D correct monitoring for gastric bleeding is

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D. CORRECT: Monitoring for gastric bleeding is important because glucocorticoids irritate the gastric mucosa and put the client at risk for a peptic ulcer. E. Monitoring for respiratory depression is not necessary because glucocorticoids do not depress respirations.
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A nurse is administering amitriptyline to a client who is experiencing cancer pain. For which of the following adverse effects should the nurse monitor? A. Decreased appetite B. Explosive diarrhea C. Decreased pulse rate D. Orthostatic hypotension A. Amitriptyline can cause increased appetite and weight gain. B. Amitriptyline can cause constipation. C. Amitriptyline can cause increased pulse rate. D. CORRECT: Amitriptyline can cause orthostatic hypotension. The nurse should assess for this effect and instruct the client to move slowly from lying down or sitting after taking this medication. A nurse is teaching a client who has a new prescription for combination oral NRTI s (abacavir, lamivudine, and zidovudine) for treatment of HIV. Which of the following statements should the nurse include? A. "These medications work by blocking HIV entry into cells." B. "These medications work by weakening the cell wall of the HIV virus." C. "These medications work by inhibiting enzymes to prevent HIV replication." D. "These medications work by preventing protein synthesis within the HIV cell." A. T he fusion/entry inhibitor enfuvirtide and the CCRS antagonist maraviroc are newer antiretroviral medications that work by blocking HIV entry into cells. B. S ome bactericidal antibiotics, such as penicillin, work by weakening the cell walls of bacteria. C. CORRECT: The NRTI antiretroviral medications this client takes work by inhibiting the enzyme reverse transcriptase and preventing HIV replication. D. S ome antibiotics, such as aminoglycosides, kill bacteria by preventing protein synthesis within the cell. A nurse is caring for a client who takes several antiretroviral medications, including the NRTI zidovudine, to treat HIV infection. The nurse should monitor for which
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of the following adverse effects of zidovudine? (Select all that apply.) A. Fatigue B. Blurred vision C. Ataxia D. Hyperventilation E. Vomiting A. CORRECT: Fatigue is a manifestation of anemia, an adverse effect of zidovudine. Neutropenia can also occur, causing a high risk for infection. B. Zidovudine can cause hearing loss and photophobia. C. Zidovudine can cause vertigo. D. CORRECT: Hyperventilation is a finding that can occur if the client develops lactic acidosis, a serious adverse effect of zidovudine. E. CORRECT: Vomiting and other GI effects are adverse effects of zidovudine. A nurse is caring for a client who is taking ritonavir, a protease inhibitor, to treat HIV infection. The nurse should monitor for which of the following adverse effects of this medication? A. Increased TSH level B. Decreased ALT level C. Hypoglycemia D. Hyperlipidemia A. I ncreased TSH and T4 levels indicate hyperthyroidism, which is not an adverse effect of ritonavir.
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