Question 1
The nurse is caring for a client with a diagnosis of venous thrombosis in the left lower leg
who is receiving heparin sodium by continuous intravenous (IV) infusion. The nurse would
monitor the client for which manifestation indicating an adverse effect of this therapy?
a. nausea
b. dark urine
c. left calf tenderness
d. increased blood pressure
CORRECT ANSWER
b. dark urine
The client who receives heparin sodium is at risk for bleeding. The nurse monitors for signs
of bleeding, which include bleeding from the gums, ecchymoses on the skin, red or dark
urine, black or red stools, and body fluids that test positive for occult blood. Tenderness is
likely to be noted in the area of the thrombosis. Nausea and increased blood pressure are
not signs of an adverse effect of the medication.
Question 2
A postoperative client has a prescription to begin short-term therapy with enoxaparin. The
nurse would plan to explain to the client that this medication is being prescribed for which
therapeutic action?
a. prevent pain
b. relieve back spasms
c. increase energy levels
d. reduce the risk of deep vein thrombosis
1
@THE STUDY VAULT
, CORRECT ANSWER
d. reduce the risk of deep vein thrombosis
Enoxaparin is an anticoagulant that is administered to prevent deep vein thrombosis and
thromboembolism in selected clients, such as postoperative clients after hip or knee
replacement therapy. It is not used to prevent pain, relieve back spasms, or increase energy
levels.
Question 3
The clinic nurse notes that a client is taking metoprolol. The nurse would perform which
assessment to determine medication effectiveness?
a. take client's temperature
b. take client's blood pressure
c. check client's peripheral pulses
d. check client's for peripheral vision
CORRECT ANSWER
b. take client's blood pressure
Metoprolol is a beta blocker that is used to treat mild-to-moderate hypertension. Therefore,
to determine medication effectiveness, the nurse would monitor the client's blood pressure.
Options 1, 3, and 4 are unrelated to the medication's effectiveness.
Question 4
Bupropion is prescribed for a client to treat an anxiety disorder. The nurse would tell the
client that which is a common side effect of the medication?
a. diarrhea
b. dry mouth
2
@THE STUDY VAULT
The nurse is caring for a client with a diagnosis of venous thrombosis in the left lower leg
who is receiving heparin sodium by continuous intravenous (IV) infusion. The nurse would
monitor the client for which manifestation indicating an adverse effect of this therapy?
a. nausea
b. dark urine
c. left calf tenderness
d. increased blood pressure
CORRECT ANSWER
b. dark urine
The client who receives heparin sodium is at risk for bleeding. The nurse monitors for signs
of bleeding, which include bleeding from the gums, ecchymoses on the skin, red or dark
urine, black or red stools, and body fluids that test positive for occult blood. Tenderness is
likely to be noted in the area of the thrombosis. Nausea and increased blood pressure are
not signs of an adverse effect of the medication.
Question 2
A postoperative client has a prescription to begin short-term therapy with enoxaparin. The
nurse would plan to explain to the client that this medication is being prescribed for which
therapeutic action?
a. prevent pain
b. relieve back spasms
c. increase energy levels
d. reduce the risk of deep vein thrombosis
1
@THE STUDY VAULT
, CORRECT ANSWER
d. reduce the risk of deep vein thrombosis
Enoxaparin is an anticoagulant that is administered to prevent deep vein thrombosis and
thromboembolism in selected clients, such as postoperative clients after hip or knee
replacement therapy. It is not used to prevent pain, relieve back spasms, or increase energy
levels.
Question 3
The clinic nurse notes that a client is taking metoprolol. The nurse would perform which
assessment to determine medication effectiveness?
a. take client's temperature
b. take client's blood pressure
c. check client's peripheral pulses
d. check client's for peripheral vision
CORRECT ANSWER
b. take client's blood pressure
Metoprolol is a beta blocker that is used to treat mild-to-moderate hypertension. Therefore,
to determine medication effectiveness, the nurse would monitor the client's blood pressure.
Options 1, 3, and 4 are unrelated to the medication's effectiveness.
Question 4
Bupropion is prescribed for a client to treat an anxiety disorder. The nurse would tell the
client that which is a common side effect of the medication?
a. diarrhea
b. dry mouth
2
@THE STUDY VAULT
