A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?

Blood pressure 140/86 mm Hg

Temperature 37.50 C (99.50 F)

Heart rate 65/min

Respiratory rate 10/min

Answer and Explanation

The Correct Answer is D

Respiratory rate of 10/min indicates respiratory depression which a potential adverse effect of morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.
A.- Elevated blood pressure is not directly related to morphine use . Could be an indication of pain
B.-Normal temperature
C.-Normal heart rate

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Correct Answer is D

Explanation

Rifampin, an antibiotic used to treat bacterial infections, can cause a reddish-orange discoloration of body fluids, including urine. This color change is due to the presence of rifampin metabolites, which are eliminated through the urine. The discoloration is a harmless side effect and is considered normal while taking the medication. It causes decreased effectiveness of oral contraceptives

A- Rifampin is an enzyme inducer that increases the rate of metabolism of oral contraceptive pills.

This leads to subtherapeutic levels that increases the risk of pregnancy.

B- The prescription may vary

C- Rifampin causes staining of contact lens and should, therefore, be avoided

A. Urine specific gravity B. Hemoglobin AIC (Hb AIC) C. Dual-energy x-ray absorptiometry (Dexa scan) D. Lumbar puncture

Correct Answer is C

Explanation

Alendronate is a bisphosphonate used in clients with osteoporosis of different origins. It is used to increase bone density. Dexa scan is used to assess bone mineral density in osteoporotic clients
A,B,D-Alendronate has no effect of urine specific gravity, Blood sugar levels or cerebrospinal fluid

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A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for rifampin. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse in a provider's office is evaluating the effectiveness of alendronate for a client who has osteoporosis. Which of the following diagnostic results should the nurse review?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?

A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to transcribe a prescription for a client that reads "ondansetron 8 mg by mouth every 12 hr PRN." Which of the following parts of the prescription should the nurse clarify with the provider?

A nurse is caring for a client who is experiencing severe vomiting. Which of the following medications should the nurse plan to administer?

A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion. Which of the following actions should the nurse take next?

A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?

A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?

A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?