The nurse is reviewing the admission history of a client taking zileuton (Zyflo CR) in the emergency department. Which patient reports would take highest priority during the physical assessment?

Question

Standard Text: Select all that apply.
1. Sinusitis
2. Nausea
3. Yellow skin
4. Abdominal pain
5. Throat pain

Answer 1

Correct Answer: 2,3,4
Rationale 1: Sinusitis is an adverse effect but would not be a priority complaint.
Rationale 2: Nausea can be a symptom of liver damage, which is a serious concern in clients taking zileuton.
Rationale 3: Yellow skin implies jaundice, which is a serious concern in clients taking zileuton.
Rationale 4: Abdominal pain can be a symptom of liver damage, which is a serious concern in clients taking zileuton.
Rationale 5: Throat pain is an adverse effect but would not be a priority complaint.
Global Rationale: Zileuton raises liver enzymes (alanine aminotransferase), and cases of jaundice and severe hepatic injury have been reported. Sinusitis and throat pain may occur, but are not priority issues.