A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?

Insomnia

Constipation

Blurred vision

Bleeding

Answer and Explanation

The Correct Answer is D

A. Insomnia is not typically associated with aspirin therapy.
B. Constipation is not a common adverse effect of aspirin.
C. Blurred vision is not a common adverse effect of aspirin.
D. Aspirin is an antiplatelet medication and can increase the risk of bleeding, so monitoring for signs of bleeding (e.g., easy bruising, nosebleeds) is crucial.

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Correct Answer is A

Explanation

A. Vital signs should be documented in the Objective section of the SOAP note because they are measurable, observable data.
B. The Plan section outlines the actions and treatments planned based on the assessment data.
C. The Action section details the specific interventions carried out during the client's care.
D. The Subjective section includes the client's perceptions, feelings, and statements about their health.

A. At the time of documentation B. In the area where the nurse obtained the medication C. In the nurses' station while reviewing the provider's prescription D. At the client's bedside before administration

Correct Answer is D

Explanation

A. Performing the final medication check at the time of documentation may result in errors if there are discrepancies between the prescription and what is documented.
B. Checking the medication in the area where it was obtained may not ensure accuracy regarding patient identity, dose, or route before administration.
C. Reviewing the provider's prescription at the nurses' station is important but should not replace the final bedside check immediately before administration.
D. Performing the final medication check at the client's bedside ensures accuracy and patient safety by verifying the correct medication, dose, route, and patient identity directly before administration.

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A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing a SOAP note in a client's chart. In which of the following sections should the client's vital signs be documented?

Correct Answer is A

Explanation

A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check?

Correct Answer is D

Explanation

A nurse is reinforcing discharge instructions for a client who has asthma and is about to start using beclomethasone MDI. For which of the following findings should the nurse instruct the client to monitor and report to the provider as an adverse effect of the medication?

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