Which client should the nurse identify as being at highest risk for complications during the use of
an opioid analgesic?
A A client with a open compound fracture.
B A young adult with inflammatory bowel disease.
C An older client with Type 2 diabetes mellitus.
D A client with chronic rheumatoid arthritis.
The client at highest risk for complications during the use of an opioid analgesic is option
A: A client with an open compound fracture.
While the other options (B, C, and D) may have their own risk factors, they are not typically
associated with as high a risk for complications during opioid analgesic use as an individual with
an open compound fracture.
The nitrate isosorbide dinitrate is prescribed for a client with angina. Which instruction should
the nurse include in this client's discharge teaching plan?
A Increase your intake of potassium-rich foods.
B Take the medication with food only.
C Quit taking the medication if dizziness occurs.
D Do not get up quickly. Always rise slowly.
The correct instruction that the nurse should include in the discharge teaching plan for a
client prescribed isosorbide dinitrate for angina is:
D. Do not get up quickly. Always rise slowly.
The nurse is planning discharge instructions for a client prescribed cyclosporine following a liver
transplant. Which adverse reactions should the nurse instruct the client to report to the healthcare
provider? A Increasing body hirsutism. B Presence of hand tremors. C Changes in urine color. D
Nausea and vomiting.
The correct answer is:
C. Changes in urine color.
Cyclosporine is an immunosuppressant medication commonly used following organ
transplantation to prevent rejection. It can cause various adverse effects, including changes
in urine color. Specifically, cyclosporine can cause the urine to appear darker or even
reddish-brown. This may indicate kidney toxicity or other issues with the kidneys, which
can be serious and need prompt medical attention.
,Which instruction) should the nurse give to a female client who just received a prescription for
oral metronidazole for treatment of trichomonas vaginalis? (Select all that apply.)
A Do not abruptly discontinue the medication; taper use.
B Avoid drinking alcohol while taking this medication.
C Ensure that all sexual partners are treated at the same time.
D Check blood pressure daily to detect hypertension.
E Increase fluid intake, especially cranberry juice.
F Use condoms until treatment is completed.
The correct instructions for a female client who just received a prescription for oral
metronidazole for the treatment of trichomonas vaginalis are:
B. Avoid drinking alcohol while taking this medication.
C. Ensure that all sexual partners are treated at the same time.
F. Use condoms until treatment is completed.
A client is taking hydromorphone PO every 4 hours at home. Following surgery, hydromorphone
IV every 4 hours PRN and butorphanol tartrate IV every 4 hours PRN are prescribed for pain.
The client received a dose of the hydromorphone IV four hours ago, and is again requesting pain
medication. Which intervention should the nurse implement? A Alternate the two medications
every 4 hours PRN for pain. B Administer only the hydromorphone every 4 hours PRN for pain.
C Alternate the two medications every 2 hours PRN for pain. D Administer only the butarphanol
tartrate every 4 hours PRN for pain.
Given the scenario provided, the most appropriate intervention for the nurse to implement
is:
A. Alternate the two medications every 4 hours PRN for pain.
A client's dose of isosorbide dinitrate (Imdur) is increased from 40 mg to 60 mg PO daily. When
the client reports the onset of a headache prior to the next scheduled dose, which action should
the nurse Implement? A Hold the next scheduled dose of Imdur 60 mg and administer a PRN
dose of acetaminophen (Tylenol). B Administer the 60 mg dose of Imdur and a PRN dose of
acetaminophen (Tylenol). C Do not administer the next dose of Imdur or any acetaminophen
until notifying the healthcare provider. D Administer the 40 mg of Imdur and then contact the
healthcare provider.
, When a client reports the onset of a headache prior to the next scheduled dose of isosorbide
dinitrate (Imdur) after a dose increase, the most appropriate action for the nurse to
implement is:
A. Hold the next scheduled dose of Imdur 60 mg and administer a PRN dose of
acetaminophen (Tylenol).
A client with osteoarthritis receives a new prescription for celecoxib orally for symptom
management. The nurse notes the client is allergic to sulfa. Which action is most important for
the nurse to implement prior to administering the first dose? A Record the client's vital signs. B
Inquire about the reaction to sulfa. C Review the client's hemoglobin results. D Notify the
healthcare provider.
The most important action for the nurse to implement prior to administering the first dose
of celecoxib to a client with osteoarthritis who is allergic to sulfa is:
B. Inquire about the reaction to sulfa.
A client receiving doxorubicin intravenously (IV) complains of pain at the insertion site and the
nurse notes edema at the site. Which intervention is most important for the nurse to implement?
A Apply warm compresses. B Administer the antidote. C Assess for erythema. D Discontinue
the IV fluids.
The most important intervention for the nurse to implement in this situation is:
C. Assess for erythema.
The nurse is preparing an education session for a client prescribed opioids for intractable cancer
pain. The nurse should include strategies to help prevent which common side effect associated
with long-term use of opioids? A Urinary retention. B Sedation. C Respiratory depression. D
Constipation.
The common side effect associated with long-term use of opioids that the nurse should
include strategies to prevent in the education session for a client prescribed opioids for
intractable cancer pain is:
D. Constipation.
an opioid analgesic?
