A client is starting therapy with doxorubicin. Which of the following findings should the nurse instruct the client to report?

Correct Answer: C

Rationale: The correct answer is 'C: Sore throat.' Doxorubicin is known to have immunosuppressive effects, which can predispose the client to infections. A sore throat can be an early sign of infection, and prompt reporting to the healthcare provider is crucial to initiate appropriate interventions and prevent complications.

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.

Correct Answer: B

Rationale: Clopidogrel is an antiplatelet medication that works by inhibiting platelet aggregation. Therefore, the nurse should monitor the client's platelet count to assess for potential bleeding complications. Changes in platelet count can indicate the effectiveness of Clopidogrel therapy and help prevent adverse effects related to clotting or bleeding.