The nurse is reviewing discharge instructions for a client starting a new medication. The client asks the nurse "how would I know if I to this medication The best response by the nurse is

“Most allergic responses include hives or a rash."

“Common allergic reactions made fever and diarrhea.”

“You might feel cold and sweaty of you are having an allergic reaction.”

“Nausea and vomiting usually mean you are allergic to the medication.”

Answer and Explanation

The Correct Answer is A

A. "Most allergic responses include hives or a rash.": Allergic reactions often present with hives (urticaria), rash, itching, and sometimes anaphylaxis. Severe reactions can cause airway swelling, difficulty breathing, and hypotension.

B. "Common allergic reactions may include fever and diarrhea." Fever and diarrhea are more typical of infections, not allergic reactions.

C. "You might feel cold and sweaty if you are having an allergic reaction." Cold, clammy skin may indicate shock, but it is not specific to allergies.

D. "Nausea and vomiting usually mean you are allergic to the medication." GI symptoms may indicate intolerance but not necessarily an allergy.

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Correct Answer is A

Explanation

A. 1630 and 1930: Peak and trough levels are used to monitor drug effectiveness and prevent toxicity. Trough levels (lowest drug concentration) are drawn right before the next dose-1745 would be slightly too late. Peak levels (highest drug concentration) are drawn 30-60 minutes after administration (for IV drugs). Since the next dose is at 1800, the trough should be drawn just before the dose (1630) and the peak should be drawn 30-60 minutes after the dose (1930).

B. 1100 and 1700- Incorrect timing, not close to dose administration.

C. 1400 and 2200- Too far from the scheduled 1800 dose.

D. 1745 and 1830- Trough is too close to administration, peak is too early.

A. at the start of medication therapy B. when clients take medication on an empty stomach C. when clients like high doses of medication D. when clients take multiple medications

Correct Answer is A

Explanation

A. At the start of medication therapy: Side effects are most common when a client first begins taking a new medication because the body is not yet accustomed to the drug. Over time, tolerance may develop, and some side effects may diminish.

B. When clients take medication on an empty stomach – Some medications cause more side effects when taken on an empty stomach (e.g., NSAIDs causing gastritis), but this is not true for all medications.

C. When clients take high doses of medication – Higher doses may increase the risk of toxicity rather than routine side effects.

D. When clients take multiple medications – Drug interactions are more likely when taking multiple medications, but this does not mean that side effects are most common in this situation.

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The nurse is reviewing discharge instructions for a client starting a new medication. The client asks the nurse "how would I know if I to this medication The best response by the nurse is

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving an IV medication and has a prescription for peak and trough blood levels with the next dose scheduled for 1800. The nurse should expect the lab to draw blood samples at which of the following times?

Correct Answer is A

Explanation

The nurse is reinforcing medication teaching with a client. The nurse explains that side effects are most likely to occur.

Correct Answer is A

Explanation

The nurse is collecting data for a client suspected of a drug overdose and notes the clients has slow breathing and decreased blood pressure. The nurse correctly documents these findings as:

A group of nurses are discussing the difference of an agonist verses an antagonist. Which of the following medications may the nurse select as an agonist?

The nurse is caring for a post-surgical patient who was prescribed controlled substances classified schedule IV substances as:

A nurse is reviewing the laboratory reports for a client who has chronic kidney disease Which of the following laboratory reports should the nurse expect to find?

In what syringe should a 6 25 ml of a drug solution be measured?

A nurse is reviewing a new prescription for a client. The nurse should identify that which of the following abbreviations used by the provider indicates “to administer medications before meals”?

The nurse is reviewing the differential on a client who had a complete blood count and notes the neutrophils are within normal ranges if they are: