Page 1912 - Saunders Comprehensive Review For NCLEX-RN

4. Gastroesophageal reflux
667. The nurse, who is administering bethanechol chloride, is monitoring for
cholinergic overdose associated with the medication. The nurse should check
the client for which sign of overdose?
1. Dry skin
2. Dry mouth
3. Bradycardia
4. Signs of dehydration
668. Oxybutynin chloride is prescribed for a client with urge incontinence. Which
sign would indicate a possible toxic effect related to this medication?
1. Pallor
2. Drowsiness
3. Bradycardia
4. Restlessness
669. Following kidney transplantation, cyclosporine is prescribed for a client.
Which laboratory result would indicate an adverse effect from the use of this
medication?
1. Hemoglobin level of 14.0 g/dL (140 mmol/L)
2. Creatinine level of 0.6 mg/dL (53 mcmol/L)
3. Blood urea nitrogen level of 25 mg/dL (8.8 mmol/L)
4. Fasting blood glucose level of 99 mg/dL (5.5 mmol/L)
670. The nurse is providing dietary instructions to a client who has been
prescribed cyclosporine. Which food item should the nurse instruct the client
to exclude from the diet?
1. Red meats
2. Orange juice
3. Grapefruit juice
4. Green, leafy vegetables
671. Tacrolimus is prescribed for a client who underwent a kidney transplant.
Which instruction should the nurse include when teaching the client about
this medication?
1. Eat at frequent intervals to avoid hypoglycemia.
2. Take the medication with a full glass of grapefruit juice.
3. Change positions carefully due to risk of orthostatic hypotension.
4. Take the oral medication every 12 hours at the same times every
day.
672. The nurse is reviewing the laboratory results for a client receiving
tacrolimus. Which laboratory result would indicate to the nurse that the
client is experiencing an adverse effect of the medication?
1. Potassium level of 3.8 mEq/L (3.8 mmol/L)
3
9
2. Platelet count of 300,000 mm (300 × 10 /L)
3. Fasting blood glucose of 200 mg/dL (11.1 mmol/L)
9
3
4. White blood cell count of 6000 mm (6.0 × 10 /L)
673. The nurse receives a call from a client concerned about eliminating brown-
colored urine after taking nitrofurantoin for a urinary tract infection. The
nurse should make which appropriate response?
1. “Continue taking the medication; the brown urine occurs and is
not harmful.”

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