology patients. By knowing the specific adverse effects of each medication, nurses can provide safe and effective care, promptly identify complications, and collaborate with the healthcare team to optimize patient outcomes.

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: D

Rationale: The correct instruction is to apply the Nitroglycerin transdermal patch to a hairless area of skin. This ensures proper absorption of the medication. It is important to rotate the application site daily to prevent skin irritation and tolerance development. Applying the patch to the same site each day can lead to decreased efficacy and potential skin reactions. Removing the patch at night is not necessary as the patches are usually worn continuously to provide constant medication delivery. Covering the patch with a heating pad can increase the absorption of the medication and lead to an overdose, which is not recommended.

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.