A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?

Acetaminophen

Insulin gargine

Ondansetron

Naloxone

Answer and Explanation

The Correct Answer is D

A. Acetaminophen: This is a common pain reliever and fever reducer. Acetaminophen is often used alongside other medications, including opioids like morphine, to manage pain more effectively. It's typically safe to use with morphine and is not an immediate concern for clarification.

B. Insulin glargine: Insulin glargine is a long-acting insulin used to control blood sugar levels in individuals with diabetes. While it's important to monitor blood sugar levels in patients receiving opioids, especially if they have diabetes, insulin glargine itself doesn't directly interact with morphine or the PCA pump.

C. Ondansetron: Ondansetron is an anti-nausea medication commonly used to prevent nausea and vomiting, particularly associated with chemotherapy or surgery. Patients receiving morphine, especially those with cancer, may also be prone to nausea. Ondansetron helps manage this side effect and does not typically interact adversely with morphine.

D. Naloxone: Naloxone is an opioid antagonist used to rapidly reverse the effects of opioid overdose, including respiratory depression, caused by drugs like morphine. It's administered in emergency situations to counteract the potentially life-threatening effects of opioids. While naloxone is critical for opioid safety, its presence on the medication list requires clear understanding and specific instructions regarding its use, dosage, and administration protocols in case of opioid-related emergencies.

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Correct Answer is C

Explanation

A. Hypocalcemia: Hydrochlorothiazide is not typically associated with lowering calcium levels. Hypocalcemia is not a common adverse effect of this medication.
B. Hypernatremia: Hydrochlorothiazide is a diuretic that increases urination, leading to the loss of water and sodium. While it can cause sodium depletion, it's less likely to result in hypernatremia, which refers to high sodium levels in the blood.
C. Hypokalemia: Hydrochlorothiazide is a thiazide diuretic that can increase the excretion of potassium in the urine. Hypokalemia (low potassium levels) is a known adverse effect of this medication due to its action on the kidneys leading to potassium loss.
D. Hypermagnesemia: Hydrochlorothiazide does not typically cause an increase in magnesium levels. It's more likely to cause magnesium loss through increased urination, potentially leading to hypomagnesemia (low magnesium levels) rather than hypermagnesemia.

A. "Take the medication with an antacid if it upsets your stomach." B. "Stop taking the medication if your stools become green or black." C. "Drink the elixir using a straw to prevent staining your teeth." D. "Increase your fiber intake to prevent constipation. E. "Increase your intake of dairy products to increase the absorption of this medication

Correct Answer is ["B","C","D"]

Explanation

A. "Take the medication with an antacid if it upsets your stomach."
Explanation: Antacids may interfere with the absorption of iron. It is generally recommended to take iron supplements on an empty stomach or with vitamin C-containing foods to enhance absorption.
B. "Stop taking the medication if your stools become green or black."
Explanation: Ferrous sulfate can cause stools to become dark green or black, which is a normal and expected side effect. However, excessive black, tarry stools may indicate gastrointestinal bleeding and should be reported to the healthcare provider.
C. "Drink the elixir using a straw to prevent staining your teeth."
Explanation: Ferrous sulfate elixir can stain the teeth. Using a straw helps bypass direct contact with the teeth, reducing the risk of staining.
D. "Increase your fiber intake to prevent constipation."
Explanation: Iron supplements, including ferrous sulfate, can cause constipation. Increasing fiber intake can help alleviate constipation.
E. "Increase your intake of dairy products to increase the absorption of this medication."
Explanation: Calcium-containing foods, such as dairy products, can inhibit the absorption of iron. It is advisable to take iron supplements separately from calcium-containing foods.

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A nurse is reviewing the medication administration record for a client who has cancer and is receiving morphine via a PCA pump. Which of the following prescriptions should the nurse clarify with the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?

Correct Answer is C

Explanation

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Correct Answer is ["B","C","D"]

Explanation

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