A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?

Nalbuphine

Acetaminophen

Ondansetron

Insulin glargine

Answer and Explanation

The Correct Answer is A

Nalbuphine is also an opioid like morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.

The other drugs do not have any significant interaction with morphine. C- An analgesic , C- Ondansetron- antiemetic, Insulin glargine- an form of insulin used in diabetes

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Correct Answer is C

Explanation

allow them to reach room temperature, which reduces the risk of discomfort or complications from infusing a cold solution.

A-Weight measures are not necessary to evaluate the effectiveness of the TPN

B-Daily WBCs are not necessary unless infection is suspected C-Refrigeration of TPN is not necessary

D It is crucial to change the TPN solution regularly to prevent contamination and minimize the risk of infection. Typically, TPN solutions are changed every 24 hours to maintain freshness and reduce the risk of bacterial growth.

A. “Consumption of a high-protein meal can reduce the effectiveness of the medication” B. "You can experience vivid nightmares." C. "You may notice your urine becomes lighter in color." D. "The medication can cause nausea, so take with a meal." E. "This medication can make you light-headed if you stand up too quickly from a seated or lying position." F. "You may initially notice an increase in involuntary movements."

Correct Answer is ["A","B","D","E","F"]

Explanation

The medication causes a harmless discoloration or urine (Levodopa causes darkening of urine rather than lightening), high protein intake interferes with the availability of the medication in the CNS, The medication causes orthostatic hypotension and dizziness, The medication should be taken with a meal if nausea and vomiting occurs, Initially the medication can cause dyskinesia which should be reported, The medication also cause hallucinations and sleep disturbances

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A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Explanation

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