A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication?

Blurred vision

Constipation

Bleeding

Insomnia

Answer and Explanation

The Correct Answer is C

Aspirin can cause gastrointestinal irritation and increase the risk bleeding due to its effect on platelet aggregation. While other side effects such as gastrointestinal discomfort, nausea, and heartburn are common, bleeding is a serious side effect that requires close monitoring.

A, B, D It is less likely for aspirin to cause blurred vision, constipation, or insomnia as direct adverse effects. Aspirin has antiplatelet effects which increases risk of bleeding

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Correct Answer is D

Explanation

The client most at risk for hypokalemia among the ones listed would be D, the client who has a nasogastric (NG) tube to suction. Hypokalemia, or low potassium levels in the blood, can occur due to excessive loss of potassium in the gastrointestinal tract. An NG tube to suction can cause significant potassium loss because it removes gastric contents, which include potassium. Other factors that can contribute to hypokalemia include prolonged diarrhea, vomiting, and certain medications that increase urination or cause potassium to shift out of the bloodstream. It's important for nurses to monitor the electrolyte levels of clients with NG tubes to suction and manage their potassium levels appropriately to prevent complications.

Other drainage tubes do not contribute to electrolytes loss

A. Give the ordered KCL as prescribed. B. Call the prescribing physician and inform her of the client's serum potassium level results. C. Call the lab to verify the client's results. D. Omit the KCL dose and document it was not given.

Correct Answer is B

Explanation

A potassium level of 6.0 mEq/L is considered to be mild hyperkalemia. Hyperkalemia can be dangerous and usually requires immediate treatment, especially if it is accompanied by symptoms or significant changes from the client's baseline. The appropriate action would be to inform the prescribing physician of the client's serum potassium level to receive further instructions, which may include omitting the dose or adjusting the treatment plan.

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A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia?

Correct Answer is D

Explanation

A nurse is caring for a client who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 6.0 mEq/L Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her blood glucose level is above 200 mg/dl„ Which of the following information should the nurse include?

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