Which adverse effects in the client taking chloroquine would require the nurse to notify the provider immediately?
1. Nausea
2. Tinnitus
3. Diarrhea
4. Blurred vision
Correct Answer: 4
Rationale 1: Nausea can occur but does not require immediate reporting to the provider.
Rationale 2: Tinnitus is not an adverse effect of chloroquine.
Rationale 3: Diarrhea, should it occur, would not need to be reported immediately.
Rationale 4: Blurred vision could indicate retinal toxicity and should be reported immediately.
Global Rationale: Patients with preexisting retinal field changes should not receive chloroquine, because the drug concentrates in this tissue and high doses can cause irreversible retinal damage. Baseline and periodic vision screening should be conducted during therapy. Nausea and diarrhea can occur, but do not require notification of the provider. Tinnitus is not an adverse effect of this drug.
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