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 A

Explanation

Carbamazepine is an antiepileptic medication commonly used to treat seizures. One of the potential adverse effects of carbamazepine is blurred vision. This occurs because carbamazepine can affect the function of the eyes, leading to changes in vision. Clients taking carbamazepine should be advised to report any changes in vision, such as blurriness or difficulty focusing, to their healthcare provider promptly.

B,C,D- are not related to carbamazepine use

A. Sildenafil B. Gemfibrozil C. Lansoprazole D. Diazepam

Correct Answer is A

Explanation

Both sildenafil and nitroglycerin are vasodilators and can lead to severe hypotension when used together. Sildenafil acts by inhibiting phosphodiesterase 5 (PDE 5), an enzyme that breaks down cGMP, which regulates blood flow in the penis. The medication also results in the dilation of blood vessels in the lungs, which is beneficial for treating pulmonary arterial hypertension.
B, C, D- No interactions with nitroglycerin

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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 providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?

Correct Answer is A

Explanation

A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?

Correct Answer is A

Explanation

A nurse is caring for a client who is taking warfarin and reports taking several new herbal supplements. The nurse should identify which of the following supplements is contraindicated for concurrent use with warfarin?

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