A nurse is monitoring a client who has just returned to the unit following surgery. The client received an initial dose of morphine 5 mg IV bolus for pain relief. Which of the following adverse effects should the nurse report immediately to the provider?
Respiratory rate 11/min
When using the ...
Pharmacology Content Mastery Review
A nurse is monitoring a client who has just returned to the unit following surgery. The client
received an initial dose of morphine 5 mg IV bolus for pain relief. Which of the following adverse
effects should the nurse report immediately to the provider? - correct answer Respiratory rate
11/min
When using the airway, breathing, circulation approach to client care, the priority finding is a
respiratory rate of 11/min indicating respiratory depression.
A nurse is reinforcing teaching with a client who is prescribed captopril for hypertension. Which
of the following side effects should the nurse instruct the client to report to the provider
immediately? - correct answer Sore throat
The greatest risk to the client is infection related to neutropenia. Unexplained fever, sore throat,
and fatigue can indicate an infection and should be immediately reported to the provider.
A nurse is reinforcing teaching with a client who has a new prescription for spironolactone for
hypertension. Which of the following instructions should the nurse include in the teaching? -
correct answer Restrict foods high in potassium.
Spironolactone is a potassium-sparing diuretic, which can cause hyperkalemia. Therefore, the
client should restrict foods that are high in potassium.
A nurse is reinforcing teaching with a client about the adverse effects of simvastatin. For which
of the following adverse effects should the nurse instruct the client to monitor? - correct answer
Muscle pain
The nurse should instruct the client to notify the provider if muscle pain or tenderness
develops, because this could indicate rhabdomyolysis.
A nurse is performing the third check before administering hydromorphone to a client. After
opening the unit-dose packet, the client tells the nurse he does not want to take the medication
now. Which of the following actions should the nurse take? - correct answer Dispose of the
medication with a second nurse as a witness.
The nurse must have a witness when disposing of a controlled substance.
, A nurse is caring for a client who is prescribed an IM injection of penicillin G benzathine. The
client asks why the injection must be given IM instead of through his IV line. Which of the
following is the correct response by the nurse? - correct answer "Your medication can't be given
IV because it is not water-soluble."
Medications cannot be administered IV if they are not water-soluble.
A nurse is assisting with the care of a client who is in preterm labor and is receiving magnesium
sulfate by continuous IV infusion. Which of the following findings indicats magnesium toxicity? -
correct answer Hyporeflexia
Magnesium sulfate depresses neuromuscular activity, leading to muscle weakness and paralysis.
Therefore, hyporeflexia can indicate magnesium toxicity.
A nurse is reinforcing teaching with a client who is prescribed a scopolamine patch for motion
sickness. Which of the following client statements indicates an understanding of the teaching? -
correct answer "I should place the patch behind my ear."
The client should place the scopolamine patch behind the ear.
A nurse is monitoring a client who is receiving IV amphotericin B. Which of the following
findings indicates an adverse reaction to this medication? - correct answer Vertigo
Ototoxicity is an adverse effect of amphotericin B. Manifestations of ototoxicity include vertigo,
tinnitus, and hearing loss.
A nurse is reinforcing teaching with a client who is using phenylephrine nasal spray three times
daily and reports rebound congestion. Which of the following instructions should the nurse
include to reduce the effects of rebound congestion? - correct answer "Discontinue use in the
left nostril, then in the right nostril."
Discontinuing the drug one nostril at a time can overcome rebound congestion.
A nurse is caring for a client who has just received a prescription for tolbutamide to treat
diabetes mellitus. The nurse should question the prescription if the client reports which of the
following medication allergies? - correct answer Trimethoprim/sulfamethoxazole
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