Which newly prescribed medication will require a nurse to monitor the client for therapeutic response or adverse reaction 30 minutes post administration?

Hydromorphone.

Ondansetron.

Naloxone.

Enoxaparin.

Answer and Explanation

The Correct Answer is A

A. Hydromorphone is a potent opioid analgesic. It has a rapid onset of action, typically within 10–30 minutes when given intravenously, and slightly longer for subcutaneous or intramuscular administration. Nurses must monitor for both therapeutic effects, such as pain relief, and adverse reactions, including respiratory depression, sedation, hypotension, and nausea, within the first 30 minutes after administration. This close observation period is critical because opioid-related complications can occur quickly.

B. Ondansetron is an antiemetic used to prevent or treat nausea and vomiting. While it is important to monitor the client for effectiveness and possible side effects (e.g., headache, constipation, or QT prolongation), these typically do not require intensive monitoring immediately after administration.

C. Naloxone is an opioid antagonist used to reverse opioid overdose. Its effect occurs within minutes, often faster than 30 minutes, and monitoring focuses on respiratory status and reversal of opioid effects. While rapid observation is essential, its use is generally for emergency situations rather than routine post-administration monitoring of a newly prescribed medication.

D. Enoxaparin is a low-molecular-weight heparin used for anticoagulation. Monitoring focuses on signs of bleeding or thrombocytopenia, and therapeutic effect is generally assessed over days, not minutes after administration. Immediate post-administration monitoring within 30 minutes is usually not required for routine doses.

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Free Nursing Study Resources

Correct Answer is ["B","C","D","E"]

Explanation

A. Written at a twelfth-grade reading level is not appropriate for most older adults. Health education materials should be written at a fifth- to eighth-grade reading level to ensure comprehension and reduce health literacy barriers. Therefore, this option is incorrect.

B. Contains a list with definitions of unfamiliar terms is important because older adults may encounter medical terminology that is unfamiliar. Providing clear definitions helps improve understanding, supports safe medication use, and empowers patients to follow treatment instructions accurately.

C. Uses pictures to help illustrate complex ideas enhances comprehension, especially for older adults who may have cognitive decline or difficulty understanding abstract concepts. Visual aids can clarify instructions and make educational materials more engaging and memorable.

D. Printed using a 12-point type font is essential for older adults who may have visual impairments. Larger, clear fonts improve readability and reduce eye strain, making it easier for clients to read and understand the material independently.

E. Uses common words with few syllables simplifies the content, making it easier for clients to understand and remember instructions. Avoiding complex language reduces the risk of misinterpretation and promotes adherence to the prescribed treatment plan.

A. Left femoral pulse volume. B. Pain characteristics on the left leg. C. Range of motion in the left leg. D. Circumference of the left calf.

Correct Answer is B

Explanation

A. Assessing peripheral pulses is important to evaluate circulation and detect compromised blood flow. However, in acute osteomyelitis, circulation is usually not immediately life-threatening unless there are signs of compartment syndrome or vascular compromise.

B. Pain is the most critical assessment in acute osteomyelitis. Sudden worsening pain, especially if severe or unrelieved by medication, may indicate complications such as abscess formation, increased infection, or early compartment syndrome, which require prompt intervention. Evaluating pain first allows the nurse to prioritize immediate interventions to prevent further tissue damage or systemic infection.

C. While assessing joint mobility helps identify functional limitations and guide rehabilitation, it is secondary to evaluating pain and potential infection complications. Moving the affected limb before addressing pain could worsen discomfort or injury.

D. Measuring calf circumference is useful to monitor swelling or edema, which can indicate infection progression or vascular issues. However, this is a secondary assessment compared to evaluating acute pain that could signal serious complications.

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Which newly prescribed medication will require a nurse to monitor the client for therapeutic response or adverse reaction 30 minutes post administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is developing an educational program for older adult clients who are being discharged with new antihypertensive medications. The nurse should ensure that the educational materials include which characteristic(s)? Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

The nurse is caring for a client with acute osteomyelitis in the left lower extremity secondary to a traumatic foot injury. Which assessment should the nurse complete first?

Correct Answer is B

Explanation

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