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 B

Explanation

A. Using lotion on irritated skin before applying a new patch may interfere with adhesion and absorption of the medication, indicating a misunderstanding of proper patch application.
B. Cleaning and drying the area before applying a transdermal patch ensures proper adhesion and absorption of medication, demonstrating correct understanding of patch application technique.
C. Pressing the patch securely in place is important, but it does not address the initial preparation of the skin, which is crucial for effective medication delivery.
D. Applying a new patch in the same location without cleaning the area may lead to skin irritation or uneven absorption of medication, indicating improper understanding of patch application.

A. Flush the tube with water. B. Measure stomach contents. C. Elevate the head of the bed. D. Return gastric content into the gastrostomy tube.

Correct Answer is B

Explanation

A. Flushing the tube with water is necessary after checking residual stomach contents to clear the tube, but measuring stomach contents comes first to ensure the tube is clear for proper medication administration.
B. Measuring stomach contents is crucial before administering enteral medication to confirm the tube's placement and ensure medication reaches the stomach appropriately, preventing complications such as aspiration.
C. Elevating the head of the bed is important during and after enteral feeding to prevent aspiration, but it is not the first action before medication administration.
D. Returning gastric content into the gastrostomy tube may be necessary after assessing and managing residual stomach contents, but it is not the initial step in medication 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 reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

Correct Answer is B

Explanation

A nurse is preparing to administer enteral medication to a client who has a gastrostomy tube. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is preparing to administer clonidine 0.2 mg PO. The amount available is clonidine 0.1 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who is going to take guaifenesin, an expectorant, to help manage a cough. The nurse should explain that this type of medication treats coughs by which of the following mechanisms?

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A nurse is preparing to administer levothyroxine 50 mcg PO to a client. How many milligrams (mg) should the nurse plan to administer?

A nurse is preparing to administer aspirin 650 mg PO. Available is aspirin 325 mg tablets. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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