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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 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 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 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?

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? 

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

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?

A practical nurse is reinforcing teaching for a client with diabetes how to monitor capillary blood glucose. The client asks, “What is a good value for fasting blood glucose? Which of the following is the best response from the nurse?