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A nurse is caring for a client who is taking triamterene. For which of the following laboratory values should the nurse withhold the medication?

BUN 16 mg/dL

Potassium 5.3 mEq/L

Sodium 142 mEq/L

Albumin 4 g/dL

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A BUN level of 16 mg/dL is within a normal range.

Choice B rationale:

A potassium level of 5.3 mEq/L is higher than the normal range (typically 3.5-5.0 mEq/L). Triamterene is a potassium-sparing diuretic, and if the client's potassium level is already elevated, it should be withheld to prevent hyperkalemia.

Choice C rationale:

A sodium level of 142 mEq/L is within a normal range.

Choice D rationale:

An albumin level of 4 g/dL is within a normal range.

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Correct Answer is A

Explanation

Choice A rationale:

Pruritus, or itching, is a common adverse effect of opioid medications like morphine.

Choice B rationale:

Gastric bleeding is not a typical adverse effect of morphine administered via epidural infusion.

Choice C rationale:

Tachypnea, or rapid breathing, is not a common adverse effect of morphine. It's more commonly associated with opioid overdose.

Choice D rationale:

Cough is not a prominent adverse effect of morphine administered via epidural infusion.

A. Increased pain relief B. Increased respiratory rate C. Decreased blood pressure D. Decreased nausea

Correct Answer is B

Explanation

Choice A rationale:

Increased pain relief is not a therapeutic effect of naloxone, but rather an adverse effect of morphine. Naloxone would reduce the analgesic effect of morphine and increase the pain sensation in the client.

Choice B rationale:

Naloxone is an opioid antagonist that reverses the effects of opioids, such as morphine, on the central nervous system. One of the main adverse effects of opioids is respiratory depression, which can lead to hypoxia and death. Naloxone restores normal breathing by blocking the opioid receptors in the brain and spinal cord. Therefore, a therapeutic effect of naloxone is increased respiratory rate.

Choice C rationale:

Decreased blood pressure is not a therapeutic effect of naloxone, but rather a possible side effect of morphine. Naloxone would not affect the blood pressure significantly, unless the client had severe hypotension due to opioid overdose.

Choice D rationale:

Decreased nausea is not a therapeutic effect of naloxone, but rather a possible side effect of morphine. Naloxone would not affect the gastrointestinal system, unless the client had severe nausea and vomiting due to opioid overdose.

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A nurse is caring for a client who is taking triamterene. For which of the following laboratory values should the nurse withhold the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following adverse effects?

Correct Answer is A

Explanation

A nurse is administering naloxone to a client who has developed an adverse action to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone?

Correct Answer is B

Explanation

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