Pharm Exam #2 Analgesic, Neurology, & Oncology/Hematology

The daughter of a client with Alzheimer's disease asks the nurse, "Will the medication my mother is taking cure her dementia?" What is the best response by the nurse?

"It will not improve dementia but can help control emotional responses."

The nurse has given discharge instructions to a client who suffers from sensory neuropathy due to diabetes. The client was prescribed gabapentin. Which of the following statements indicates that the client understands the nurse's instructions regarding the medication?

"My doctor prescribed it for the pain in my legs."

A client is receiving combination chemotherapy for the treatment of metastatic carcinoma. For which systemic side effect would the nurse monitor the client?

Leukopenia

An adolescent with leukemia is receiving vincristine. The mother reports that the child is complaining of feeling 'tingles' all over. Which response by the nurse is most appropriate regarding the effect of this medication?

'It is a neurological side effect.'

The nurse observes bloody expectorant after a 4-year-old child with leukemia brushed his or her teeth. Which action should the nurse take next?

Document and report the incident.

Analgesic The nurse is caring for an 81-year-old client with colorectal cancer. Previously, the client's pain was managed with acetaminophen with codeine. However, the client is now experiencing frequent, severe pain and intravenous morphine has been prescribed. What should the nurse recognize about this order?

Appropriate pain management and should be available around the clock

Analgesic Which medication would the nurse anticipate the health care provider will prescribe to relieve the pain experienced by a client with rheumatoid arthritis?

Aspirin

A client is diagnosed with trigeminal neuralgia. Which nonanalgesic can decrease the client's pain?

Carbamazepine

Which sedative-hypnotics would the nurse identify as being used to treat insomnia associated with a panic disorder? Select all that apply. One, some, or all responses may be correct.

A. Phenelzine B. Paroxetine C. Alprazolam D. Imipramine E. Clonazepam C & E

Analgesic The health care provider writes a new order for a fentanyl patch to manage chronic pain experienced by a client in hospice care. The nurse is teaching the client and family members about the fentanyl patch and knows that teaching was effective when the client makes which of the following statements? Select all that apply.

"It may take up to a half day or longer for the patch to start working, the first time I use it." "If my pain is too great while I am on the patch, I can take a supplemental pain medication." "I will take the old patch off before I apply the new patch on."

A client who was admitted with a diagnosis of acute lymphoblastic leukemia is receiving chemotherapy. Which assessment findings would alert the nurse to the possible development of thrombocytopenia? Select all that apply. One, some, or all responses may be correct.

Melena Hematuria Ecchymosis

Status epilepticus develops in an adolescent with a seizure disorder who is taking antiseizure medication. Which reason would the nurse identify as the most common reason for the development of status epilepticus?

The prescribed antiseizure medication probably is not taken consistently.

Which information would the nurse include when teaching parents about the side effects of iron supplements?

The teeth may become stained.

The nurse is educating a client about newly prescribed alprazolam. Which information should the nurse include in the teaching?

The use of grapefruit juice should be avoided.

A client receiving cancer chemotherapy asks the nurse why an antibiotic was prescribed. Which tissue affected by chemotherapy will the nurse consider when formulating a response?

Bone marrow

Analgesic Which response to morphine would need to be reported immediately to the health care provider?

Bradycardia

Which statement about benzodiazepines requires correction?

These medications increase the activity of gamma-aminobutyric acid.

Which symptom of levodopa toxicity will a client taking levodopa be taught as a reason to contact the primary health care provider?

Twitching

Analgesic A client receiving morphine is being monitored by the nurse for adverse effects of the medication. Which clinical findings warrant immediate follow up by the nurse? Select all that apply. One, some, or all responses may be correct.

Unconsciousness Bradycardia Bradypnea

The nurse teaches the client about effects of carbamazepine that would be reported to the primary health care provider. Which effects would the nurse include?

Unusual bleeding or bruising Nausea

A client with Parkinson's disease is taking carbidopa-levodopa (Sinemet). Which observation by the nurse would indicate that the desired outcome of the medication is being achieved?

Lessening of tremors.

Which instruction about phenytoin will the nurse provide during discharge teaching to a client with epilepsy who is prescribed phenytoin for seizure control?

"Antiseizure medications will probably be continued for life."

