A nurse is assessing a client who has a transdermal fentanyl patch in place. Which of the following findings should the nurse document as an adverse effect of this medication?

Hypotension

Tachycardia

Diarrhea

Insomnia

Answer and Explanation

The Correct Answer is A

A.   Hypotension: Hypotension can occur as an adverse effect of fentanyl, particularly if the client experiences excessive sedation or respiratory depression. Fentanyl is a potent opioid analgesic
that can cause vasodilation and a decrease in blood pressure, especially when used in high doses or in susceptible individuals.
B.   Tachycardia: Tachycardia is not a typical adverse effect of fentanyl. Opioids like fentanyl typically cause bradycardia or have minimal effects on heart rate.
C.   Diarrhea: Diarrhea is not a common adverse effect of fentanyl. Opioids more commonly cause constipation due to their effects on gastrointestinal motility.

D.   Insomnia: Insomnia is not a typical adverse effect of fentanyl. Opioids typically cause sedation and can lead to drowsiness or somnolence, especially during initial use or when administered in high doses.

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

Taking the medication with orange juice (a) is advisable as vitamin C can enhance iron absorption

Notifying the provider about black stools is appropriate because it can indicate gastrointestinal bleeding, a potential side effect of ferrous sulfate.

Avoiding antacids while on ferrous sulfate is important because they can decrease the absorption of iron, so this statement demonstrates understanding.

Rinsing the mouth after taking ferrous sulfate can help prevent staining of the teeth, indicating understanding.

Taking the medication on an empty stomach enhances its absorption, so not understanding this instruction suggests a lack of comprehension.

A. "Consumption of a high protein meal can reduce the effectiveness of the medication." B. “You may notice your urine becomes lighter in color." C. "You may initially notice an increase in involuntary movements." "You can experience vivid nightmares." D. "The medication can cause nausea, so take with a meal" E. “This medication can make you light-headed if you stand up too quickly from a seated or lying position."

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

Explanation

A. "Consumption of a high protein meal can reduce the effectiveness of the medication."
High-protein meals can interfere with levodopa absorption in the intestine, reducing its effectiveness. Clients should consume protein in moderate amounts and distribute intake throughout the day.

B. "You may notice your urine becomes lighter in color."
Levodopa can cause urine, sweat, and saliva to become darker (brown, red, or black), not lighter. This is a harmless side effect but should be discussed with the client.

C. "You may initially notice an increase in involuntary movements."
Levodopa can cause dyskinesia (involuntary movements), especially with prolonged use or at higher doses. These movements can include facial twitching, jerking, or head bobbing.

D. "The medication can cause nausea, so take with a meal."
Levodopa can cause nausea, particularly when first starting the medication. Taking it with food can help reduce gastrointestinal discomfort, but avoiding high-protein meals is important.

E. "This medication can make you light-headed if you stand up too quickly from a seated or lying position."
Levodopa can cause orthostatic hypotension, leading to dizziness or light-headedness when changing positions. Clients should be advised to rise slowly to prevent falls.

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A nurse is assessing a client who has a transdermal fentanyl patch in place. Which of the following findings should the nurse document as an adverse effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

A nurse is caring for a client in a provider's office. Exhibits Which of the following statements should the nurse include when teaching the client about the prescribed LEVODPA? Select all that apply.

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

Explanation

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