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

Docusate sodium is used as a stool softener in these cases to promote bowel movements. Adequate water intake increases hydration and also works synergistically to promote bowel movements increasing its effectiveness.
A. Taking docusate on an empty stomach is not necessary. It can be taken with or without food.
B. Abdominal pain is not a common side effect of docusate. In fact, it is usually well tolerated.
D. There is no specific requirement to avoid taking docusate before bedtime. It can be taken at any time of day as directed by the healthcare provider.

A. Metronidazole B. Phenytoin C. Isosorbide D. Prednisone

Correct Answer is C

Explanation

Isosorbide is a nitrate vasodilator used to dilate coronary vessels to relieve angina. Sildenafil also dilates peripheral vessels reducing peripheral vascular resistance. Using the two drugs together may lead to lethal drop in blood pressure and shock.
A, B, and D are not contraindicated with Sildenafil as they do not have any significant drug interactions

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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 teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

A nurse is providing teaching to a client Who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?

A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include?

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?

A nurse is preparing to administer phenytoin IV to a client who has a seizure disorder. Which of the following actions should the nurse plan to take

A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?

A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer?