The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban.
Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?

Diminished ability to taste and smell food.

Genital itching and burning with discharge.

Hard, dry stools that are difficult to pass.

Appearance of bruising in arms and legs.

Answer and Explanation

The Correct Answer is D

The correct answer is Choice D. Rationale:

Rivaroxaban is an anticoagulant medication used to treat and prevent blood clots. One of the common side effects of rivaroxaban is bruising. This occurs because rivaroxaban prevents blood clots by thinning the blood, which can lead to increased bleeding and bruising. If a patient on rivaroxaban presents with the appearance of bruising in arms and legs, it could indicate excessive bleeding, which is a serious side effect that should be reported immediately.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

Famotidine is a type of medication known as an H2 blocker, which decreases the amount of
acid produced in the stomach. While it can indirectly lead to better sleep by reducing
discomfort, decreased nighttime awakenings is not a direct indicator of its effectiveness.
Choice B rationale
A positive stool antigen test is used to detect the presence of certain bacteria in the
gastrointestinal tract. It is not directly related to the action of famotidine.
Choice C rationale
Weight loss is not a typical result of famotidine use. If a patient experiences significant weight
loss, other causes should be investigated.
Choice D rationale
Famotidine is used to treat conditions like ulcers, gastroesophageal reflux disease (GERD), and
conditions where the stomach produces too much acid, like Zollinger-Ellison syndrome.
Reduced epigastric pain indicates that the medication is effectively reducing stomach acid and
therefore, alleviating symptoms.

A. Observe the client for development of involuntary movements of the lips and tongue. B. Administer the medication at least 30 minutes before the client’s meals. C. Assess the skin daily for areas of ecchymosis or other signs of bleeding. D. Ensure peak and trough serum levels are collected with the third dose of medication.

Correct Answer is C

Explanation

Choice A rationale

Involuntary movements of the lips and tongue are typically associated with antipsychotic medications, not nonsteroidal anti-inflammatory drugs (NSAIDs) like ketorolac15. Therefore, observing the client for these symptoms would not be a relevant intervention for a client taking ketorolac15.

Choice B rationale

Administering the medication at least 30 minutes before meals is not a specific requirement for ketorolac15. Therefore, this would not be a necessary intervention for a client taking this medication15.

Choice C rationale

Ketorolac, like other NSAIDs, can increase the risk of bleeding15. This can manifest as areas of ecchymosis (bruising) or other signs of bleeding on the skin15. Therefore, assessing the skin daily for these signs would be an important intervention for a client taking ketorolac15.

Choice D rationale

Peak and trough serum levels are typically monitored for medications with a narrow therapeutic index, such as certain antibiotics15. Ketorolac does not typically require

monitoring of serum levels15. Therefore, ensuring peak and trough serum levels are collected would not be a necessary intervention for a client taking this medication15.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban. Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been prescribed intravenous (IV) famotidine. Which observation would indicate to the practical nurse (PN) that the medication is having the desired effect?

Correct Answer is D

Explanation

The practical nurse (PN) is helping with the care plan for a client who is taking the nonsteroidal anti-inflammatory drug ketorolac for painful back muscle spasms. What intervention should the PN include in the client’s care plan?

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

Review the patient data history and physical flow sheet. Mark whether the assessment finding represents a therapeutic result of the minoxidil administered, a nontherapeutic side effect, or an unrelated finding.

A patient with an overactive bladder has recently started taking oxybutynin. What observation should the practical nurse (PN) report to the charge nurse during the patient’s assessment prior to administering the medication?

The practical nurse (PN) is caring for a client who has a finger stick blood glucose result of 130 mg/dL (7.21 mmol/L). Prior to administering the scheduled dose of acarbose, the PN is informed that the morning meal trays will be delayed 30 minutes. Which action should the PN take?

A client receives a prescription for drospirenone. Which symptom should the practical nurse (PN) report to the healthcare provider?

What action should the practical nurse (PN) instruct the client to perform prior to the instillation of nasal drops?

A patient with angina pectoris has been discharged with a new prescription for nitroglycerin tablets. What is the most important instruction for the practical nurse (PN) to emphasize to the patient regarding the administration of nitroglycerin?

Which symptom reported by a client indicates that the practical nurse (PN) should notify the healthcare provider before giving a scheduled dose of propranolol?

A client who is taking sildenafil 50 mg by mouth (PO) as needed (PRN), reports experiencing visual changes to the practical nurse (PN). Which instruction should the PN give to the client?

The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban.
Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?