A nurse is preparing to administer nalbuphine to a postoperative client who is experiencing pain. The nurse should monitor the client for Which of the following potential adverse effects of this medication?

Oliguria

Diarrhea

Miosis

Joint pain

Answer and Explanation

The Correct Answer is C

Miosis, or constriction of the pupil, is a common side effect of opioid analgesics like nalbuphine.
A. Oliguria, or decreased urine output, is not a common adverse effect of opioids
B. Constipation is a more common gastrointestinal side effect of opioid analgesics.
D. Nalbuphine is an opioid analgesic that helps relieve pain including joint pain. Joint pain is not as adverse effect of nalbuphine

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Correct Answer is C

Explanation

Administering the blood as ordered is the right action to take. This is because type O negative blood group is a universal donor and can be safely given to all blood groups.

Completing an incident report is not necessary. This is because type O negative blood group is safe when given to recipients of all blood groups.

Contacting the provider is unnecessary at this point. The type O negative blood group is safe and hence no need for further clarification.

Type O negative blood is a universal donor and is safe in this client. It is therefore, unnecessary to notify the blood bank.

A. Expect urinary output to decrease while on this medication B. Take the extended release tablets whole. C. Take the extended release tablets on an empty stomach. D. Add an antacid if the medication causes indigestion.

Correct Answer is B

Explanation

Extended release potassium chloride tablets should be taken whole to avoid rapid release of the potassium which may lead to hyperkalemia and GI irritation.

A. Diuretic therapy increases urine output through reduction of water reabsorption. Potassium supplementation does not interfere with its action.

C. Taking potassium chloride with food or after meals is recommended to reduce the risk of gastrointestinal irritation or discomfort.

D. Antacids interfere with the absorption of potassium chloride leading to inadequate supplementation.

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A nurse is preparing to administer nalbuphine to a postoperative client who is experiencing pain. The nurse should monitor the client for Which of the following potential adverse effects of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer blood to a client. The unit of blood on hand is type O negative, and the client has type A positive blood. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is providing teaching for a client who is on diuretic therapy and has a new prescription for potassium chloride (KCL) 20 mEq extended release PO daily. Which of the following instructions should the nurse provide about the new prescription?

Correct Answer is B

Explanation

A nurse is providing discharge teaching to a client Who has pulmonary tuberculosis and a new prescription for rifampin. Which of the following information should the nurse provide?

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A nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching?

A nurse is providing discharge instructions to a client Who has asthma and a new prescription for montelukast. The nurse should instruct the client to report Which of the following adverse effects to the provider?

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A nurse is caring for a client who has a traumatic head injury and is exhibiting signs of increasing intracranial pressure. Which Of the following medications should the nurse plan to administer?

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?