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The client is receiving fentanyl patch for control of chronic cancer pain. What should the practical nurse observe for in the client as a potential adverse effect of this medication? 

This medication in the tricyclic antidepressant class has been found useful in the treatment of migraines.

The practical nurse reinforces teaching about a prescription for levothyroxine, a thyroid replacement medication. What is the best time for the client to take this medication? 

The practical nurse is preparing to administer digoxin to a client. After reviewing the laboratory results with the following finding: sodium 139 mEq/L (Normal 136-145 mEq/dL), potassium 3.0 mEq/L (Normal 3.5-5 mEq/dL) and glucose 106 mg/dL (Normal 74-106 mg/dL). What should be the next action?

The nurse is teaching a class on ethics as it relates to drug research.  The nurse identifies the importance of protecting the client from harm.  Which principle is the nurse discussing? 

A drug effect that occurs in an individual that is opposite of the intended effect is known as?

A client has been prescribed spironolactone. When given with which medication would increase the risk of hyperkalemia?

The practical nurse is administering medications to a client with a prescription for bupropion. The client has no history of depression. Which of the following would be an approved use of bupropion? 

The practical nurse must understand how to treat hypoglycemia. A client is experiencing symptoms of hypoglycemia. The blood sugar is 61. The client is alert enough to swallow. How will you treat the hypoglycemia including follow up data collection?

An adult client is brought to the emergency department for treatment of an asthma exacerbation. The client uses inhaled albuterol as needed to control wheezing. The nurse notes expiratory wheezing, tremors, restlessness, and a heart rate of 120 beats per minute. The nurse suspects that the client has: