A nurse is reviewing the medical record of a client who received medications 1 hour ago and reports having chest pain. The nurse should recognize that chest pain can be an adverse effect of which of the following medications?

Albuterol

Furosemide

Digoxin

Atenolol

Answer and Explanation

The Correct Answer is A

A. Albuterol: This is a bronchodilator that can cause side effects such as increased heart rate and chest pain due to its stimulant effect on the cardiovascular system.

B. Furosemide: This diuretic is unlikely to cause chest pain directly; however, it may lead to electrolyte imbalances that can indirectly affect cardiac function.

C. Digoxin: While digoxin has several potential side effects, chest pain is not commonly recognized as a direct adverse effect of this medication.

D. Atenolol: This medication is a beta-blocker used to manage hypertension and is unlikely to cause chest pain; rather, it may help alleviate angina symptoms.

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Correct Answer is B

Explanation

A. A decrease in the amount of gastric acid production: Alosetron is not used to decrease gastric acid production. This effect is more associated with medications such as proton pump inhibitors or H2 blockers.

B. A decrease in the frequency of defecation: Alosetron is used to treat irritable bowel syndrome with diarrhea (IBS-D) by reducing bowel movement frequency and improving stool consistency.

C. An increase in gastric motility: Alosetron works by decreasing intestinal motility, which helps reduce diarrhea, not by increasing it.

D. An increase in the absorption of water into the intestine: Alosetron does not specifically increase water absorption into the intestine. Its primary effect is slowing intestinal transit to reduce diarrhea.

A. Mostly cloudy B. Apical heart rate C. Blood pressure D. Respiratory rate E. Level of consciousness

Correct Answer is D

Explanation

A. Mostly cloudy: This option appears to be incorrectly stated. It does not pertain to a critical client assessment related to morphine administration.

B. Apical heart rate: Monitoring the heart rate is important, but respiratory depression is a more immediate and life-threatening concern with morphine administration, so it is not the first priority.

C. Blood pressure: Morphine can cause hypotension, but this is not as critical as respiratory depression, which must be assessed first in opioid administration.

D. Respiratory rate: The most critical assessment when administering morphine is the respiratory rate, as opioid medications like morphine can cause respiratory depression, which can be life-threatening if not addressed.

E. Level of consciousness: While important, changes in consciousness typically follow respiratory depression, so assessing the respiratory rate takes priority.

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A nurse is reviewing the medical record of a client who received medications 1 hour ago and reports having chest pain. The nurse should recognize that chest pain can be an adverse effect of which of the following medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new prescription for alosetron. Which of the following therapeutic effects should the nurse expect the client to experience?

Correct Answer is B

Explanation

A nurse is caring for a client who is receiving morphine. Which of the following assessments should the nurse perform first?

Correct Answer is D

Explanation

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