Difficulty: Medium
Average Score: 66%
Simulated
The client with advanced prostate cancer is receiving abarelix. Due to the effects of the medication, what should be the nurse's priority?
Correct answer
C
Rationale
A: Constipation is a side effect of abarelix and is important to monitor but is not the priority. B: Breast pain with tenderness is a side effect of abarelix and is important to monitor but is not the priority. C: The nurse's priority should be to observe the client for at least 30 minutes after abarelix (Plenaxis) administration. The risk of a severe allergic reaction increases with each dose and can occur within a short time after administration. D: Sleep disturbances are common side effects of abarelix, and teaching about sleep hygiene is important but not the priority.