When starting therapy with cisplatin, a client should report which of the following adverse effects as instructed by the nurse?

Correct Answer: A

Rationale: The nurse should instruct the client to report tinnitus because it can be an indication of ototoxicity, a potential adverse effect of cisplatin. Ototoxicity can manifest as tinnitus, hearing loss, or balance disturbances, so it is crucial for the client to promptly report any changes in hearing such as tinnitus to prevent further damage.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Neutropenia. Neutropenia is a common side effect of hydroxyurea, which is a myelosuppressive agent commonly used in the treatment of chronic myeloid leukemia. Neutropenia refers to a decreased level of neutrophils, which are crucial in fighting off infections. Therefore, monitoring for neutropenia is essential to prevent the risk of infections in the client. Option A) Hyperkalemia is not typically associated with hydroxyurea therapy, so this finding is less relevant in this context. Option B) Hypertension is not a common side effect of hydroxyurea and is not directly related to its mechanism of action or therapeutic effects in chronic myeloid leukemia. Option D) Tinnitus is not a typical side effect of hydroxyurea and is not a priority finding when monitoring a client receiving this medication for chronic myeloid leukemia. Understanding the side effects and monitoring parameters associated with specific medications is crucial for nurses caring for clients receiving these treatments. Close monitoring and early recognition of potential side effects can help in providing safe and effective care to clients undergoing pharmacological treatments for various conditions.

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.