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A nurse is administering midazolam to a client who is undergoing an endoscopic procedure. The nurse should monitor the client for which of the following as an adverse effect of the medication?

Ringing in the ears

Urinary retention

Increased blood pressure

Respiratory depression

Answer and Explanation

The Correct Answer is D

A. Ringing in the ears (tinnitus) is not a common adverse effect of midazolam.

B. Urinary retention is not a common adverse effect of midazolam.

C. Midazolam typically causes decreased blood pressure, not increased blood pressure.

D. Respiratory depression is a potential adverse effect of midazolam, particularly when administered in higher doses or in combination with other central nervous system depressants.

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Correct Answer is A

Explanation

A. Oxycodone, like other opioid medications, can cause constipation, so advising the client to take a stool softener can help prevent or alleviate this common side effect.
B. Urinary frequency is not a common side effect of oxycodone.

C. There is no known association between oxycodone and sunlight exposure, so advising the client to minimize sunlight exposure is unnecessary.
D. Oxycodone can be taken with or without food, so there is no requirement to take it on an empty stomach.

A. Bruxism B. Confusion C. Insomnia D. Weight loss

Correct Answer is B

Explanation

A. Bruxism: Bruxism, or teeth grinding, is a potential adverse effect of citalopram but is generally less severe than confusion. While it should be monitored and reported if severe or persistent, it is not typically considered a priority adverse effect.
B. Confusion: Confusion can indicate a serious adverse reaction or complication, such as serotonin syndrome, which is a potentially life-threatening condition associated with the use of selective serotonin reuptake inhibitors (SSRIs) like citalopram. Therefore, confusion is the priority adverse effect to report to the provider.
C. Insomnia: Insomnia is a common side effect of citalopram and other SSRIs but is generally less severe than confusion. It should be monitored and reported if severe or persistent, but it is not typically considered a priority adverse effect.
D. Weight loss: Weight loss can occur as a side effect of citalopram but is generally less severe than confusion. It should be monitored and reported if excessive or rapid, but it is not typically considered a priority adverse effect.

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A nurse is administering midazolam to a client who is undergoing an endoscopic procedure. The nurse should monitor the client for which of the following as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an outpatient clinic is teaching a client who has a new prescription for oxycodone. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?

Correct Answer is B

Explanation

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