A nurse is caring for a client with a new prescription for alendronate (Fosamax). Which of the following symptoms indicate a possible complication of this medication?

Inflammation on the calf

Drowsiness

Dysphagia

Nausea

Answer and Explanation

The Correct Answer is C

A.   Inflammation on the calf is not a common complication of alendronate.
B.   Drowsiness is not typically associated with alendronate.
C.   Dysphagia (difficulty swallowing) can be a sign of esophageal irritation or ulceration, which are known complications of alendronate. Clients should be instructed to take the medication with a full glass of water and remain upright for at least 30 minutes after administration.
D.   Nausea is a common side effect, but dysphagia is a more serious concern that requires attention.

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Correct Answer is B

Explanation

A. Pushing morphine too quickly (within 30 to 60 seconds) can increase the risk of adverse effects.
B. To reduce the risk of respiratory depression, hypotension, and other adverse effects, morphine sulfate should be administered slowly over 1 to 2 minutes when given intravenously.
C. Pushing over 4 to 5 minutes is excessive and unnecessary for morphine IVP administration.
D. Pushing morphine too quickly (4 to 5 seconds) can cause serious complications, including respiratory depression.

A. Coma B. Respiratory depression C. Dilated pupils D. Pinpoint pupils

Correct Answer is ["A","B","D"]

Explanation

A. Coma is a common symptom of opioid toxicity, including toxicity from fentanyl.
B. Respiratory depression is a hallmark of opioid toxicity and can be life-threatening.
C. Dilated pupils are generally associated with stimulant overdose, not opioid toxicity. Opioid toxicity typically causes pinpoint pupils.
D. Pinpoint pupils (miosis) are a classic sign of opioid toxicity and are present in the opioid toxicity triad.

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A nurse is caring for a client with a new prescription for alendronate (Fosamax). Which of the following symptoms indicate a possible complication of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse receives an order for morphine sulfate (Astramorph) to be administered as an intravenous push (IVP) for severe pain. When giving morphine sulfate (Astramorph) IVP, the nurse understands that this medication needs to be pushed for how long to prevent adverse reactions?

Correct Answer is B

Explanation

A nurse is caring for a client that was overdosed with fentanyl. The nurse is concerned that the client is experiencing opioid toxicity triad. Which of the following signs indicate that the client is experiencing opioid toxicity triad? (Select All That Apply.).

Correct Answer is ["A","B","D"]

Explanation

A nurse is preparing an in-service presentation on medication classifications. Which of the following medications are considered opioid antagonists? (Select All That Apply.)

A nurse is providing education to a client who has migraine headaches and has a new prescription for sumatriptan (Imitrex). Which manifestations Indicate a possible adverse reaction that the nurse should instruct the client to stop taking the medication and notify the provider?

A client has a new prescription for cyclobenzaprine (Flexeril). Which of the following statements should the nurse include as a therapeutic indication for this medication?

A nurse is evaluating the effectiveness of a medication for a client taking cyclobenzaprine (Flexeril). Which of the following statements indicate that the medication is effective for the client?

A nurse is educating a client about interactions with acetylsalicylic acid (Aspirin). Which of the following supplements increases the risk of bleeding in clients who are taking NSAIDs? (Select All That Apply.)

A nurse is caring for a client who has overdosed on morphine sulfate (Astramorph) and was provided naloxone (Narcan) via subcutaneous route 15 minutes ago. Which of the following signs indicate that the client has abstinence syndrome? (Select All That Apply.).

A nurse is planning care for a client who has completed a detoxification from opioid abuse disorder. The nurse should expect a prescription for which of the following medications for the treatment of opioid abuse?