1) A nurse is caring for a client who hassickle cell anemia and istaking hydroxyurea. Which ofthe following findings should the nurse report to the provider? (select all

that apply)

-Hemoglobin 7.0 g/dL = CORRECT ANSWER

A hemoglobin level of 7.0 g/dL indicates hydroxyurea toxicity, and the nurse should report it to the provider.

-Platelets 75,000/mm3 = CORRECT ANSWER

A platelet level of 75,000/mm3

indicates hydroxyurea toxicity, and the nurse should report it to the provider.

-Potassium 5.2 mEq/L = CORRECT ANSWER

A potassium level of 5.2 mEq/L indicates tumor lysis syndrome, and the nurse should report it to the provider.

-Creatinine 1 mg/dL

A creatinine level of 1 mg/dL is within the expected reference range.

RBC 4.7 million/mm3

A RBC 4.7 million/mm3

is within the expected reference range.

2) A nurse is assessing a client who has myasthenia graves and istaking Neostigmine. Which ofthe following findingsshould indicate to the nurse the client is

experiencing an adverse effect?

-Tachycardia

Neostigmine can cause bradycardia, rather than tachycardia, due to the excessive muscarinic stimulation.

-Oliguria

Neostigmine can cause urinary urgency, rather than decreased urinary output, due to the excessive muscarinic stimulation.

-Xerostomia

Neostigmine can cause increased salivation, rather than dry mouth, due to the excessive muscarinic stimulation.

-Miosis = CORRECT ASNWER

Miosis, which is pupillary constriction, is a common adverse effect of neostigmine due to the excessivemuscarinic stimulation that causes difficulty with

visual accommodation.

3) A nurse is monitoring a client who isreceiving Amphotericin B intermittent IV bolusforthe treatment of histoplasmosis. Which ofthe following findingsshould the

nurse identify as an adverse reaction to the medication?

-Tachycardia

Bradycardia, not tachycardia, is an adverse effect of amphotericin B.

-Oliguria = CORRECT ANSWER

Oliguria can indicate renal compromise in a clientwho istaking amphotericin B. The nurse should reportthisfinding to the provider.

-Hyperkalemia

Hypokalemia, not hyperkalemia, is an adverse effect of amphotericin B due to the medication causing damage to the kidneys.

-Weight gain

Weight loss, not weight gain, is an adverse effect of amphotericin B.