A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?

Insomnia

Constipation

Blurred vision

Bleeding

Answer and Explanation

The Correct Answer is D

A. Insomnia is not typically associated with aspirin therapy.
B. Constipation is not a common adverse effect of aspirin.
C. Blurred vision is not a common adverse effect of aspirin.
D. Aspirin is an antiplatelet medication and can increase the risk of bleeding, so monitoring for signs of bleeding (e.g., easy bruising, nosebleeds) is crucial.

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Correct Answer is A

Explanation

A. Dorsal recumbent position (lying on the back with knees flexed and feet flat on the bed) allows for easy access to administer vaginal cream and is comfortable for the client.
B. Prone position (lying face down) is not suitable for administering vaginal cream.
C. Sims' position (lying on the left side with the upper knee flexed and raised towards the chest) is used for rectal examinations or enemas, not vaginal cream administration.
D. Orthopneic position (sitting upright or leaning forward to breathe easier) is not appropriate for vaginal cream administration.

A. Administer the crushed medication through the NG tube. B. Administer the medication under the client's tongue. C. Request a prescription for an oral formulation of the medication. D. Dissolve the medication in water and give it through the NG tube.

Correct Answer is B

Explanation

A. Sublingual medications are meant to be absorbed under the tongue and should not be administered through an NG tube, which bypasses this route of absorption.
B. Administering the medication under the tongue is the correct route for sublingual administration. It ensures that the medication is allowed to dissolve completely and is not swallowed immediately. This allows for the intended rapid absorption through the sublingual route.
C. If a client has an NG tube and needs a medication that is typically given sublingually, the nurse should administer the medication under the tongue.
D. Dissolving sublingual medication in water for NG tube administration is not appropriate as it alters the intended route of absorption.

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A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a vaginal cream to a client. The nurse should instruct the client to lie in which of the following positions while in bed?

Correct Answer is A

Explanation

A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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