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

Answer and Explanation

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

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Correct Answer is C

Explanation

Diphenhydramine is an oral antihistamine used in pruritus. Its main side effect is sedation and hence its recommended for use at bedtime to prevent daytime somnolence.
A. Taking the medication with meals does not reduce daytime sedation.
B. Gradually decreasing the dose once tolerance to the effect is reached may be appropriate in some cases, but it does not address immediate concerns about daytime sedation.
D. Distributing the doses evenly throughout the day may not effectively minimize daytime sedation.

A. Zolpidem B. Ibuprofen C. Omeprazole D. Senna

Correct Answer is D

Explanation

Senna is a laxative that works to stimulate bowel movements by irritating the intestinal lining in clients with constipation. In cases of small bowel obstruction, this can increase the risk of perforation or exacerbate the obstruction in cases.
A. Zolpidem is a sleep medication and is unlikely to affect the bowel obstruction.
B. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastric irritation but is not contraindicated in small bowel obstruction.
C. Omeprazole is a proton pump inhibitor used to reduce stomach acid production and is safe to use in small bowel obstruction.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client Who is prescribed diphenhydramine to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following responses should the nurse give?

Correct Answer is C

Explanation

A nurse is reviewing the medication list for a client who has a new diagnosis of a small bowel obstruction. The nurse should Withhold Which of the following medications?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?

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