A client is receiving hydroxychloroquine for a musculoskeletal ...

[Frost2351]

A client is receiving hydroxychloroquine for a musculoskeletal disorder. Which of the following adverse reactions is irreversible and needs to be reported by the nurse?
 
  A) Easy bruising
  B) Skin rash
  C) Fever
  D) Visual changes

Question 2

A client is receiving medication for gout. The nurse would include instructions about which of the following during the course of treatment?
 
  A) Taking drug on an empty stomach
  B) Using protection against sunlight
  C) Reporting any skin rash
  D) Wearing a brace to get out of bed

[Kedrick2014]

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.

[Frost2351]

Excellent

[steff9894]

TYSM