Analgesic The nurse is preparing to administer aspirin 81 mg to a client who had a stroke. The client states, "I do not want to take that." Which statements should the nurse make to the client? Select all that apply.

"Can you tell me what concerns you have about the aspirin?" "Do you experience any nausea when you take the aspirin?" "Do you take your other medications as prescribed by your provider?" "Would you like to take the aspirin at another time of day?"

Analgesic Which client statement indicates that teaching about acetaminophen is effective?

"I have to be careful about which over-the-counter cold preparations I take."

Analgesic A client who recently had a heart attack has been prescribed low-dose (81 mg) aspirin at bedtime. The client states "Why am I supposed to take a 'baby aspirin' instead of a regular 325 mg tablet?" Which statement represents the nurse's best response?

"Taking 325 mg of aspirin daily will increase your risk of bleeding."

A client with a seizure disorder will begin taking phenytoin. Which instructions will the nurse give to the client?

'Provide meticulous oral hygiene.'

Analgesic At which time would the nurse plan to administer morphine 2 mg by mouth every 2 hours as needed to a client who has burns on 55% of the body surface and requires dressing changes?

60 minutes before the dressing change

A nurse is reviewing laboratory data prior to administering methotrexate to a client with breast cancer. Which clinical finding will the nurse report to the healthcare provider before administering the medication?

ALT of 55 IU/mL

Analgesic Which medication is safest to take for pain in the week before a surgical procedure?

Acetaminophen

A client is admitted to the emergency department with multiple fractures and potential internal injuries. The client's history reveals abuse of multiple medications for the past 8 months.Which medication when withdrawn will cause the most serious life threatening responses?

Barbiturates

A child is treated with succimer for lead poisoning. Which of these assessments is the priority?

Check the client's complete blood count with differential

A child with plumbism is prescribed edetate calcium disodium (calcium EDTA). Which assessment would be the most appropriate for the nurse to conduct before administering EDTA?

Checking for protein in the urine

The nurse instructs a postpartum client on the administration of an iron supplement. Which drink selected by the client indicates the teaching was effective?

Cranberry juice

A client has a tonic-clonic seizure. The nurse anticipates that the health care provider will prescribe the intravenous administration of which medication?

Diazepam

Analgesic A toddler ingested half a bottle of aspirin tablets. Which finding should the nurse expect to see in this child?

Epistaxis

A client with Hodgkin's disease adds doxorubicin to current therapy. Which advice will the nurse provide about this medication?

Expect urine to turn red for a few days after taking this medication.

Analgesic - NSAIDS Which life-threatening complication may occur in clients taking high-dose or long-term ibuprofen?

Gastrointestinal (GI) bleeding

A nurse is teaching parents of a child recently prescribed the medication phenytoin for seizure control. Which side effect will the nurse include?

Gingival hyperplasia

A nurse is teaching a parent how to administer oral iron supplements to a 2-year-old child. Which intervention should be included in the teaching?

Give the medicine with orange juice and through a straw

To minimize the side effects of the vincristine that a client is receiving, which diet would the nurse advise?

High in fluids

Which intervention would the nurse include in the plan of care for a client with breast cancer who received doxorubicin and cyclophosphamide 12 days ago and now has a white blood cell (WBC) count of 1.4 cells/mm 3 and reports shortness of breath and activity intolerance? Select all that apply. One, some, or all responses may be correct.

Institute neutropenic precautions

A nurse is administering vincristine to a client with cancer. The client asks the nurse how the medication works. Which statement by the nurse is appropriate?

It prevents cell division of cancer cells

Which benefit is provided by intra-arterial chemotherapy for cancer of the liver?

It reduces systemic toxicity.

Which medications would the nurse plan to use when administering chelation therapy to a toddler-age client to decrease the pain associated with intramuscular administration? Select all that apply. One, some, or all responses may be correct.

LMX-4 Procaine

The nurse provides care for a client with a long history of alcohol abuse. Which medication would the nurse anticipate will be prescribed for the client to prevent symptoms of withdrawal?

Lorazepam

The nurse is caring for a child diagnosed with seizures. While teaching the family and the child about the medication phenytoin, which concept should the nurse emphasize?

Maintain good oral hygiene and dental care

The nurse is caring for a client who recently received an allogeneic bone marrow transplant for the treatment of leukemia. Which nursing intervention is a priority for this client?

