What would the nurse assess in a client taking primaquine based on an understanding of the adverse effects?
1. The urine for evidence of hemoglobin
2. The eyes for evidence of icterus
3. The skin for photosensitivity
4. The stool for lack of bile
Correct Answer: 1
Rationale 1: Hemolytic anemia is the major adverse effect.
Rationale 2: This would indicate liver inflammation, which is not a primary adverse effect of primaquine.
Rationale 3: Photosensitivity is not an adverse effect of primaquine.
Rationale 4: This is a symptom of bile blockage, not an adverse effect of primaquine.
Global Rationale: Hemolytic anemia is the major adverse effect of primaquine, especially in patients with G6PD deficiency. Icterus, photosensitivity, and lack of bile in the stool are not known adverse effects.
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