More questions on this topic
More questions on this topic ( 31 Questions)
A nurse is reviewing laboratory results for a client who has a fungal infection and is receiving itraconazole therapy.
Which of the following findings should alert the nurse to a potential adverse effect of this medication?
This is because itraconazole can cause renal impairment and decreased urine output as an adverse effect. A normal serum creatinine level is 0.6 to 1.2 mg/dL for males and 0.5 to 1.1 mg/dL for females.
Choice B is wrong because decreased serum potassium level is not an adverse effect of itraconazole. Itraconazole can cause hypokalemia, which is a low level of potassium in the blood, but this is usually due to fluid retention and heart failure caused by the drug. A normal serum potassium level is 3.5 to 5.0 mEq/L.
Choice C is wrong because increased serum glucose level is not an adverse effect of itraconazole. Itraconazole can cause hyperglycemia, which is a high level of glucose in the blood, but this is usually due to diabetes mellitus or steroid use in patients taking the drug. A normal serum glucose level is 70 to 100 mg/dL.
Choice D is wrong because decreased white blood cell count is not an adverse effect of itraconazole. Itraconazole can cause leukopenia, which is a low level of white blood cells in the blood, but this is usually due to bone marrow suppression or infection in patients taking the drug. A normal white blood cell count is 4,500 to 11,000 cells/mm3.
This is because itraconazole can cause renal impairment and decreased urine output as an adverse effect. A normal serum creatinine level is 0.6 to 1.2 mg/dL for males and 0.5 to 1.1 mg/dL for females.
Choice B is wrong because decreased serum potassium level is not an adverse effect of itraconazole. Itraconazole can cause hypokalemia, which is a low level of potassium in the blood, but this is usually due to fluid retention and heart failure caused by the drug. A normal serum potassium level is 3.5 to 5.0 mEq/L.
Choice C is wrong because increased serum glucose level is not an adverse effect of itraconazole. Itraconazole can cause hyperglycemia, which is a high level of glucose in the blood, but this is usually due to diabetes mellitus or steroid use in patients taking the drug. A normal serum glucose level is 70 to 100 mg/dL.
Choice D is wrong because decreased white blood cell count is not an adverse effect of itraconazole. Itraconazole can cause leukopenia, which is a low level of white blood cells in the blood, but this is usually due to bone marrow suppression or infection in patients taking the drug. A normal white blood cell count is 4,500 to 11,000 cells/mm3.