The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban.
Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?

Diminished ability to taste and smell food.

Genital itching and burning with discharge.

Hard, dry stools that are difficult to pass.

Appearance of bruising in arms and legs.

Answer and Explanation

The Correct Answer is D

The correct answer is Choice D. Rationale:

Rivaroxaban is an anticoagulant medication used to treat and prevent blood clots. One of the common side effects of rivaroxaban is bruising. This occurs because rivaroxaban prevents blood clots by thinning the blood, which can lead to increased bleeding and bruising. If a patient on rivaroxaban presents with the appearance of bruising in arms and legs, it could indicate excessive bleeding, which is a serious side effect that should be reported immediately.

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Correct Answer is A

Explanation

Choice A rationale
Clearing the nose with a tissue prior to the instillation of nasal drops can help to remove
mucus and other obstructions, allowing the medication to reach the nasal passages more
effectively15.
Choice B rationale
Deep inhalation through the nose is not typically recommended prior to the instillation of
nasal drops. It could potentially draw the medication deeper into the nasal passages or into the
throat, rather than allowing it to remain in the intended area15.
Choice C rationale
Holding the breath temporarily is not typically necessary or recommended prior to the
instillation of nasal drops15.
Choice D rationale

Exhaling deeply through the nose prior to the instillation of nasal drops could potentially clear
the nasal passages, but it is not as effective or recommended as using a tissue to clear the
nose15.

A. The patient enjoys eating aged cheeses. B. The patient takes medication upon rising. C. The patient reports frequent dryness in the mouth. D. The patient soaks in a warm bath at night.

Correct Answer is B

Explanation

Choice A rationale

While aged cheeses can interact with certain medications, they are not known to interact with tricyclic antidepressants or to have a significant impact on sleep patterns.

Choice B rationale

The timing of medication administration can significantly impact sleep patterns. If the patient is taking their medication upon rising, it could potentially be interfering with their sleep.

Choice C rationale

Dry mouth is a common side effect of tricyclic antidepressants. However, it is not typically associated with early morning awakening or difficulty returning to sleep.

Choice D rationale

Soaking in a warm bath at night can actually help promote sleep by raising the body’s core temperature and then allowing it to drop, which can trigger feelings of sleepiness.

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The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban. Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What action should the practical nurse (PN) instruct the client to perform prior to the instillation of nasal drops?

Correct Answer is A

Explanation

A patient with depression who is taking a tricyclic antidepressant (TCA) reports frequent early morning awakening and difficulty going back to sleep. Which information from the patient is important for the Practical Nurse (PN) to obtain to improve the patient’s sleep pattern?

Correct Answer is B

Explanation

When a patient is being administered a 20% mannitol intravenous (IV) solution at a rate of 100 g/24 hours (or 70 mg/min), which outcome data should the practical nurse (PN) prioritize in collection?

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A client with diabetic peripheral neuropathy receives a new prescription for pregabalin. To assess the effectiveness of the medication, which action should the practical nurse (PN) include when assessing the client’s feet?

The practical nurse (PN) is caring for a client who has a finger stick blood glucose result of 130 mg/dL (7.21 mmol/L). Prior to administering the scheduled dose of acarbose, the PN is informed that the morning meal trays will be delayed 30 minutes. Which action should the PN take?

A patient with an overactive bladder has recently started taking oxybutynin. What observation should the practical nurse (PN) report to the charge nurse during the patient’s assessment prior to administering the medication?

Review the patient data history and physical flow sheet. Mark whether the assessment finding represents a therapeutic result of the minoxidil administered, a nontherapeutic side effect, or an unrelated finding.

The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban.
Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?