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 ["A","B"]

Explanation

A. Butorphanol is a mixed opioid agonist-antagonist that can cause withdrawal symptoms in opioid- dependent clients due to its partial antagonism at mu receptors.
B. Buprenorphine is a partial agonist at mu receptors and can also precipitate withdrawal symptoms in individuals who are opioid-dependent.
C. Oxycodone is a full agonist and does not cause withdrawal symptoms unless abruptly discontinued in opioid-dependent individuals.
D. Naloxone is an opioid antagonist used to reverse opioid overdose and is unlikely to cause abstinence syndrome, although it can precipitate withdrawal in opioid-dependent clients when used.

A. 30 to 60 seconds B. 1 to 2 minutes C. 4 to 5 minutes D. 4 to 5 seconds

Correct Answer is B

Explanation

A. Pushing morphine too quickly (within 30 to 60 seconds) can increase the risk of adverse effects.
B. To reduce the risk of respiratory depression, hypotension, and other adverse effects, morphine sulfate should be administered slowly over 1 to 2 minutes when given intravenously.
C. Pushing over 4 to 5 minutes is excessive and unnecessary for morphine IVP administration.
D. Pushing morphine too quickly (4 to 5 seconds) can cause serious complications, including respiratory depression.

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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 nurse is providing an in-service regarding medications that can cause abstinence syndrome. Which of the following medications can cause abstinence syndrome? (Select All That Apply.).

Correct Answer is ["A","B"]

Explanation

A nurse receives an order for morphine sulfate (Astramorph) to be administered as an intravenous push (IVP) for severe pain. When giving morphine sulfate (Astramorph) IVP, the nurse understands that this medication needs to be pushed for how long to prevent adverse reactions?

Correct Answer is B

Explanation

A nurse is preparing to administer naloxone (Narcan). The nurse understands that this medication has a rapid first-pass inactivation. Which of the route should the nurse NOT administer this medication?

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

A nurse is caring for a client that was overdosed with fentanyl. The nurse is concerned that the client is experiencing opioid toxicity triad. Which of the following signs indicate that the client is experiencing opioid toxicity triad? (Select All That Apply.).

A nurse is preparing an in-service presentation on medication classifications. Which of the following medications are considered opioid antagonists? (Select All That Apply.)

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 caring for a client with a prescription for celecoxib (Celebrex). The nurse tells the client to report which of the following adverse drug reactions?

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?