QUESTIONS CORRECTLY ANSWERED AND A+
GRADED.
A nurse is caring for a client who has cancer and is taking oral morphine and
docusate sodium. The nurse should instruct the client that taking the
docusate sodium daily can minimize which of the following adverse effects
of morphine?
A. constipation
B. drowsiness
C. facial flushing
D. itching
A. constipation
CONSTIPATION IS A COMMON ADVERSE EFFECT OF MORPHINE THAT CAN BE
MINIMIZED BY TAKING DOCUSATE SODIUM, A STOOL SOFTENER THAT
PROMOTES EASIER EVACUATION OF STOOL BY INCREASING WATER AND FAT
IN THE INTESTINE
A nurse is providing teaching to a client who is taking bupropion as an aid to
quit smoking. Which of the following findings should the nurse identify as an
adverse effect of the medication?
A. cough
B. joint pain
C. alopecia
D. insomnia
D. insomnia
BUPROPIION, AN ATYPICAL ANTIDEPRESSANT, HAS STIMULANT PROPERTIES,
WHICH CAN RESULT IN AGITATION, TREMORS, MANIA, AND INSOMNIA
A nurse is teaching a client about warfarin. The client asks if they can take
aspirin while taking the warfarin. Which of the following responses should
the nurse make?
,A. "it is safe to take an enteric-coated aspirin"
B. "aspirin will increase the risk of bleeding"
C. "acetaminophen may be substituted for aspirin"
D. "the INR lab work must be monitored more frequently if aspirin is taken"
B. "aspirin will increase the risk of bleeding"
ASPIRIN INHIBITS PLATELET AGGREGATION AND CAN POTENTIATE THE
ACTION OF THE ANTICOAGULANT WARFARIN. THEREFORE, THE CLIENT
SHOULD AVOID TAKING ASPIRIN BECAUSE IT INCREASES THE RISK FOR
BLEEDING
A nurse is instructing a client on the application of nitroglycerin transdermal
patches. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I should apply a patch every 5 minutes if I develop chest pain."
B. "I will take the patch off right after my evening meal"
C. "I will leave the patch off at least 1 day each week"
D. "I should discard the used patch by flushing it down the toilet"
B. "I will take the patch off right after my evening meal"
CLIENTS SHOULD REMOVE THE PATCH EACH EVENING FOR A MEDICATION
FREE TIME OF 12 TO 14 HR BEFORE APPLYING A NEW PATCH TO AVOID
DEVELOPING A TOLERANCE TO THE MEDICATION'S EFFECTS
A nurse is preparing to administer a scheduled antibiotic at 0800 to a client
and discovers the antibiotic is not present in the client's medication drawer.
The nurse should identify that administration of the medication can occur at
which of the following time periods without requiring an incident report?
A. 1000
B. 0900
C. 0830
D. 1200
C. 0830
THE NURSE SHOULD IDENTIFY THAT AN ANTIBIOTIC CAN BE ADMINISTERED
, 30 MIN BEFORE OR AFTER THE SCHEDULED TIME TO MAINTAIN THERAPEUTIC
BLOOD LEVELS WITHOUT REQUIRING AN INCIDENT REPORT
A nurse is providing discharge instructions to a client who has heart failure
and a new prescription for captopril. Which of the following client
statements indicates an understanding of the teaching?
A. "I should take the medication with food"
B. "I should take naproxen if I develop joint pain"
C. "I should tell my provider if I develop a sore throat"
D. "I should expect the medication to cause my urine to look orange"
C. "I should tell my provider if I develop a sore throat"
THE CLIENT SHOULD REPORT A SORE THROAT TO THE PROVIDER BECAUSE
THIS CAN INDICATE NEUTROPENIA, A SERIOUS ADVERSE EFFECT OF
CAPTOPRIL. NEUTROPENIA CAN BE REVERSED IF IT IS IDENTIFIED EARLY AND
THE MEDICATION IS PROMPTLY DISCONTINUED
A nurse is preparing to administer medications to a client who tells the
nurse, "I don't want to take my fluid pill until I get home today." Which of the
following actions should the nurse take?
A. document the refusal and inform the client's provider
B. file an incident report with the risk manager
C. contact the pharmacist to pick up the medication
D. give the client the medication to take home and document that it was
administered
A. document the refusal and inform the client's provider
THE NURSE HAS THE RESPONSIBILITY TO VERIFY THAT THE CLIENT
UNDERSTANDS THE RISKS OF REFUSING THE MEDICATION SO THAT AN
INFORMED DECISION CAN BE MADE. THEN NURSE SHOULD THEN BE
DOCUMENT THE REFUSAL IN THE CLIENT'S MEDICAL RECORD AND NOTIFY
THE HEALTH CARE PROVIDER
A nurse is reviewing the medication administration record of a client who
has hypocalcemia and a new prescription for IV calcium gluconate. The