A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication?
Tinnitus
Hyperglycemia
Jaundice
Muscle pain
The Correct Answer is C
Acetaminophen is a commonly used over-the-counter pain reliever and fever reducer. One of the potential adverse reactions to acetaminophen is liver toxicity, which can present with symptoms such as jaundice (yellowing of the skin and eyes), dark urine, and pale stools. It is important for the client to be aware of these signs and symptoms and report them to their healthcare provider if they occur. Monitoring for jaundice can help identify any potential liver-related complications associated with acetaminophen use.
The other options provided in the question are not typically associated with acetaminophen use:
- Tinnitus: Tinnitus refers to a perception of ringing or buzzing in the ears. It is not a commonly reported adverse reaction to acetaminophen.
- Hyperglycemia: Hyperglycemia refers to high blood sugar levels. Acetaminophen does not typically cause hyperglycemia as a side effect.
- Muscle pain: Acetaminophen is used to relieve mild to moderate pain, including muscle pain. It is not an adverse reaction to the medication.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Administering the granules mixed with 20 oz of water is not necessary. Montelukast granules can be administered directly into the mouth or mixed with a small amount of soft food (e.g., applesauce) if necessary. The specific instructions for administration should be provided by the healthcare provider or included in the product labeling.
B.If you’re using it to prevent breathing problems related to exercise, take a single dose at least 2 hours before exercising. However, another dose cannot be taken within 24 hours.
C.Montelukast is a leukotriene receptor antagonist commonly used for the maintenance treatment of asthma in children and adults. The usual recommended dose is once daily in the evening, depending on the specific instructions from the healthcare provider.
D. Administering the medication at the onset of wheezing is not the recommended approach. Montelukast is a daily maintenance medication for asthma and should be taken regularly as prescribed, regardless of wheezing symptoms. It is not intended to be used for immediate relief of wheezing or acute asthma symptoms. Short-acting bronchodilators are typically used for quick relief of wheezing or acute asthma symptoms.
Correct Answer is D
Explanation
A. "This pill is probably from a different lot number than yours at home." While lot numbers may vary between different batches of medications, it does not address the client's concern about the difference in appearance. It does not provide a direct explanation or reassurance regarding the medication they are about to take.
B. "This hospital might use a different manufacturer, but the medication is the same." This response acknowledges the possibility of a different manufacturer but does not directly address the client's concern about the difference in appearance. It may not provide sufficient reassurance regarding the medication they are about to receive.
c."This is the medication prescribed by your provider." This does not address the client's concern about the medication's appearance and may dismiss the possibility of an error.
D. "Describe what the pill looks like." This response allows the nurse to gather more information, verify the medication, and ensure that the correct medication is being administered.
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