A nurse is monitoring a client who is receiving morphine IV and amitriptyline PO. Which of the following findings indicates an adverse interaction between the prescribed medications?

Urinary retention

Diarrhea

Low-grade fever

Tachypnea

Answer and Explanation

The Correct Answer is A

A. Urinary retention can occur as an adverse effect of both morphine (opioid) and amitriptyline (anticholinergic), which can lead to difficulty urinating.

B. Diarrhea is not a common interaction between morphine and amitriptyline. In fact, morphine often causes constipation.

C. Low-grade fever is not a known adverse interaction between these two drugs.

D. Tachypnea is not a typical adverse effect of the combination of morphine and amitriptyline.

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Correct Answer is C

Explanation

A. Sodium polystyrene sulfonate should not be taken with sorbitol due to the risk of severe diarrhea and gastrointestinal complications.

B. Antacids can interfere with the effectiveness of sodium polystyrene sulfonate, as they alter gastrointestinal motility and affect potassium binding.

C. Monitoring electrolytes is essential because sodium polystyrene sulfonate can lead to electrolyte imbalances, particularly hypokalemia.

D. Sodium polystyrene sulfonate is administered orally or rectally, not intravenously.

A. Sodium B. WBC C. Glucose D. Hemoglobin

Correct Answer is D

Explanation

A. Sodium is not directly related to the effectiveness of epoetin alfa, which stimulates red blood cell production.

B. WBC count is not the primary marker for evaluating epoetin alfa therapy.

C. Glucose is not a key indicator of epoetin alfa effectiveness.

D. Hemoglobin is the key indicator because epoetin alfa is used to stimulate red blood cell production in clients with anemia due to chronic renal failure. The goal is to increase hemoglobin levels.

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A nurse is monitoring a client who is receiving morphine IV and amitriptyline PO. Which of the following findings indicates an adverse interaction between the prescribed medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a newly licensed nurse about administering sodium polystyrene sulfonate to a client. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is reviewing the laboratory data of a client who has chronic renal failure and is to receive epoetin alfa subcutaneously. Which of the following values should the nurse monitor to evaluate the effectiveness of the medication?

Correct Answer is D

Explanation

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