Vital Signs Day 1:

Temperature 36.2 0 C (97.20 F) Respiratory rate 18/min

Heart rate 74/min

Blood pressure 1 1 8/68 mm Hg Sp02 96% on room air

Day 7:

Temperature 36.9 0 C (98.40 F) Heart rate 86/min

Respiratory rate 18/min Blood pressure 98/66 mm Hg Sp02 97% on room air

Provider Prescriptions Day 1:

Levodopa 250 mg/Carbidopa 25 mg 1 tablet daily Day

7:

Levodopa 250 mg/Carbidopa 25 mg 2 tablets daily

Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.

“Consumption of a high-protein meal can reduce the effectiveness of the medication”

"You can experience vivid nightmares."

"You may notice your urine becomes lighter in color."

"The medication can cause nausea, so take with a meal."

"This medication can make you light-headed if you stand up too quickly from a seated or lying position."

"You may initially notice an increase in involuntary movements."

Answer and Explanation

Correct Answer : A,B,D,E,F

The medication causes a harmless discoloration or urine (Levodopa causes darkening of urine rather than lightening), high protein intake interferes with the availability of the medication in the CNS, The medication causes orthostatic hypotension and dizziness, The medication should be taken with a meal if nausea and vomiting occurs, Initially the medication can cause dyskinesia which should be reported, The medication also cause hallucinations and sleep disturbances

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A- Confirming with another nurse ensures right dosage is not necessary. Dosage should be confrimed with the prescription and proper calculation

B-Verification with the administration record ensures that the prescribed medication is the one given. This is important as it ensures that the client receives the right medications for the illness. However, it is not part of the rights of medication administration

C-Use of 2 identifiers ensures right client which is part of the rights of medication administration

D-Documenting full names is important for record-keeping but not part of the rights of medication administration

A. Urine specific gravity B. Hemoglobin AIC (Hb AIC) C. Dual-energy x-ray absorptiometry (Dexa scan) D. Lumbar puncture

Correct Answer is C

Explanation

Alendronate is a bisphosphonate used in clients with osteoporosis of different origins. It is used to increase bone density. Dexa scan is used to assess bone mineral density in osteoporotic clients
A,B,D-Alendronate has no effect of urine specific gravity, Blood sugar levels or cerebrospinal fluid

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a medication to a client. Using the rights of medication administration. Which of the following actions should the nurse take to ensure the right medication is administered to the client?

Correct Answer is C

Explanation

A nurse in a provider's office is evaluating the effectiveness of alendronate for a client who has osteoporosis. Which of the following diagnostic results should the nurse review?

Correct Answer is C

Explanation

A nurse is preparing to transcribe a prescription for a client that reads "ondansetron 8 mg by mouth every 12 hr PRN." Which of the following parts of the prescription should the nurse clarify with the provider?

A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?

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?

A nurse is preparing to administer a medication to a client for the first time and needs to know about potential food and medication interactions. Which of the following actions should the nurse take?

A nurse is providing teaching to a client about how to self-administer subcutaneous injections of enoxaparin. Which of the following instructions should the nurse include?

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?

A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?