Answer to Question 1
Ans: D
Feedback:
The nurse needs to report complaints of visual changes in a client receiving hydroxychloroquine, because irreversible retinal damage may occur. Although easy bruising, skin rash, and fever are adverse reactions of the drug, they are not irreversible.
Answer to Question 2
Ans: C
Feedback:
The nurse should instruct the client to report any skin rash. A rash should be monitored carefully because it may precede a serious adverse reaction, such as Stevens-Johnson syndrome. The nurse need not instruct the client to take the drug on an empty stomach, use protection against sunlight, or wear a brace to get out of bed. Clients with osteoporosis are asked to wear a brace to get out of bed. Clients taking medications for gout are asked to take it with food. These clients are also instructed to avoid driving or performing other hazardous tasks.
Skin signs are objective evidence of an illness or disorder. They can be seen, measured, or felt.
Key symptoms of generalized anxiety disorder.
Intervention Model-Response to Client Misconduct
Example of simplified note for one-time client.