A client taking capivasertib develops intense thirst, frequent urination, nausea, abdominal pain, deep rapid respirations, and positive serum ketones. Which action is the priority?

1 Give the next capivasertib dose with a sugary beverage.
2 Wait for the next scheduled oncology visit.
3 Treat the findings as expected mild diarrhea.
4 Hold capivasertib immediately and obtain urgent evaluation and treatment for suspected diabetic ketoacidosis. ✓ Correct answer

Explanation

Capivasertib can cause severe hyperglycemia, diabetic ketoacidosis, and fatal metabolic complications. Suspected ketoacidosis requires immediate withholding and urgent medical management.

Next question on this topicA nurse is reviewing the morning lab results for an adult client receiving warfarin for at…

In-depth explanation

Quick answer
Treat hyperglycemic symptoms plus ketones as suspected ketoacidosis.

Why this is correct
Polyuria, polydipsia, abdominal symptoms, deep respirations, and ketones form a metabolic-emergency pattern. Routine delay or additional drug exposure can worsen the decompensation.

Easy analogy or mental picture
Build a medication-safety chain: identify the changing cue, connect it to the labeled toxicity or interaction, interrupt preventable exposure, stabilize the client, and verify a measurable response.

Memory hook
Drug, trend, urgent cue, protective action, and reassessment endpoint.

NCLEX decision rule
Choose the action that prevents the most immediate medication-related harm while preserving indicated treatment and required monitoring.

Why the other choices are wrong
Options that continue a suspect exposure, normalize a labeled danger cue, or delay escalation leave the client at risk.

References

1DailyMed: TRUQAP (capivasertib)Severe hyperglycemia and ketoacidosis recognition, immediate interruption, glucose monitoring, diarrhea, and cutaneous toxicity

Clinical scenario

Oncology medication-safety review
Verify indication, current assessment, laboratory and oxygen trends, interactions, urgent toxicity cues, authorized action, and measurable follow-up.

Browse all questions No login required

Master the NCLEX-RN with MyMerci

Thousands of NCLEX-style questions with detailed rationale — in your language. Track your progress and study smarter.

Start for free

App Store Google Play

Read in another language: English 한국어 日本語繁體中文 Tiếng Việt

For study reference only. Always follow current clinical guidelines and your institution’s protocols.

성장을 멈추지 마세요

A client taking capivasertib develops intense thirst, frequent urination, nausea, abdominal pain, deep rapid respirations, and positive serum ketones. Which action is the priority?

In-depth explanation

Clinical scenario

Master the NCLEX-RN with MyMerci