A nurse is caring for a client who has a prescription for a fentanyl transdermal patch and had one patch applied 4 hr ago. The client reports breakthrough pain. Which of the following actions should the nurse take?

Provide a long-acting NSAID.

Apply heat to the patch.

Replace the patch with a new one.

Administer a short-acting opioid.

Answer and Explanation

The Correct Answer is D

A. A long-acting NSAID is not appropriate for breakthrough pain when a fentanyl patch is already in use, as it is not fast-acting enough.

B. Applying heat to the patch can increase the absorption of fentanyl, which could cause an overdose.

C. The fentanyl patch is a long-acting opioid, and a new patch should not be applied for breakthrough pain so soon.

D. A short-acting opioid is appropriate for treating breakthrough pain, as it provides rapid relief.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Dark stools could indicate gastrointestinal bleeding, a known side effect of enoxaparin, and should be reported immediately.

B. Enoxaparin should be injected subcutaneously, not into a muscle.

C. Enoxaparin is an anticoagulant and does not directly decrease bleeding; rather, it prevents blood clot formation.

D. Enoxaparin should be injected at a 90-degree angle into the subcutaneous tissue.

A. Alopecia B. Elevated liver enzymes C. Dry cough D. Jaundice E. Muscle weakness

Correct Answer is ["B","D","E"]

Explanation

A. Alopecia is not a common adverse effect of atorvastatin.

B. Elevated liver enzymes can occur with atorvastatin use and should be monitored.

C. Dry cough is not associated with atorvastatin, but it is a known side effect of ACE inhibitors.

D. Jaundice can indicate liver dysfunction, a potential side effect of atorvastatin, and should be reported.

E. Muscle weakness can be a sign of rhabdomyolysis, a serious adverse effect of atorvastatin.

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A nurse is caring for a client who has a prescription for a fentanyl transdermal patch and had one patch applied 4 hr ago. The client reports breakthrough pain. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is prescribed subcutaneous enoxaparin. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is providing teaching to a client about adverse effects of atorvastatin. Which of the following adverse effects should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

A nurse is caring for a client who received epidural anesthesia during hip surgery. Which of the following manifestations should the nurse monitor as an adverse reaction?

A nurse is teaching a newly licensed nurse about medication reconciliation. The nurse should instruct the newly licensed nurse to perform medication reconciliation for which of the following clients?

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A nurse is assessing a client prior to administering digoxin. Which of the following findings should the nurse immediately report to the provider?

A nurse is assessing a client who is taking combination oral contraceptives. Which of the following findings should the nurse report to the provider immediately?

A nurse is preparing to administer metoprolol to a client. Which of the following vital signs should the nurse assess before administration?

A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings should indicate to the nurse the client is experiencing an allergic reaction to the medication?