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?

Nalbuphine

Acetaminophen

Ondansetron

Insulin glargine

Answer and Explanation

The Correct Answer is A

Nalbuphine is also an opioid like morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.

The other drugs do not have any significant interaction with morphine. C- An analgesic , C- Ondansetron- antiemetic, Insulin glargine- an form of insulin used in diabetes

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Correct Answer is D

Explanation

Filgrastim is a medication that stimulates the production of white blood cells (WBCs), particularly neutrophils, which are a type of WBC important for fighting infections. An increase in the WBC count would indicate that filgrastim is effectively stimulating the production of WBCs, which is desirable, especially in clients who are at risk of neutropenia (low WBC count) due to chemotherapy or other factors.

Monitoring potassium levels is important for clients receiving certain medications or experiencing conditions that can affect potassium balance, but it is not specifically related to filgrastim therapy.

BUN is a measure of kidney function and hydration status, but it is not typically monitored to evaluate the effectiveness of filgrastim treatment.

INR is a measure of blood clotting and is primarily monitored in clients receiving anticoagulant therapy, such as warfarin. It is not relevant to filgrastim therapy.

A. “Consumption of a high-protein meal can reduce the effectiveness of the medication” B. "You can experience vivid nightmares." C. "You may notice your urine becomes lighter in color." D. "The medication can cause nausea, so take with a meal." E. "This medication can make you light-headed if you stand up too quickly from a seated or lying position." F. "You may initially notice an increase in involuntary movements."

Correct Answer is ["A","B","D","E","F"]

Explanation

The medication causes a harmless discoloration or urine (Levodopa causes darkening of urine rather than lightening), high protein intake interferes with the availability of the medication in the CNS, The medication causes orthostatic hypotension and dizziness, The medication should be taken with a meal if nausea and vomiting occurs, Initially the medication can cause dyskinesia which should be reported, The medication also cause hallucinations and sleep disturbances

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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 reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?

Correct Answer is D

Explanation

Correct Answer is ["A","B","D","E","F"]

Explanation

A nurse is caring for a group of clients. Which of the following situations requires an incident report?

A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?

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