A diabetic patient is prescribed rosiglitazone by an endocrinologist. The nurse knows the potential dangers of this medication and assesses the patient for:

Chest pain
Dyspnea
Edema
Sudden weight gain

Explanation

•Rosiglitazone is a thiazolidinedione used to treat type 2 diabetes by improving insulin sensitivity.

•Rosiglitazone has restricted use due to the elevated risk of heart attacks and heart failure associated with this medication due to increasing a patient's cardiac load. The nurse should assess the patient for signs of heart failure and heart disease, such as edema, dyspnea, fatigue, weight gain due to fluid retention, irregular heart beat, and chest pain.

•Hyperglycemia, elevated creatinine, and confusion are not associated with rosiglitazone.

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