Monitor the client for signs of infection

Which information will the nurse share about alopecia characteristics to a client who is to receive chemotherapy after surgery for cancer?

Not permanent

Analgesic Which adverse effect of morphine indicates the need for naloxone administration?

Respiratory depression

The nurse is providing discharge education to a client who is prescribed alprazolam for a panic disorder. What concept should the nurse emphasize concerning the drug action?

Short-term relief can be expected

Which finding would the nurse report to the health care provider when caring for a client prescribed temazepam at bedtime?

Sleep driving

Naloxone effectively reverses a client's respiratory depression from an overdose of heroin. Which rationale explains why the nurse will continue to closely monitor this client's status?

Symptoms of the heroin overdose may return after the naloxone is metabolized

Which technique would the nurse use to administer ferrous sulfate to a 12-month-old infant?

Syringe directed toward the back of the mouth

Analgesic A health care provider prescribes aspirin for a client with severe arthritis. Which advice will the nurse provide to the client?

Take the medicine with meals

Analgesic A nurse has administered acetaminophen for pain relief to an infant. Based on the client's development stage, which action is most important to include in the medication administration record?

The dose administered based on the client weight

Which action would the nurse take when administering iron dextran?

Use the Z-track method

A client with laryngeal cancer is receiving chemotherapy. Which laboratory report is most important for the nurse to monitor when considering the effects of chemotherapy?

White blood cell count

A client is being discharged with a prescription for an iron supplement. Which client statement indicates the need for further teaching by the nurse?

"I will take the iron supplement with a full glass of milk."

Analgesic Which response would the nurse give to a client taking ibuprofen for rheumatoid arthritis who asks the nurse if acetaminophen can be substituted?

"Ibuprofen has anti-inflammatory properties, and acetaminophen does not."

Analgesic The nurse is providing care for a client after surgery. The client has an order for acetaminophen with codeine. The client asks the nurse what to expect after taking this medication. Which is the best response by the nurse?

"This combination medication will better help to manage your pain."

A 3-year-old child is prescribed a liquid iron preparation. The nurse would include which intervention when teaching the parent about the administration of this medication?

'Have the child drink the diluted iron preparation through a straw.'

Analgesic - NSAIDS The nurse administers acetaminophen to a child who complains of pain after abdominal surgery. The mother asks the nurse why her child isn't being given ibuprofen. Which response by the nurse is most appropriate?

'It could prolong bleeding time.'

The parent of a toddler taking methotrexate asks the nurse whether the child should be started on vitamin supplements. Which statement by the nurse is appropriate?

'Supplements that contain folic acid interfere with the effectiveness of chemotherapy.'

A school-age child with a seizure disorder is prescribed divalproex/phenytoin. The nurse would include which instruction when teaching the parents about administering this medication?

'Take the child for regularly scheduled blood tests.'

Which adverse response would a nurse assesses for when carbidopa-levodopa is prescribed for a client with Parkinson disease? Select all that apply.

A. Nausea B. Lethargy C. Bradycardia D. Polycythemia E. Emotional changes A & E

Analgesic When assessing an adolescent who recently overdosed on acetaminophen (Tylenol), it is most important for the nurse to assess for pain in which area of the body?

Abdomen

Analgesic A client takes acetaminophen routinely. The nurse will advise the client to avoid which substance?

Alcohol

A client diagnosed with breast cancer is prescribed doxorubicin. Which assessment finding would the nurse recognize as a toxic effect of this medication?

Cardiac dysrhythmias

The client with a seizure disorder receives intravenous (IV) phenytoin. The nurse will monitor closely for which condition?

Cardiac dysrhythmias

A client receives doxorubicin infusions for treatment of acute lymphocytic leukemia. Which clinical finding indicates that toxicity has occurred?

Cardiac rhythm abnormalities

A client is diagnosed with multiple myeloma. Which intervention would the nurse expect the plan of care to include?

Chemotherapy employing a combination of medications

A client is scheduled to begin chemotherapy 2 weeks after surgery for colon cancer. Which explanation would the nurse give to explain the delay after surgery?

Chemotherapy interferes with cell growth and delays wound healing.

Two weeks after starting phenobarbital sodium, the client develops new symptoms. Which symptom is probably caused by the medication?

Cognitive impairment

The nurse teaches a client's family about the administration of donepezil for treatment of dementia of the Alzheimer type. Which side effect identified by the caregiver indicates to the nurse that further teaching is needed?

