A nurse is caring for a client who reports using the herbal medication garlic along with
prescribed warfarin. The nurse should identify that which of the following is a potential adverse
effect of taking both of these
...
A nurse is caring for a client who reports using the herbal medication garlic along with
prescribed warfarin. The nurse should identify that which of the following is a potential adverse
effect of taking both of these products concurrently?
Altered renal perfusion
Elevated blood pressure
Increased ecchymosis- The nurse should identify that ecchymosis occurs when there is
bleeding under the skin. Additionally, the nurse should recognize that, garlic has
antiplatelets effects that can result in bleeding. When taken concurrently with an
anticoagulant, such as warfarin, there is an increased risk for bleeding.
2. A nurse is providing teaching t a client who is starting to take aspirin. The nurse should
instruct the client to monitor for which of the following findings as an adverse effect of this
medication?
Black, tarry stools- A client who takes aspirin can have an increased risk for bleeding
because aspirin suppresses platelet aggregation. The nurse should instruct the client to
monitor for and report indications of bleeding, such as bruising, petechiae, and blood in
stools or urine.
Nystagmus
Dry mouth
3. A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of
the following client laboratory tests should the nurse monitor to detect an adverse effect of the
medication?
B-type natriuretic peptide (BNP)
Creatinine - The nurse should monitor creatinine, BUN and urine output for a client who
is receiving gentamicin, and aminoglycoside antibiotic. Gentamicin is an aminoglycoside
that has both nephrotoxic and ototoxic adverse effects.
Amylase level
4. A nurse is assessing a client who has diabetes insipidus and is starting intranasal
desmopressin. Which of the following findings should indicate to the nurse that medication is
effective?
The client has clear mucus
The client’s 24 hr urine output is 1.256 mL - Desmopressin is effective for the treatment
of diabetes insipidus, a disorder of the posterior pituitary gland in which large amount
of dilute urine are produced due to a deficiency in vasopressin. The action of
desmopressin causes reabsorption of water and a decrease in urine volume. A urine
output of 1.256 mL over 24 hr is within the expected reference range and indicates the
medication is effective.
5. A nurse is assessing a client who has a prescription for haloperidol 0.5 mg PO three times
daily. The medication administration record shows that the client received 5 mg per dose on the
previous day. Which of the following manifestations is the nurse’s priority to assess?
Muscle stiffness - The nurse should recognize tha the greatest risk to the client is
developing neuroleptic malignant syndrome, and adverse reaction to haloperidol that is
potentially fatal if not treated promptly. Manifestations of neuroleptic malignant
1
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syndrome include extreme muscle stiffness, sudden increase in temperature,
diaphoresis, dysrhythmias, and fluctuations in blood pressure.
Blurred vision
Constipation
6. A nurse is assessing a client who received ondansetron 1 hr. ago. Which of the following
findigns should the nurse identify as a therapeutic effect of the medication?
Decreased pain
Suppressed emesis – Ondansetron suppresses nausea and vomiting induced by
chemotherapy, anesthesia, radiation therapy, or morning sickness by blocking serotonin
receptors in the upper GI tract and in the CNS
Supresed cough
Decreased fever
7. A nurse is caring for a client who is receiving morphine. Which of the following assessments
should the nurse perform first?
Apical heart rate
Blood pressure
Respiratory rate – When using the airway, breathing, circulation approach to client care,
the nurse should determine that the priority assessment is respiratory rate. The nurse
should withhold the morphine and notify the provider if the respiratory rate is less than
12/min.
8. A nurse is caring for a client who is at risk for alcohol withdrawal delirium. Which of the
following medications should the nurse expect the provider to prescribe?
Naloxone
Bupropion
Methadone
Chlordiazepoxide – The nurse should expect the provider to prescribe chlordiazepoxide,
a benzodiazepine, to a client who is at risk for alcohol withdrawal delirium.
Chlordiazepoxide can prevent the client form experiencing seizures as a result of
withdrawal and lessen the effects of withdrawal.
9. A nurse is teaching a client who is to start taking methyldopa for the treatment of
hypertension. Which of the following information should the nurse include in the teaching?
The medication can cause dizziness- Methyldopa can cause orthostatic hypotension and
dizziness when the client is changing position. Therefore, the nurse should instruct the
client to change position slowly while taking methyldopa.
This medication can cause insomnia
Expect to experience depression while taking this medication
10. A nurse is providing discharge instructions to a client who has a new prescription for
omeprazole for the treatment of GERD. Which of the following statements by the client indicates
an understanding of the teaching?
This medication kiss the bacteria in my stomach.
This medication neutralizes stomach acid
This medication coats the lining of my stomach.
This medication reduces stomach acid – GERD is a condition in which gastric acids
reflux from the stomach to the esophagus. Omeprazole is a proton inhibitor that
suppresses the production of gastric acid. The medication reduces baseline acid levels
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