A client is starting therapy with filgrastim, and a nurse is providing teaching on monitoring adverse effects. Which of the following adverse effects should the nurse instruct the client to monitor?

Correct Answer: A

Rationale: In this scenario, the correct adverse effect that the nurse should instruct the client to monitor when starting therapy with filgrastim is bone pain (Option A). Filgrastim is a medication that stimulates the production of white blood cells, specifically neutrophils, and bone pain is a common side effect associated with its use. Option B, constipation, is not typically associated with filgrastim therapy. Option C, tinnitus, is a symptom related to the ears and is not a common adverse effect of filgrastim. Option D, dry mouth, is also not a common adverse effect of filgrastim. In an educational context, it is essential for nurses to understand the expected adverse effects of medications to educate and monitor patients effectively. By teaching clients about potential side effects like bone pain with filgrastim, nurses empower them to recognize and report these symptoms promptly, leading to better management of their medication therapy. This knowledge also enhances patient safety and compliance with treatment regimens.

Correct Answer: C

Rationale: The correct answer is C: Neutropenia. Paclitaxel commonly causes neutropenia due to bone marrow suppression. It is essential for clients receiving this medication to monitor for signs of neutropenia, such as fever, chills, and increased susceptibility to infections, as it can increase the risk of serious complications.

Correct Answer: A

Rationale: Etoposide is associated with hypotension as a common adverse effect. Therefore, the nurse should closely monitor the client for signs and symptoms of hypotension while receiving this medication, such as dizziness, light-headedness, or low blood pressure readings. Prompt recognition and management of hypotension can help prevent complications and ensure the client's safety during treatment with etoposide.

Correct Answer: A

Rationale: In educating a client prescribed Levothyroxine, instructing them to take the medication on an empty stomach (Option A) is crucial. Levothyroxine absorption is significantly reduced when taken with food, particularly high-fiber or calcium-rich foods, hence compromising its effectiveness in managing hypothyroidism. Taking it on an empty stomach ensures optimal absorption. Option B (Take this medication with food) is incorrect as it contradicts the absorption requirements of Levothyroxine. Instructing the client to take it with food would lead to decreased drug absorption and potential treatment failure. Option C (Take this medication at bedtime) is also inaccurate as Levothyroxine is best absorbed on an empty stomach in the morning, to avoid interference with sleep patterns and to maximize absorption. Option D (Take this medication with antacids) is incorrect because antacids containing calcium or aluminum can interfere with Levothyroxine absorption, reducing its efficacy. In an educational context, understanding the optimal administration of Levothyroxine is essential for clients with hypothyroidism to achieve therapeutic outcomes. By providing clear instructions on medication administration, nurses can help clients manage their condition effectively and prevent potential complications.

Correct Answer: B

Rationale: Creatine kinase should be monitored in clients taking Atorvastatin as it can indicate muscle damage, a serious adverse effect of statins. Elevated creatine kinase levels can suggest myopathy or rhabdomyolysis, which are potential complications associated with statin therapy. Monitoring creatine kinase levels helps in early detection of muscle damage and guides appropriate management to prevent severe complications.