Constipation

Which common side effect will the nurse address in the care plan of a client with cancer receiving the plant alkaloid vincristine?

Constipation

An 18-month-old toddler is being treated with intravenous diazepam every 4 hours for generalized tetanus. Which response to the medication would the nurse anticipate?

Control of hypertonicity and prevention of seizures

Which nursing assessment is most important for a child receiving cyclophosphamide?

Daily intake and output

A client is receiving ABVD (doxorubicin, bleomycin, vinblastine, and dacarbazine) therapy for Hodgkin's disease. When the client reports burning and tingling of the feet, which medication would the nurse determine is the likely cause?

Neurotoxicity caused by vinblastine

Analgesic The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with arthritis. The client reports hearing non-stop ringing in the ears. Which action should the nurse implement?

Notify the healthcare provider of the finding immediately

Analgesic - NSAIDS The client is using nonsteroidal anti-inflammatory drugs (NSAIDs) to manage arthritis pain. The nurse should caution the client about which potential side effect?

Occult bleeding

A 5-year-old child is receiving dactinomycin and doxorubicin therapy after nephrectomy for Wilms tumor. Which intervention would the nurse include when planning care?

Offering warm saline mouthwash

Analgesic A health care provider prescribes aspirin therapy for a client with arthritis. The nurse will advise the client to report which adverse effects? Select all that apply. One, some, or all responses may be correct.

Ongoing nausea Easy bruising Ringing in the ears

Which drink would the nurse instruct a client with iron deficiency anemia to choose to drink with the supplement for efficient absorption?

Orange juice

Which effect would the nurse monitor to evaluate the effectiveness of carbamazepine in the management of a client's trigeminal neuralgia?

Pain intensity

Analgesic - NSAIDS Which therapeutic outcomes are expected after administering ibuprofen? Select all that apply. One, some, or all responses may be correct.

Pain relief Temperature reduction Reduced inflammation

Which instruction would the nurse provide to parents of a school-age child who has been on long-term phenytoin therapy to prevent side effects?

Provide good oral hygiene.

Which nursing care will be included for a client who is receiving doxorubicin for acute myelogenous leukemia?

Providing frequent oral hygiene

Analgesic A hospice client who has severe pain asks for another dose of oxycodone. Which consideration is the nurse's primary concern when responding to the client's request?

Reduce the client's pain

Diazepam is administered to the client with status epilepticus. In addition to decreasing central neuronal activity, which effect would the nurse anticipate?

Relaxing of peripheral muscles

The nurse administers carbidopa-levodopa to a client with Parkinson's disease. Which activity describes the mechanism of action of this medication?

Replacement of a neurotransmitter in the brain

Analgesic A nurse is preparing to administer morphine to a client with chronic pain. Which assessment finding would prompt the nurse to withhold the medication?

Respiratory rate of 11 breaths/min

Analgesic The nurse is assessing a client with suspected aspirin overdose. Which assessment findings would support this diagnosis? Select all that apply.

Respiratory rate of 28 Tinnitus Serum pH 7.31 Headache

Which mechanism of action would the nurse identify for levodopa therapy prescribed to a client diagnosed with Parkinson disease?

Restores the dopamine levels in the brain

Analgesic A client who takes four 325-mg tablets of buffered aspirin four times a day for severe arthritis complains of dizziness and ringing in the ears. Which complication would the nurse conclude that the client probably is experiencing?

Salicylate toxicity

An adolescent is prescribed an antineoplastic agent. Which instruction would the nurse give to the parents before discharge?

Schedule laboratory blood tests to evaluate response to the medication

A client abruptly stops taking a barbiturate. Which withdrawal complication would the nurse anticipate that the client may experience?

Seizures

A client is receiving chemotherapy with doxorubicin. Which development will the nurse teach the client to report immediately?

Sore throat

A client with Hodgkin's disease is started on chemotherapy. The nurse teaches the client to notify the health care provider for which adverse response to chemotherapy?

Sores in the mouth

A client has been taking alprazolam for three days. For which expected effect of the medication should the nurse evaluate the client?

The client reports sleeping through the night.

A client is prescribed the benzodiazepine alprazolam for the management of panic attacks. Which action by the patient makes the nurse confident that the medication information discussed has been understood?

