Page 2217 - Saunders Comprehensive Review For NCLEX-RN

neurological symptoms including headache, dizziness, vertigo, ataxia, depression,
and seizures. Options 1, 2, and 6 are unrelated to these medications.
Test-Taking Strategy: Focus on the subject, adverse effects of sulfonamides. It is
necessary to know the adverse effects associated with these medications to answer
correctly. Remember that nephrotoxicity, bone marrow suppression, and GI
symptoms are adverse effects of sulfonamides.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pharmacology: Immune Medications: Sulfonamides
Health Problem: Adult Health: Immune: Infections
Priority Concepts: Clinical Judgment; Immunity
Reference: Burchum, Rosenthal (2016), pp. 1063-1064.

782. Answer: 3

Rationale: Didanosine can cause pancreatitis. A serum amylase level that is
increased to 1.5 to 2 times normal may signify pancreatitis in the client with acquired
immunodeficiency syndrome and is potentially fatal. The medication may have to be
discontinued. The medication is also hepatotoxic and can result in liver failure.
Test-Taking Strategy: Focus on the subject, adverse effects of didanosine.
Recalling that this medication can cause damage to the pancreas and is hepatotoxic
will direct you to the correct option.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pharmacology: Immune Medications: Antivirals
Health Problem: Adult Health: Immune: Immunodeficiency Syndrome
Priority Concepts: Clinical Judgment; Safety
Reference: Skidmore-Roth (2017), pp. 362-364.

783. Answer: 3

Rationale: Hypertension can occur in a client taking cyclosporine, and because
this client is also complaining of a headache, the blood pressure is the vital sign to be
monitored most closely. Other adverse effects include infection, nephrotoxicity, and
hirsutism. Options 1, 2, and 4 are unrelated to the use of this medication.
Test-Taking Strategy: Note the strategic words, most likely. Focus on the name of
the medication and recall that this medication can cause hypertension. Also, noting
that the client has a headache will assist you in answering correctly.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pharmacology: Immune Medications: Immunosuppressants
Health Problem: Adult Health: Immune: Transplantation
Priority Concepts: Clinical Judgment; Immunity
Reference: Lewis et al. (2017), pp. 209, 211.

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