A client with a diagnosis of bipolar disorder is prescribed valproate. The nurse should monitor for which potential adverse effect?

Correct Answer: A

Rationale: In the context of pharmacology and the treatment of bipolar disorder, the correct answer to monitor for when a client is prescribed valproate is weight gain (Option A). Valproate is known to cause weight gain as a potential adverse effect due to its impact on metabolism and appetite regulation. This is an essential monitoring parameter because significant weight gain can lead to other health issues such as metabolic syndrome and cardiovascular complications. Regarding the incorrect options: - Hair loss (Option B) is not a common adverse effect associated with valproate use. - Hyperglycemia (Option C) is not typically caused by valproate; in fact, valproate is more likely to cause side effects such as insulin resistance and potential weight gain. - Hypoglycemia (Option D) is also not a common adverse effect of valproate; instead, valproate is known to potentially lead to hyperglycemia or insulin resistance. In an educational context, understanding the potential adverse effects of medications used in the treatment of psychiatric disorders like bipolar disorder is crucial for nurses and healthcare providers. Monitoring for these adverse effects helps ensure the safety and well-being of the patients. It also highlights the importance of individualized patient care and the need for close monitoring and assessment when administering psychotropic medications like valproate. Nurses should be knowledgeable about the common side effects of psychiatric medications to provide optimal care and improve patient outcomes.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Dry mouth. Salmeterol is a long-acting beta-adrenergic agonist bronchodilator used in the management of COPD. Dry mouth is a common side effect of beta-agonists due to their systemic effects, including decreasing salivary gland secretions. Option B) Tachycardia is incorrect because salmeterol is a long-acting beta-agonist, which has a lower risk of causing tachycardia compared to short-acting beta-agonists. Option C) Insomnia is incorrect because salmeterol, as a bronchodilator, does not typically cause central nervous system side effects like insomnia. Option D) Increased appetite is incorrect because salmeterol is not known to have an effect on appetite. Educationally, it is essential for nurses to understand the common side effects of medications to provide safe and effective care to patients. Monitoring for potential side effects allows for early recognition and intervention, contributing to optimal patient outcomes. Nurses should be knowledgeable about pharmacology to provide holistic care and educate patients on medication management.

Correct Answer: B

Rationale: The correct answer is B, liver toxicity. Pioglitazone is known to cause liver toxicity, so it is essential for the nurse to monitor the client's liver function while on this medication. Monitoring liver function tests can help detect any signs of liver damage early, allowing for timely intervention to prevent serious complications.

Correct Answer: A

Rationale: The correct answer is A: Hypotension. Doxazosin is an alpha-blocker medication commonly used to treat hypertension. One of the potential side effects of doxazosin is causing a sudden drop in blood pressure, leading to hypotension. Therefore, the nurse should closely monitor the client for signs and symptoms of low blood pressure when initiating or adjusting the dose of doxazosin.

Correct Answer: A

Rationale: When a client with bipolar disorder is prescribed quetiapine, the nurse should monitor for weight gain as a potential adverse effect. Quetiapine is known to commonly cause weight gain, which can have implications for the client's overall health. Regular monitoring of weight can help in early detection and management of this side effect.