A A client with a open compound fracture.
B A young adult with inflammatory bowel disease.
C An older client with Type 2 diabetes mellitus.
D A client with chronic rheumatoid arthritis.
The client at highest risk for complications during the use of an opioid analgesic is option
A: A client with an open compound fracture.
While the other options (B, C, and D) may have their own risk factors, they are not typically
associated with as high a risk for complications during opioid analgesic use as an individual with
an open compound fracture.
The nitrate isosorbide dinitrate is prescribed for a client with angina. Which instruction should
the nurse include in this client's discharge teaching plan?
A Increase your intake of potassium-rich foods.
B Take the medication with food only.
C Quit taking the medication if dizziness occurs.
D Do not get up quickly. Always rise slowly.
The correct instruction that the nurse should include in the discharge teaching plan for a
client prescribed isosorbide dinitrate for angina is:
D. Do not get up quickly. Always rise slowly.
The nurse is planning discharge instructions for a client prescribed cyclosporine following a liver
transplant. Which adverse reactions should the nurse instruct the client to report to the healthcare
provider? A Increasing body hirsutism. B Presence of hand tremors. C Changes in urine color. D
Nausea and vomiting.
The correct answer is:
C. Changes in urine color.
Cyclosporine is an immunosuppressant medication commonly used following organ
transplantation to prevent rejection. It can cause various adverse effects, including changes
in urine color. Specifically, cyclosporine can cause the urine to appear darker or even
reddish-brown. This may indicate kidney toxicity or other issues with the kidneys, which
can be serious and need prompt medical attention.
,Which instruction) should the nurse give to a female client who just received a prescription for
oral metronidazole for treatment of trichomonas vaginalis? (Select all that apply.)
A Do not abruptly discontinue the medication; taper use.
B Avoid drinking alcohol while taking this medication.
C Ensure that all sexual partners are treated at the same time.
D Check blood pressure daily to detect hypertension.
E Increase fluid intake, especially cranberry juice.
F Use condoms until treatment is completed.
The correct instructions for a female client who just received a prescription for oral
metronidazole for the treatment of trichomonas vaginalis are:
B. Avoid drinking alcohol while taking this medication.
C. Ensure that all sexual partners are treated at the same time.
F. Use condoms until treatment is completed.
A client is taking hydromorphone PO every 4 hours at home. Following surgery, hydromorphone
IV every 4 hours PRN and butorphanol tartrate IV every 4 hours PRN are prescribed for pain.
The client received a dose of the hydromorphone IV four hours ago, and is again requesting pain
medication. Which intervention should the nurse implement? A Alternate the two medications
every 4 hours PRN for pain. B Administer only the hydromorphone every 4 hours PRN for pain.
C Alternate the two medications every 2 hours PRN for pain. D Administer only the butarphanol
tartrate every 4 hours PRN for pain.
Given the scenario provided, the most appropriate intervention for the nurse to implement
is:
A. Alternate the two medications every 4 hours PRN for pain.
A client's dose of isosorbide dinitrate (Imdur) is increased from 40 mg to 60 mg PO daily. When
the client reports the onset of a headache prior to the next scheduled dose, which action should
the nurse Implement? A Hold the next scheduled dose of Imdur 60 mg and administer a PRN
dose of acetaminophen (Tylenol). B Administer the 60 mg dose of Imdur and a PRN dose of
acetaminophen (Tylenol). C Do not administer the next dose of Imdur or any acetaminophen
until notifying the healthcare provider. D Administer the 40 mg of Imdur and then contact the
healthcare provider.
, When a client reports the onset of a headache prior to the next scheduled dose of isosorbide
dinitrate (Imdur) after a dose increase, the most appropriate action for the nurse to
implement is:
A. Hold the next scheduled dose of Imdur 60 mg and administer a PRN dose of
acetaminophen (Tylenol).
A client with osteoarthritis receives a new prescription for celecoxib orally for symptom
management. The nurse notes the client is allergic to sulfa. Which action is most important for
the nurse to implement prior to administering the first dose? A Record the client's vital signs. B
Inquire about the reaction to sulfa. C Review the client's hemoglobin results. D Notify the
healthcare provider.
The most important action for the nurse to implement prior to administering the first dose
of celecoxib to a client with osteoarthritis who is allergic to sulfa is:
B. Inquire about the reaction to sulfa.
A client receiving doxorubicin intravenously (IV) complains of pain at the insertion site and the
nurse notes edema at the site. Which intervention is most important for the nurse to implement?
A Apply warm compresses. B Administer the antidote. C Assess for erythema. D Discontinue
the IV fluids.
The most important intervention for the nurse to implement in this situation is:
C. Assess for erythema.
The nurse is preparing an education session for a client prescribed opioids for intractable cancer
pain. The nurse should include strategies to help prevent which common side effect associated
with long-term use of opioids? A Urinary retention. B Sedation. C Respiratory depression. D
Constipation.
The common side effect associated with long-term use of opioids that the nurse should
include strategies to prevent in the education session for a client prescribed opioids for
intractable cancer pain is:
D. Constipation.
