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A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following adverse effects?

Pruritus

Gastric bleeding

Tachypnea

Cough

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Pruritus, or itching, is a common adverse effect of opioid medications like morphine.

Choice B rationale:

Gastric bleeding is not a typical adverse effect of morphine administered via epidural infusion.

Choice C rationale:

Tachypnea, or rapid breathing, is not a common adverse effect of morphine. It's more commonly associated with opioid overdose.

Choice D rationale:

Cough is not a prominent adverse effect of morphine administered via epidural infusion.

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Correct Answer is D

Explanation

Choice A rationale:

IV bolus administration of potassium is not appropriate due to the risk of cardiac arrhythmias.

Choice B rationale:

The formulation of potassium (potassium chloride) is appropriate for IV administration.

Choice C rationale:

Potassium chloride is typically diluted in normal saline (0.9% sodium chloride) for IV administration, not dextrose.

Choice D rationale:

The prescribed infusion rate of 30 mEq of potassium chloride over 30 minutes is too rapid and could lead to adverse effects, such as cardiac arrhythmias. The nurse should clarify the prescription and discuss a slower infusion rate with the provider.

A. "You should anticipate taking medication to treat your disease for at least the next 3 years." B. "You should report monthly to have your blood drawn to monitor kidney function while taking medication." C. "You will need to take two or more medications to treat your disease." D. "You will need to undergo tuberculin skin tests every 6 months while taking medication for your disease."

Correct Answer is C

Explanation

Choice A rationale:

The treatment duration for active pulmonary tuberculosis is usually shorter than 3 years.

Choice B rationale:

Monitoring kidney function is not the primary focus of tuberculosis medication management.

Choice C rationale:

Treatment for active pulmonary tuberculosis involves using a combination of two or more medications to prevent drug resistance and effectively treat the infection.

Choice D rationale:

Tuberculin skin tests are used for diagnosing tuberculosis, not for monitoring treatment progress.

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A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads, "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min." For which of the following reasons should the nurse clarify this prescription with the provider?

Correct Answer is D

Explanation

A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statements is appropriate for the nurse to make?

Correct Answer is C

Explanation

A nurse is administering naloxone to a client who has developed an adverse action to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone?

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A nurse is reviewing the medical record of a client who has sinusitis and a nem prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider?

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A nurse is caring for a client who is taking tamoxifen to treat breast cancer. The nurse should identify which of the following manifestations as an adverse effect of this medication?

A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?

A nurse is caring for a client who has breast cancer and reports pain 1 hr after administration of prescribed morphine 10 mg IV. Which of the following medications should the nurse expect to administer?

A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?