The nurse is providing education for a patient starting therapy on hydroxychloroquine (Plaquenil). Before giving the first dose of medication, the nurse should arrange
a. thyroid function tests.
b. a glucose tolerance test.
c. an ophthalmology exam.
d. a bone density test.
ANS: C
Retinal damage is the most serious toxicity of hydroxychloroquine. Patients should have a thorough ophthalmologic exam prior to treatment and every 6 months thereafter.
Thyroid function tests are not indicated, because hydroxychloroquine does not affect thyroid function.
A glucose tolerance test is unnecessary, because hydroxychloroquine does not affect blood glucose levels.
A bone density test is not needed, because hydroxychloroquine does not affect bone density.
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