An 11-year-old client is having a cavity filled in the left mandibular first molar. The health care provider has prescribed aspirin for pain relief after the procedure. The nurse discovers upon assessment that the child is suffering from a flulike illness. The nurse contacts the health care provider about the prescribed medication for pain. What is the risk if aspirin is administered to this client?

Reye syndrome

Excess antiplatelet action

Asthma

Salicylate poisoning

Answer and Explanation

The Correct Answer is A

A. Reye syndrome is correct because administering aspirin to children, especially during viral illnesses like the flu, can lead to this serious and potentially fatal condition characterized by acute encephalopathy and liver failure.

B. Excess antiplatelet action is incorrect; while aspirin does have antiplatelet effects, this is not the primary concern in a child with a viral illness.

C. Asthma is incorrect; while some individuals with asthma may have sensitivity to aspirin, it is not specifically related to the child's flulike illness.

D. Salicylate poisoning is incorrect; while high doses of aspirin can lead to toxicity, the immediate risk in the context of flu-like illness is Reye syndrome, which is a more specific concern.

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Correct Answer is A

Explanation

A. A return to normal respiratory rate, rhythm, and depth is correct because opioid antagonists, such as naloxone, are primarily used to reverse the respiratory depression caused by opioid overdose.

B. Management of alcohol withdrawal symptoms is incorrect; opioid antagonists do not address alcohol withdrawal.

C. A reduction in the client's rating of their pain is incorrect; opioid antagonists counteract the effects of opioids, which can result in increased pain levels rather than reduction.

D. Alertness and improve memory function is incorrect; while opioid antagonists may improve alertness by reversing sedation, the primary goal focuses on restoring respiratory function.

A. Sodium levels B. Bone marrow function C. Calcium levels D. Potassium levels

Correct Answer is D

Explanation

A. Sodium levels are important to monitor, but they are not the primary concern with furosemide treatment.

B. Bone marrow function is not a direct concern related to furosemide therapy.

C. Calcium levels are less critical compared to potassium when monitoring a client on furosemide.

D. Potassium levels are correct because furosemide is a loop diuretic that can lead to significant potassium loss, putting the client at risk for hypokalemia, which can have serious cardiac implications.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When administering an opioid antagonist drug to a client, the primary goal of the therapy is to provide:

Correct Answer is A

Explanation

The nurse is caring for a client who is experiencing pulmonary edema. The client is treated with furosemide. What will the nurse monitor most closely?

Correct Answer is D

Explanation

The nursing instructor has been teaching about antivirals, actions, and effects. The instructor realizes that a student needs further instruction when the student makes which statement?

The nurse would contact the health care provider before administering an adrenergic drug to a client who is also taking which drug?

A client diagnosed with type 1 diabetes suddenly reports feeling weak, shaky, and dizzy. What should be the nurse's initial response?

A client with hypertension has had their ACE inhibitor discontinued and an angiotensin II receptor blocker prescribed. What factor may have contributed to this change in medication?

A patient who has been taking esomeprazole reports a new onset of muscle cramps. Which of the following might be the cause of this symptom?

The nurse is teaching a patient with type 2 diabetes about intermediate-acting insulin (NPH). Which of the following statements by the patient indicates a need for further teaching?

The nurse is teaching a client how to use nasal spray. What will the nurse include in the teaching plan? (Select all that apply.)

When researching information about a drug, the nurse finds that the drug tightly binds to protein. The nurse would interpret this to mean that the drug will: