Page 2215 - Saunders Comprehensive Review For NCLEX-RN

3. Serum amylase level
4. Serum creatinine level
783. The nurse is caring for a postrenal transplantation client taking cyclosporine.
The nurse notes an increase in one of the client’s vital signs, and the client is
complaining of a headache. What vital sign is most likely increased?
1. Pulse
2. Respirations
3. Blood pressure
4. Pulse oximetry
784. Amikacin is prescribed for a client with a bacterial infection. The nurse
instructs the client to contact the primary health care provider (PHCP)
immediately if which occurs?
1. Nausea
2. Lethargy
3. Hearing loss
4. Muscle aches
785. The nurse is assigned to care for a client with cytomegalovirus retinitis and
acquired immunodeficiency syndrome who is receiving foscarnet, an
antiviral medication. The nurse should monitor the results of which
laboratory study while the client is taking this medication?
+
1. CD4 T cell count
2. Lymphocyte count
3. Serum albumin level
4. Serum creatinine level
786. A client who is human immunodeficiency virus seropositive has been taking
stavudine. The nurse should monitor which most closely while the client is
taking this medication?
1. Gait
2. Appetite
3. Level of consciousness
4. Gastrointestinal function

Answers

778. Answer: 4

Rationale: Frequent adverse effects of this medication include leukopenia,
thrombocytopenia, and anemia. The client should be monitored routinely for signs
and symptoms of infection. Options 1, 2, and 3 are inaccurate interpretations.
Test-Taking Strategy: Note the strategic words, most likely. Focus on the data in
the question. Noting that the temperature is elevated will direct you to the correct
option.
Level of Cognitive Ability: Synthesizing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Analysis
Content Area: Pharmacology: Immune Medications: Antimycobacterials

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