A nurse is interviewing a client who was newly admitted prior to administering medications.
The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma."

For which of the following medications should the nurse withhold the dose and notify the provider?

Propranolol.

Isosorbide mononitrate.

Pantoprazole.

Montelukast.

Answer and Explanation

The Correct Answer is A

The nurse should withhold the dose of propranolol and notify the provider.

Using propranolol together with albuterol may reduce the benefits of both medications, since they have opposing effects in the body.

In addition, propranolol can sometimes cause narrowing of the airways, which may worsen breathing problems or trigger severe asthmatic attacks.

Choice B is wrong because there is no known interaction between albuterol and isosorbide mononitrate.

Choice C is wrong because there is no known interaction between albuterol and pantoprazole.

Choice D is wrong because there is no known interaction between albuterol and montelukast.

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Correct Answer is B

Explanation

Opioids such as morphine are used to relieve moderate to severe pain in cancer patients.

Choice A is wrong because ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that may be used to relieve mild pain, not moderate pain.

Choice C is wrong because acetaminophen may be used to relieve mild pain, not moderate pain.

Choice D is wrong because aspirin is an NSAID that may be used to relieve mild pain, not moderate pain.

A. Discard the vial of medication if the solution is cloudy. B. Shake the vial of medication to dissolve particulates. C. Dilute the vial of medication with sterile water. D. Thaw the medication in the vial 30 min before administration.

Correct Answer is A

Explanation

Discard the vial of medication if the solution is cloudy.

This is because epoetin alfa should not be used if it has been frozen or if it has changed color or has particles in it.

Choice B is wrong because the vial should not be shaken before use.

Choice C is wrong because epoetin alfa should not be diluted with sterile water or any other liquid.

Choice D is wrong because epoetin alfa should not be frozen and therefore does not need to be thawed before administration.

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A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

Nursing Test Bank

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A nurse is caring for a client who has cancer and reports moderate pain. Which of the following medications should the nurse expect to administer?

Correct Answer is B

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A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

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A nurse is interviewing a client who was newly admitted prior to administering medications.
The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma."

For which of the following medications should the nurse withhold the dose and notify the provider?