Practice Question
A nurse is caring for a female client in an outpatient clinic.
Answer Choices:
Rationale:
Sodium 124 mEq/L
- Normal range is 136–145 mEq/L; this result shows severe hyponatremia.
- Oxcarbazepine can cause SIADH (syndrome of inappropriate antidiuretic hormone secretion), leading to water retention and dilutional hyponatremia.
- This explains the client’s headaches, nausea, and vomiting, which are early signs of hyponatremia.
- If untreated, this can progress to confusion, seizures, coma, and death.
- Requires urgent evaluation, medication adjustment, and possible hospitalization for electrolyte correction.
Client reports using oral contraceptives as the only means of birth control
- Oxcarbazepine reduces the effectiveness of oral contraceptives by inducing hepatic enzymes, which accelerates estrogen metabolism.
- This places the client at high risk for unintended pregnancy.
- Requires immediate counseling on using an additional or alternative form of contraception.
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This question is from RN Pharmacology 2023 Exam A which contains 67 questions.
More Questions from This Exam
A nurse is teaching a client who is pregnant and has iron-deficiency anemia about taking ferrous sulfate elixir. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Answer Choices:
A. "Increase your fiber intake to prevent constipation.”
B. “Take the medication with an antacid if it upsets your stomach."
C. “Stop taking the medication if your stools become green or black"
D. "Drink the elixir using a straw to prevent staining your teeth."
E. "Increase your intake of dairy products to increase the absorption of this medication."
A nurse is teaching a client who has a new prescription for cromolyn. Which of the following information should the nurse include in the teaching?
Answer Choices:
A. “Cromolyn is used to prevent your condition from occurring.”
B. “Cromolyn should be administered 1 hour after exercising."
C. “Cromolyn will assist with dilating the bronchioles in your lungs."
D. “Cromolyn should take effect within 5 minutes."
A nurse is caring for a client who is taking prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this medication?
Answer Choices:
A. Hemolytic anemia
B. Hypoglycemia
C. Bone loss
D. Liver toxicity
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pharmacology
- Answer Choices: 1