A client with severe rheumatoid arthritis is prescribed infliximab. The nurse should monitor for which potential adverse effect?

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Pharmacology HESI 55 Questions 2023 Questions

Question 1 of 5

A client with severe rheumatoid arthritis is prescribed infliximab. The nurse should monitor for which potential adverse effect?

Correct Answer: A

Rationale: The correct answer is A: Increased risk of infection. Infliximab is known to increase the risk of infection due to its immunosuppressive effects. It is crucial for the nurse to monitor for signs of infection in the client receiving infliximab to promptly address any potential complications and ensure the client's safety and well-being.

Question 2 of 5

A client with chronic kidney disease is prescribed lanthanum carbonate. The nurse should monitor for which potential side effect?

Correct Answer: A

Rationale: Lanthanum carbonate is prescribed in chronic kidney disease to bind dietary phosphorus in the gastrointestinal tract. This action can lead to decreased phosphorus absorption and potential hypercalcemia due to the increased serum calcium levels. Therefore, the nurse should monitor the client for signs and symptoms of hypercalcemia, such as confusion, fatigue, and muscle weakness.

Question 3 of 5

A client with hypertension is prescribed lisinopril. The nurse should monitor the client for which potential side effect?

Correct Answer: A

Rationale: The correct answer is A: Cough. Lisinopril is known to cause a persistent dry cough as a side effect. It is essential for the nurse to monitor the client for this adverse reaction as it may lead to discontinuation of the medication. Dizziness, hyperkalemia, and hyponatremia are not typically associated with lisinopril use.

Question 4 of 5

A client with a history of stroke is prescribed dabigatran. The nurse should monitor for which potential side effect?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

A client with a history of deep vein thrombosis is prescribed apixaban. The nurse should monitor for which potential adverse effect?

Correct Answer: A

Rationale: The correct answer is A: Increased risk of bleeding. Apixaban is an anticoagulant medication that works by preventing blood clots. While this is beneficial for individuals with a history of deep vein thrombosis, it also increases the risk of bleeding. Therefore, the nurse should monitor the client for signs of bleeding, such as easy bruising, prolonged bleeding from cuts, or blood in the urine or stool. Monitoring for bleeding is crucial to ensure the client's safety and to take appropriate actions if necessary.

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