A nurse is caring for a client in an outpatient facility who has been taking Acarbose for type 2 Diabetes Mellitus. Which of the following laboratory tests should the nurse plan to monitor?

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Liver function test. Acarbose is a medication used to treat type 2 diabetes mellitus by inhibiting the enzymes responsible for breaking down carbohydrates. This medication can potentially affect liver function, so it is crucial to monitor the client's liver enzymes regularly to detect any signs of liver damage or toxicity. Option A) WBC (White Blood Cell) count is not directly related to the monitoring of Acarbose therapy for diabetes. Changes in WBC count are typically associated with infections or immune system disorders rather than the side effects of this medication. Option B) Serum potassium levels are not specifically impacted by Acarbose therapy. Monitoring potassium levels is more relevant in clients taking medications like diuretics or certain heart medications that can affect potassium balance. Option C) Platelet count is not typically affected by Acarbose therapy. Platelet counts are usually monitored in conditions related to clotting disorders or certain medications that can impact platelet function. Educationally, understanding the rationale behind monitoring specific laboratory tests for clients on different medications is essential for nurses to provide safe and effective care. By comprehending the potential side effects and monitoring requirements of medications like Acarbose, nurses can proactively assess and manage any adverse effects, ensuring optimal patient outcomes.

Correct Answer: D

Rationale: The correct answer is D, Rotavirus vaccine. The series for the Rotavirus vaccine is completed prior to the first birthday as it is only administered to infants less than 8 months of age. This vaccine provides protection against severe diarrhea and vomiting caused by rotavirus infection, which is common in infants and young children.

Correct Answer: B

Rationale: The nurse should monitor the client for hypertension when receiving epoetin alfa as it is a common adverse effect caused by increased red blood cell production. Epoetin alfa stimulates red blood cell production, which can lead to increased blood pressure. Monitoring blood pressure is crucial to detect and manage hypertension promptly.

Correct Answer: C

Rationale: The nurse should monitor the client for gynecomastia, as it is an adverse effect of leuprolide due to decreased testosterone levels. Leuprolide works by decreasing testosterone production, which can lead to gynecomastia, the development of male breast tissue. Monitoring for this side effect is essential for early detection and intervention.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Gynecomastia. Bicalutamide is an androgen receptor antagonist commonly used in the treatment of prostate cancer. Gynecomastia, the development of breast tissue in males, is a well-known adverse effect of bicalutamide due to its anti-androgenic properties. It is crucial for the nurse to educate the client on monitoring for signs of gynecomastia to ensure early detection and intervention. Muscle pain (option A) is not typically associated with bicalutamide use and is therefore not a priority adverse effect to monitor. Flushing (option B) is also not a common side effect of bicalutamide and is unlikely to occur. Hyperglycemia (option D) is not directly related to bicalutamide use and is more commonly associated with other medications or conditions. In an educational context, understanding the adverse effects of medications is essential for nurses to provide safe and effective care to their clients. By knowing the expected side effects of specific drugs, nurses can educate clients on what to monitor for and when to seek medical attention. This knowledge enhances patient safety and promotes better outcomes in pharmacological therapy.