A nurse is providing teaching to a client who is taking raloxifene (Evista) to prevent postmenopausal osteoporosis. Which of the following options DOES NOT indicate an adverse effect of this medication?

Redness of the lower left leg

Swelling of the lower left leg

Jaundice

Tenderness of the lower left leg

Answer and Explanation

The Correct Answer is C

A.   Redness and swelling of the leg may indicate a deep vein thrombosis (DVT), which is a known risk with raloxifene.
B.   Swelling of the lower leg is a common sign of DVT, which is a potential side effect of raloxifene.
C.   Jaundice is not a typical adverse effect of raloxifene. However, if a client experiences jaundice, it could indicate a liver issue, and the medication should be reviewed.
D.   Tenderness in the lower leg could also indicate DVT, another serious adverse effect related to raloxifene.

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Correct Answer is C

Explanation

A. Morphine is contraindicated for clients with a history of biliary colic because it can cause spasm of the bile ducts, worsening the condition.
B. Acetaminophen is an effective pain reliever for mild to moderate pain but does not provide the same level of pain relief as morphine for severe pain.
C. Meperidine (Demerol) is a safer alternative for clients with biliary colic because it has less effect on the sphincter of Oddi, reducing the risk of spasm.
D. Naloxone is an opioid antagonist used to reverse opioid toxicity, not for pain management.

A. Petechiae B. Osteoporosis C. Pneumonia D. Diaphoresis

Correct Answer is A

Explanation

A. Petechiae is an early sign of acetaminophen toxicity. It indicates a potential bleeding disorder due to liver damage, which can occur from prolonged or high-dose use of acetaminophen.
B. Osteoporosis is not a symptom of acetaminophen toxicity.
C. Pneumonia is unrelated to acetaminophen toxicity and is more likely to occur due to infections.
D. Diaphoresis (sweating) is not a primary early symptom of acetaminophen toxicity, although it could occur in later stages of liver failure.

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A nurse is providing teaching to a client who is taking raloxifene (Evista) to prevent postmenopausal osteoporosis. Which of the following options DOES NOT indicate an adverse effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been newly prescribed with morphine sulfate (Astramorph) for severe acute pain after seeing the physician for a follow-up appointment. However, the nurse noted that the client has a history of biliary colic. What is an alternative to morphine sulfate (Astramorph) for this client?

Correct Answer is C

Explanation

A nurse is caring for a client who is taking acetaminophen (Tylenol) at regular intervals for mild pain. The nurse should tell the client to report which of the following early manifestations of acetaminophen toxicity?

Correct Answer is A

Explanation

A client has a new prescription for cyclobenzaprine (Flexeril). Which of the following statements should the nurse include as a therapeutic indication for this medication?

A nurse is educating a client about interactions with acetylsalicylic acid (Aspirin). Which of the following supplements increases the risk of bleeding in clients who are taking NSAIDs? (Select All That Apply.)

A nurse is evaluating the effectiveness of a medication for a client taking cyclobenzaprine (Flexeril). Which of the following statements indicate that the medication is effective for the client?

A nurse is educating a client with a new prescription of alendronate (Fosamax) for osteoporosis. Which of the following statements should the nurse include in her patient's education about this medication?

A nurse is planning care for a client who has completed a detoxification from opioid abuse disorder. The nurse should expect a prescription for which of the following medications for the treatment of opioid abuse?

A nurse is providing education to a client who has migraine headaches and has a new prescription for sumatriptan (Imitrex). Which manifestations Indicate a possible adverse reaction that the nurse should instruct the client to stop taking the medication and notify the provider?

A nurse is educating a client about dantrolene (Dantrium). Which of the following statements indicate the appropriate therapeutic use of this medication?

Which of the following medication acts as an antagonist on mu receptors and agonists of kappa receptors?