A nurse is preparing to administer nalbuphine to a postoperative client who is experiencing pain. The nurse should monitor the client for Which of the following potential adverse effects of this medication?
Oliguria
Diarrhea
Miosis
Joint pain
The Correct Answer is C
Miosis, or constriction of the pupil, is a common side effect of opioid analgesics like nalbuphine.
A. Oliguria, or decreased urine output, is not a common adverse effect of opioids
B. Constipation is a more common gastrointestinal side effect of opioid analgesics.
D. Nalbuphine is an opioid analgesic that helps relieve pain including joint pain. Joint pain is not as adverse effect of nalbuphine
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
It is recommended that every injection of phenytoin be followed by infusion of at least 50 to 100mls of normal saline infusion. This is important to prevent local irritation that occurs as surrounding tissues react to the medication.
A. Mixing phenytoin in dextrose 5% is not recommended due risk of precipitation of the Phenytoin acid
C. Phenytoin should be given at a date of 50mg/min or less to reduce the risk of toxicity
D. The injection should not be held as it is used to manage the seizure unless it is not safe for the nurse to give it
Correct Answer is A
Explanation
Phenytoin is a lifelong medication for clients presenting with unprovoked seizures. The statement shows that the client has not understood their current management plan or is in denial and requires further counselling to promote adherence.
B.Notifying the doctor before taking any other medication is important as certain drug interactions can lead to toxicity of inadequate blood levels of phenytoin.
C.This is correct as it shows understanding that phenytoin can cause oral adverse effects such as gingival hyperplasia
D.Shows understanding that some drug preparations could have incipient that may cause adverse effects that the originally tolerated agent
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