The client requests a prescription for oral contraceptives before being discharged.

Analgesic A client with a known history of opioid addiction has a surgical repair of multiple stab wounds to the abdomen. After surgery, the client's pain is not relieved by the prescribed morphine injections. Which phenomenon is the client experiencing when they fail to achieve pain relief?

Tolerance

Analgesic The nurse is caring for a 1-year-old child after heart surgery. The child weighs 22 pounds (10 kg). The health care provider has given an order for morphine sulfate 4 mg IV every 3 to 4 hours as needed for pain. What should the nurse do next?

Verify that the dose is appropriate for this child

A complete blood count is prescribed before each round of a client's cancer chemotherapy. Which component of the complete blood count is of greatest concern to the nurse?

White blood cells (WBCs)

Which adverse effect would the nurse continually assess for in a client receiving valproic acid?

Yellow sclera

Analgesic A school-age child with end-stage cancer has a continuous infusion of morphine to manage their pain. Breakthrough pain occurs and a fentanyl 'lollipop' is prescribed. Which instruction would the nurse give the child regarding the use of the lollipop when pain occurs?

'Hold it in your cheek only until the pain is relieved.'

A client with a seizure disorder is receiving phenytoin and phenobarbital. Which client statement indicates that the instructions regarding the medications are understood?

'Stopping the medications can cause continuous seizures and I may die.'

The nurse teaches the parents of a child prescribed long-term phenytoin therapy about care. Which statement indicates the teaching has been effective?

'We'll have her massage her gums and floss her teeth frequently.'

A newly admitted client reports taking phenytoin for several months. Which assessment should the nurse include in the admission report? Select all that apply.

A. Report of unsteady gait, rash and diplopia B. Report of any seizure activity C. Serum phenytoin levels

Which primary anxiolytic medication would the nurse anticipate developing a teaching plan for when a client with social anxiety disorder has a history of exhibiting an intense, irrational fear of being scrutinized by others? Select all that apply.

A. Sertraline B. Paroxetine C. Alprazolam D. Venlafaxine E. Clonazepam C & E

Analgesic A nurse is evaluating a client who was prescribed 30 mg of codeine after oral surgery. Which assessment finding indicates the expected outcome of the medication?

Absence of pain

A client with severe iron-deficiency anemia is prescribed a parenteral form of iron. Which intervention does the nurse prepare to implement before administering the medication?

Administer a small test dose.

A 9-month-old infant with iron-deficiency anemia has been getting supplements but shows no improvement. The nurse recognizes which action by the parents as the reason for the lack of improvement?

Administering iron supplements with whole cow's milk

Which medication would the nurse anticipate developing a teaching plan for when a client reports becoming panicked and having an irrational fear of talking in public?

Alprazolam

A client with adenocarcinoma receives doxorubicin intravenously (IV) to reduce the tumor mass. Which clinical finding indicates that doxorubicin toxicity may have occurred?

Alteration in cardiac rhythm

Which clinical finding indicates that doxorubicin toxicity may have occurred?

Alteration in cardiac rhythm

Analgesic - NSAIDS The healthcare provider prescribes naproxen (Naproxen) twice daily for a client with osteoarthritis of the hands. The client tells the nurse that the drug does not seem to be effective after three weeks. Which is the best response for the nurse to provide?

Another type of nonsteroidal antiinflammatory drug may be indicated

Analgesic Aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis. The nurse understands that the medication is being used primarily for which property?

Anti-inflammatory

Which instructions would the nurse include when teaching parents how to administer liquid iron to their child? Select all that apply. One, some, or all responses may be correct.

Anticipate that stools tend to be blackish-green. Give the medication with a glass of orange juice. Have the child drink it through a straw.

A client with Hodgkin's disease is to receive the cyclic antineoplastic vincristine as part of a therapy protocol. Which mechanism of action would the nurse associate with this medication?

Arresting mitosis in metaphase

Analgesic A client is admitted to the emergency department with crushing chest pain. A diagnosis of acute coronary syndrome is suspected. Which medication is indicated to prevent progression to a myocardial infarction?

Aspirin

The nurse is caring for a child with an exacerbation of leukemia. The nurse would plan to administer the prescribed analgesic for bone pain at which time?

At scheduled intervals

A client is admitted to the hospital with pancytopenia as a result of chemotherapy. Which information will the nurse provide to minimize the risk for complications?

