Page 2090 - Saunders Comprehensive Review For NCLEX-RN

adverse effect to the medication?
1. Sodium level, 140 mEq/L (140 mmol/L)
2. Uric acid level, 4.0 mg/dL (240 mcmol/L)
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3. White blood cell count, 3000 mm (3.0 × 10 /L)
4. Blood urea nitrogen level, 10 mg/dL (3.6 mmol/L)
731. The nurse is caring for a client with chronic back pain. Codeine has been
prescribed for the client. Specific to this medication, which intervention
should the nurse include in the plan of care while the client is taking this
medication?
1. Monitor radial pulse.
2. Monitor bowel activity.
3. Monitor apical heart rate.
4. Monitor peripheral pulses.
732. The nurse has given medication instructions to a client receiving phenytoin.
Which statement indicates that the client has an adequate understanding of
the instructions?
1. “Alcohol is not contraindicated while taking this medication.”
2. “Good oral hygiene is needed, including brushing and flossing.”
3. “The medication dose may be self-adjusted, depending on side
effects.”
4. “The morning dose of the medication should be taken before a
serum medication level is drawn.”
733. A client with myasthenia gravis has become increasingly weaker. The
primary health care provider prepares to identify whether the client is
reacting to an overdose of the medication (cholinergic crisis) or an increasing
severity of the disease (myasthenic crisis). An injection of edrophonium is
administered. Which finding would indicate that the client is in cholinergic
crisis?
1. No change in the condition
2. Complaints of muscle spasms
3. An improvement of the weakness
4. A temporary worsening of the condition
734. A client with trigeminal neuralgia tells the nurse that acetaminophen is taken
daily for the relief of generalized discomfort. Which laboratory value would
indicate toxicity associated with the medication?
1. Sodium level of 140 mEq/L (140 mmol/L)
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2. Platelet count of 400,000 mm (400 × 10 /L)
3. Prothrombin time of 12 seconds (12 seconds)
4. Direct bilirubin level of 2 mg/dL (34 mcmol/L)

Answers

724. Answer: 4

Rationale: Dyskinesia and impaired voluntary movements may occur with high
carbidopa-levodopa dosages. Nausea, anorexia, dizziness, orthostatic hypotension,

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