A nurse is caring for a client with systemic lupus erythematous (SLE) who is taking hydroxychloroquine (Plaquenil). When providing care for this client, the nurse monitors for which adverse effects associated with the prescribed medication?
A) Pulmonary fibrosis
B) Cushingoid effects
C) Retinal toxicity
D) Renal toxicity
Answer: C
Hydroxychloroquine (Plaquenil) is an antimalarial drug used in SLE to reduce the frequency of acute episodes of SLE. The primary concern with Plaquenil is retinal toxicity and possible irreversible blindness. Cushingoid effects are a concern with corticosteroid therapy. Pulmonary fibrosis is a potential adverse effect of cyclophosphamide, not Plaquenil. Renal toxicity is not the primary concern with Plaquenil.
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1. Do all care for the clients, as they're unable to do it independently. 2. Always remember that the clients' self-respect must be maintained in all interactions of the students. 3. Make sure the clients' care is done in a timely manner, and sometimes that means doing things for the client. 4. Treat this group of clients with a greater level of respect than younger clients.
A nurse assesses a 61-year-old adult who reveals that he can't process as quickly as when younger, and that "all these people talk about multi-tasking, but I can't do that!" Which of the following responses by the nurse is appropriate?
A) "Have you had any other symptoms of cognitive impairment?" B) "Slower processing of information is an age-related change, and there are things you can do to help with this." C) "The declines in cognitive skills usually begin around the age or 60." D) "You shouldn't expect to see a decline the cognitive functions that you use all the time."
. A nurse is aware of the pivotal role that motivation plays in the formation of effective teams and the provision of excellent nursing care. Which of the following actions is most likely to motivate a team member?
A) Ensure that the consequences of substandard performance are well-known. B) Publicize those individuals who have made exceptional contributions and point out those who have failed to perform adequately. C) Openly acknowledge team members who have made a particularly valuable contribution. D) Be clear that only the highest levels of performance are acceptable to the team.
Which one of the following is the mot important extracellular buffer?
a. HCl b. Bicarbonate (HCO3-) c. Plasma proteins d. water