A nurse is caring for a client who has a new prescription for lorazepam. For which of the following adverse effects should the nurse monitor?

Urinary retention

Dizziness

Decreased appetite

Hypertension

Answer and Explanation

The Correct Answer is B

A. Urinary retention: Urinary retention is not a typical adverse effect of lorazepam.
B. Dizziness: Lorazepam, a benzodiazepine, commonly causes CNS effects such as dizziness, drowsiness, and confusion.
C. Decreased appetite: Appetite changes are not commonly associated with lorazepam.
D. Hypertension: Lorazepam may cause hypotension, not hypertension, especially with IV administration.

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Correct Answer is C

Explanation

A. Dispose of the excess medication in the sharps container: Medication should not be disposed of in sharps containers; proper protocols must be followed.
B. Give the full contents of the prefilled syringe: Administering more than the prescribed dose can lead to overdose and adverse effects.
C. Discard the excess medication with a second nurse as a witness: Controlled substances, such as morphine, require a witness for proper disposal of unused portions.
D. Inject the prescribed dose and save the rest for later use: Leftover medication should never be saved for later, as this violates safety protocols and poses legal risks.

A. "Contact the provider if you experience unexplained muscle pain." B. "Take the medication at bedtime." C. "Discard excess medication after 60 days." D. "Inject the medication into the subcutaneous tissue of your abdomen."

Correct Answer is D

Explanation

A. "Contact the provider if you experience unexplained muscle pain.": Muscle pain is not a typical adverse effect of exenatide; this advice would apply to statins or drugs associated with rhabdomyolysis.
B. "Take the medication at bedtime.": Exenatide is usually taken twice daily, 1 hour before morning and evening meals, not at bedtime.
C. "Discard excess medication after 60 days.": Exenatide pens should typically be discarded 30 days after opening, not 60 days.
D. "Inject the medication into the subcutaneous tissue of your abdomen.": Correct. Exenatide is administered subcutaneously, typically in the abdomen, thigh, or upper arm.

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A nurse is caring for a client who has a new prescription for lorazepam. For which of the following adverse effects should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for morphine 4 mg IM stat. The medication is dispensed in a 5 mg/mL prefilled syringe. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is reinforcing discharge teaching with a client who has a new diagnosis of type 2 diabetes mellitus and a prescription for exenatide. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

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