The nurse is reinforcing medication teaching with a client. The nurse explains that side effects are most likely to occur.

at the start of medication therapy

when clients take medication on an empty stomach

when clients like high doses of medication

when clients take multiple medications

Answer and Explanation

The Correct Answer is A

A. At the start of medication therapy: Side effects are most common when a client first begins taking a new medication because the body is not yet accustomed to the drug. Over time, tolerance may develop, and some side effects may diminish.

B. When clients take medication on an empty stomach – Some medications cause more side effects when taken on an empty stomach (e.g., NSAIDs causing gastritis), but this is not true for all medications.

C. When clients take high doses of medication – Higher doses may increase the risk of toxicity rather than routine side effects.

D. When clients take multiple medications – Drug interactions are more likely when taking multiple medications, but this does not mean that side effects are most common in this situation.

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Correct Answer is D

Explanation

A. Administering medications at different times: timing does not affect renal function monitoring.

B. Comparing the client’s armband with the MAR: this is a safety check, not a precaution for renal function.

C. Monitoring for a decrease in BUN and creatinine: a decrease does not indicate renal impairment.

D. Closely monitoring the client's BUN and creatinine for an increase from baseline: Renal function declines with age, increasing the risk of drug accumulation and toxicity. An increase in BUN (normal: 7-20 mg/dL) and creatinine (normal: 0.6-1.3 mg/dL) indicates worsening kidney function and necessitates medication adjustments.

A. Instruct the client to wait until you are completely finished before asking any questions B. Teach information at a 5th grade level C. Talk about the least important information in the beginning and the most important at the end D. Use teach back method and active learning

Correct Answer is D

Explanation

A. Instruct the client to wait until you are completely finished before asking any questions – This discourages client engagement and may prevent the nurse from addressing concerns in real time.

B. Teach information at a 5th-grade level – While simple language is beneficial, the level should be tailored to the client’s comprehension rather than assuming all clients understand at a 5th-grade level.

C. Talk about the least important information in the beginning and the most important at the end – Clients may have limited attention spans, and it is better to start with essential information.

D. Use teach-back method and active learning: The teach-back method ensures that the client understands the medication instructions by asking them to repeat the information. Active learning engages the client in the learning process, improving retention.

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The nurse is reinforcing medication teaching with a client. The nurse explains that side effects are most likely to occur.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notes a medication ordered for a client is advised to use with caution in the elderly due to declining renal function. Which of the following nursing interventions is an example of a precaution?

Correct Answer is D

Explanation

A nurse is assisting with teaching a client about a new medication. Which of the following strategies should the nurse to use?

Correct Answer is D

Explanation

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