A home health nurse is visiting an older adult client who has Alzheimer's disease. His caregiver
tells the nurse she has been administering prescribed Lorazepam, 1 mg three times per day, to
the client for restlessness and anxiety during the past few days. For which of the following
adverse effects should the nurse assess the client?
A. low-grade fever
B. sedation
C. diuresis
D. tonic-clonic seizures - correct answer- B. sedation
,Lorazepam is a benzodiazepine with anti-anxiety and sedative effects. Older adult clients,
especially, are at risk for central nervous system depression even with low doses of
benzodiazepines. Clients who are 50 years or older can have a more profound and prolonged
sedation than younger clients.
A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg three times
daily PO and gabapentin 1,800 mg three times daily PO to manage pain. The client tells the
nurse, "I'm having pain that keeps me from doing what I'd like most of the time." Which of the
following additions should the nurse anticipate to the client's medication regimen?
A. oral meperidine
B. parenteral naloxone
C. parenteral diazepam
D. oral oxycodone - correct answer- D. oral oxycodone
,The client's current pain regimen consists of a nonopioid analgesic, naproxen, and an adjuvant
medication for neuropathic pain, gabapentin. According to the WHO analgesic ladder for
cancer pain management, the next addition to the pain regimen is an opioid for moderate pain.
Oxycodone is an oral opioid that relieves moderate to moderately severe pain; therefore, it is
an appropriate choice to add to the client's pain regimen.
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily,
but the client reports that she has been taking extra doses to promote weight loss. Which of
the following findings should indicate to the nurse that the client is dehydrated?
A. urine specific gravity 1.035
B. distended neck veins
C. BUN 18 mg/dL
D. bounding radial pulse - correct answer- A. urine specific gravity 1.035
, Oliguria, increased urine concentration, and an increase in urine specific gravity greater than
1.030 are expected findings in clients who are dehydrated.
A nurse is administering Adenosine via IV bolus for a client who has developed paroxysmal
atrial tachycardia. For which of the following findings should the nurse assess the client during
administration of Adenosine?
A. seizures
B. cinchonism
C. dyspnea
D. transient pallor of the face - correct answer- C. dyspnea
Dyspnea can occur during administration of adenosine due to bronchoconstriction. Since
adenosine has a very short half-life of about 10 seconds, this effect should be short-lived.
tells the nurse she has been administering prescribed Lorazepam, 1 mg three times per day, to
the client for restlessness and anxiety during the past few days. For which of the following
adverse effects should the nurse assess the client?
A. low-grade fever
B. sedation
C. diuresis
D. tonic-clonic seizures - correct answer- B. sedation
,Lorazepam is a benzodiazepine with anti-anxiety and sedative effects. Older adult clients,
especially, are at risk for central nervous system depression even with low doses of
benzodiazepines. Clients who are 50 years or older can have a more profound and prolonged
sedation than younger clients.
A hospice nurse is caring for a client who has cancer and is taking naproxen 250 mg three times
daily PO and gabapentin 1,800 mg three times daily PO to manage pain. The client tells the
nurse, "I'm having pain that keeps me from doing what I'd like most of the time." Which of the
following additions should the nurse anticipate to the client's medication regimen?
A. oral meperidine
B. parenteral naloxone
C. parenteral diazepam
D. oral oxycodone - correct answer- D. oral oxycodone
,The client's current pain regimen consists of a nonopioid analgesic, naproxen, and an adjuvant
medication for neuropathic pain, gabapentin. According to the WHO analgesic ladder for
cancer pain management, the next addition to the pain regimen is an opioid for moderate pain.
Oxycodone is an oral opioid that relieves moderate to moderately severe pain; therefore, it is
an appropriate choice to add to the client's pain regimen.
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40 mg daily,
but the client reports that she has been taking extra doses to promote weight loss. Which of
the following findings should indicate to the nurse that the client is dehydrated?
A. urine specific gravity 1.035
B. distended neck veins
C. BUN 18 mg/dL
D. bounding radial pulse - correct answer- A. urine specific gravity 1.035
, Oliguria, increased urine concentration, and an increase in urine specific gravity greater than
1.030 are expected findings in clients who are dehydrated.
A nurse is administering Adenosine via IV bolus for a client who has developed paroxysmal
atrial tachycardia. For which of the following findings should the nurse assess the client during
administration of Adenosine?
A. seizures
B. cinchonism
C. dyspnea
D. transient pallor of the face - correct answer- C. dyspnea
Dyspnea can occur during administration of adenosine due to bronchoconstriction. Since
adenosine has a very short half-life of about 10 seconds, this effect should be short-lived.
