A client is starting therapy with filgrastim. Which of the following adverse effects should the nurse instruct the client to monitor?

Correct Answer: A

Rationale: When a client is starting therapy with filgrastim, monitoring for bone pain is essential. Filgrastim can lead to increased bone marrow activity, resulting in bone pain as a common adverse effect. Instructing the client to monitor and report any bone pain promptly can help in managing this side effect effectively.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Neutropenia. Paclitaxel is a chemotherapy medication known to cause bone marrow suppression, specifically decreasing neutrophil counts. Neutropenia increases the client's risk of infections, making it a crucial adverse effect to monitor during therapy. Option A) Bradycardia is not typically associated with paclitaxel therapy. Diarrhea (Option B) and urinary retention (Option D) can occur as side effects of other medications, but they are not commonly linked to paclitaxel use. From an educational standpoint, understanding the adverse effects of specific medications is essential for nurses to provide safe and effective care. Teaching clients about potential side effects empowers them to monitor their health and report any concerning symptoms promptly. This case emphasizes the importance of recognizing chemotherapy-related adverse effects to optimize patient outcomes.

Correct Answer: A

Rationale: In the context of pharmacology, it is crucial for nurses to understand the potential side effects and adverse reactions associated with specific medications. In this case, the correct answer is A) Hypotension when monitoring a client receiving etoposide. Etoposide is a chemotherapy drug known to cause hypotension as a common side effect. As a nurse, monitoring the client for signs of hypotension such as dizziness, weakness, or a drop in blood pressure is essential to prevent any complications. Option B) Hyperkalemia is not typically associated with etoposide therapy, so it is an incorrect choice. Hyperglycemia, option C, is also not a common side effect of etoposide. Option D) Hypertension is not a typical finding with etoposide treatment, making it an incorrect answer. Educationally, this question highlights the importance of understanding specific medication side effects and the need for vigilant monitoring to ensure patient safety. By knowing the expected findings related to a drug like etoposide, nurses can provide effective care and intervene promptly if any adverse reactions occur.

Correct Answer: A

Rationale: Rationale: The correct answer is A) Take this medication on an empty stomach. Levothyroxine is a thyroid hormone replacement medication that should be taken on an empty stomach, preferably 30 minutes to 1 hour before breakfast, to ensure optimal absorption. Food can interfere with the absorption of Levothyroxine, reducing its effectiveness. Taking it with food, at bedtime, or with antacids can all decrease the absorption of the medication and lead to suboptimal treatment outcomes for the client. Educational Context: Understanding the administration instructions for medications is crucial in pharmacology to ensure their therapeutic effectiveness. In the case of Levothyroxine, proper administration can significantly impact a patient's thyroid hormone levels and overall health. Educating patients on the importance of following specific instructions for each medication is a key role of the nurse to promote patient safety and optimal treatment outcomes.

Correct Answer: B

Rationale: In pharmacology, Atorvastatin is a medication commonly used to lower cholesterol levels. The correct answer is B) Creatine kinase. This enzyme is essential to monitor because Atorvastatin can sometimes lead to muscle-related side effects such as myopathy or rhabdomyolysis. Elevated creatine kinase levels can indicate muscle damage, which is a potential adverse effect of this medication. A) Blood glucose is not directly related to Atorvastatin. Atorvastatin is not known to significantly impact blood glucose levels, so monitoring blood glucose is not a priority for this medication. C) Hemoglobin is not typically affected by Atorvastatin. This parameter is more relevant in conditions like anemia or polycythemia, not specifically tied to Atorvastatin use. D) Sodium levels are not directly influenced by Atorvastatin. Monitoring sodium levels is more commonly associated with conditions like dehydration or certain medications that affect fluid balance, rather than Atorvastatin use. Educationally, understanding the rationale behind monitoring specific laboratory values for medications is crucial for safe and effective patient care. Pharmacological knowledge helps healthcare professionals anticipate and manage potential adverse effects, ensuring patient safety and optimal treatment outcomes.