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The nurse is reviewing medication orders for clients receiving IV pentobarbital for seizure control. Before administering the medication, the nurse reviews each client’s medical history for conditions that may increase the risk of complications. Which client should the nurse question receiving pentobarbital due to the highest risk for a serious adverse reaction?

A client with osteoporosis is prescribed calcitonin salmon. The nurse reviews the medication’s pharmacologic action to understand how it helps reduce bone loss. Which mechanism best explains the therapeutic action of calcitonin?

A 74-year-old patient with osteoporosis has been taking oral alendronate weekly for the past 18 months. During a routine clinic visit, the patient reports persistent jaw discomfort that began 3 weeks ago after a recent tooth extraction. The patient states the gum area “has not healed” and occasionally notices a small amount of exposed tissue when brushing. The patient denies fever. Which action should the nurse take first?

A client is receiving an oxytocin infusion to induce labor. The nurse reviews the plan of care to ensure appropriate safety measures are in place during medication administration. Which nursing intervention is most important to include while the client is receiving oxytocin?

A postmenopausal client has been prescribed raloxifene to reduce the risk of osteoporosis. The nurse reinforces medication teaching and evaluates the client’s understanding of expected effects and potential risks. Which statement by the client indicates a need for further teaching about raloxifene?

A 66-year-old client with a history of coronary artery disease is prescribed sildenafil for erectile dysfunction. During medication reconciliation, the nurse reviews the client’s current medication list to identify potential drug interactions. Which current medication places the client at the highest risk for a life-threatening complication if taken with sildenafil?

Carlos has a family history of premature heart disease and stroke. To lower his risk of cardiovascular disease, Carlos should ________.      

Pregnant adolescents require early intervention and special care throughout pregnancy

A nurse is reviewing the health history of several clients who are prescribed clomiphene for ovulation induction. The nurse evaluates which client condition requires questioning the prescription before administration. Which client history should the nurse identify as a contraindication to clomiphene therapy?

A client is prescribed temazepam for the treatment of insomnia. The nurse reinforces medication teaching regarding the expected duration of therapy and safe use of this medication. Which instruction should the nurse include regarding the appropriate use of temazepam?