A client is taking a drug that has potential toxic side effects. What will the nurse do?
Teach the client how to treat the symptoms if they develop.
Continue the drug even if the client has signs of toxicity.
Monitor the function of all organs potentially affected by the drug.
Discontinue the drug even if the client does not have signs of toxicity.
The Correct Answer is C
A) Teaching the client to treat symptoms is not sufficient; proactive monitoring is essential.
B) Continuing the drug despite signs of toxicity is not safe and may worsen the client's condition.
C) Regular monitoring of organ function is crucial to detect early signs of toxicity and prevent serious complications.
D) Discontinuing the drug without signs of toxicity may not be necessary, and the decision should be based on ongoing assessment and consultation with the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
a) Advising the client to avoid prolonged immobility and participate in exercise activities is a general health recommendation but not specifically related to warfarin therapy.
b) Safe and effective warfarin therapy requires rigid adherence to the dosing schedule to maintain therapeutic anticoagulation levels.
c) Monitoring PT/INR frequently initially and then regularly helps assess the effectiveness and safety of warfarin therapy.
d) Encouraging the use of NSAIDs is not recommended with warfarin due to the increased risk of bleeding.
e) Instructing the client to avoid foods high in Vitamin K is important because Vitamin K can interfere with the anticoagulant effects of warfarin.
Correct Answer is C
Explanation
A) Elevated temperature is not a typical reason to withhold morphine unless there are other concerns, such as infection.
B) Elevated blood pressure alone is not a reason to withhold morphine, but it should be considered in the context of the overall clinical picture.
C) A respiratory rate of 10 breaths per minute with low oxygen saturation indicates respiratory depression, which is a significant concern and a reason to withhold morphine.
D) An elevated heart rate alone is not a reason to withhold morphine, but it should be considered in the context of the overall clinical picture.
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