A nurse is assessing a client who has a transdermal fentanyl patch in place. Which of the following findings should the nurse document as an adverse effect of this medication?

Hypotension

Tachycardia

Diarrhea

Insomnia

Answer and Explanation

The Correct Answer is A

A.   Hypotension: Hypotension can occur as an adverse effect of fentanyl, particularly if the client experiences excessive sedation or respiratory depression. Fentanyl is a potent opioid analgesic
that can cause vasodilation and a decrease in blood pressure, especially when used in high doses or in susceptible individuals.
B.   Tachycardia: Tachycardia is not a typical adverse effect of fentanyl. Opioids like fentanyl typically cause bradycardia or have minimal effects on heart rate.
C.   Diarrhea: Diarrhea is not a common adverse effect of fentanyl. Opioids more commonly cause constipation due to their effects on gastrointestinal motility.

D.   Insomnia: Insomnia is not a typical adverse effect of fentanyl. Opioids typically cause sedation and can lead to drowsiness or somnolence, especially during initial use or when administered in high doses.

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Correct Answer is C

Explanation

A. Epoetin alfa is not administered intranasally.

B. Epoetin alfa is not administered orally because it would be destroyed by digestive enzymes and have poor absorption.
C. Epoetin alfa is typically administered subcutaneously, as it is a recombinant human erythropoietin that stimulates red blood cell production.
D. Epoetin alfa is not administered trans dermally.

A. Bradycardia B. Fever C. Hypertension D. Bradypnea

Correct Answer is A

Explanation

A. Bradycardia: Amiodarone, an antiarrhythmic medication, can cause bradycardia as an adverse effect due to its negative chronotropic effects on the heart's electrical conduction system. Bradycardia is a common adverse effect of amiodarone and requires monitoring during therapy.
B. Fever: Fever is not a typical adverse effect of amiodarone. If a client develops a fever while taking amiodarone, other potential causes should be investigated.
C. Hypertension: Hypertension is not a typical adverse effect of amiodarone. Amiodarone is more commonly associated with bradycardia and hypotension.
D. Bradypnea: Bradypnea, or slow respiratory rate, is not a typical adverse effect of amiodarone.

Respiratory adverse effects of amiodarone are more commonly related to pulmonary toxicity, such as pulmonary fibrosis or pneumonitis.

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A nurse is assessing a client who has a transdermal fentanyl patch in place. Which of the following findings should the nurse document as an adverse effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for epoetin alfa. Which of the following routes should the nurse plan to use for administration?

Correct Answer is C

Explanation

A nurse is assessing the vital signs of a client who is taking amiodarone. The nurse should anticipate which of the following findings as an adverse effect of the medication?

Correct Answer is A

Explanation

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