Avoid activities that risk traumatic injuries and exposure to infection.

A nurse is providing education on the use of carbidopa/levodopa to a client with Parkinson's disease. What will the nurse include in the teaching?

Avoid eating meals that are high in protein

The nurse would counsel a pregnant client to take her iron supplement at which time of the day for efficient absorption?

Before breakfast

An adolescent with leukemia is to be given a chemotherapeutic agent. Which time is best for the nurse to administer the prescribed antiemetic?

Before each dose of chemotherapy

Which class of medication would the nurse anticipate preparing to administer to a client with alcohol dependence admitted to a detoxification unit?

Benzodiazepine

Analgesic Which medications should the nurse caution the client about taking while receiving an opioid analgesic?

Benzodiazepines

Donepezil is prescribed for a client who has mild dementia of the Alzheimer type. Which information would the nurse include when discussing this medication with the client and family?

Blood tests that reflect liver function will be performed routinely.

Which laboratory test result would alert the nurse that fluid intake would need to be increased in a child receiving vincristine?

Blood uric acid level of 7.5 mg/dL

Analgesic The nurse is planning care for a toddler who has ingested aspirin. Which assessment warrants close monitoring because an increase would result in further complications?

Body temperature

A client is receiving doxorubicin as part of a chemotherapy protocol. The nurse will assess the client for which system toxicity?

Cardiotoxicity

Which nursing intervention is a priority for a school-age child with lead poisoning undergoing chelation therapy?

Careful monitoring of intake and output

A client is diagnosed at stage IV Hodgkin disease. Which therapy option is indicated?

Combination chemotherapy

Which mechanism of action explains why naloxone is administered for a heroin overdose?

Competition with opioids for occupancy of opioid receptors

Analgesic A client recovering from hip replacement surgery is taking acetaminophen with codeine every three hours for pain. For which side effect should the nurse monitor the client?

Constipation

The nurse is preparing to administer newly prescribed intravenous phenytoin to a client. When reviewing the client's medical record, which prescription should the nurse question?

Continuous infusion of dextrose 5% in 0.9% saline

Analgesic A client takes oxycodone every 3 hours for pain after surgery. Which actions would the nurse take before administering each dose of oxycodone? Select all that apply. One, some, or all responses may be correct.

Count the client's respiratory rate Ask the client to rate the level of pain Assess the client's level of consciousness

For which therapeutic effect will the nurse monitor the client who is prescribed alprazolam?

Decreased anxiety

Leucovorin calcium is prescribed and is to be administered immediately after an infusion of methotrexate. Which result of laboratory testing indicates that leucovorin has been effective?

Decreased methotrexate level

The nurse is evaluating the results of treatment with erythropoietin. Which assessment finding indicates an improvement in the underlying condition being treated?

Decreased pallor

Analgesic A health care provider prescribes morphine for a client being treated for myocardial infarction. Which physiological response will occur if the client experiences the intended therapeutic effect of morphine?

Decreased workload of the heart

A primary health care provider prescribes 0.25 mg of alprazolam by mouth three times a day for a client with anxiety and physical symptoms related to work pressures. Which side effect of this medication will the nurse monitor for this client?

Drowsiness

A client with stage III Hodgkin's disease is started on a multiple-drug regimen of doxorubicin, bleomycin, vinblastine, and dacarbazine. Why are so many drugs necessary?

Each drug destroys the cancer cell at a different time in the cell cycle.

The nurse administers erythropoietin three times a week to a client receiving chemotherapy for cancer. Which client response demonstrates a therapeutic effect?

Elevated hematocrit

Which intervention would the nurse take to improve nutrition after identifying that a client receiving chemotherapy has lost weight? Select all that apply. One, some, or all responses may be correct.

Encourage the intake of preferred foods. Promote the intake of small, frequent meals Administer prescribed antiemetics before meals

The nurse is developing a plan of care for a client who has developed blisters and sores in the mouth after receiving chemotherapy. Which interventions should the nurse include? Select all that apply.

Examine your mouth frequently. Drink 2 or more liters of water per day Suck on ice chips during chemotherapy Avoid spicy or acidic foods

Analgesic The client with chronic arterial insufficiency of the legs refuses the prescribed dose of aspirin (ASA). The client states, 'My legs are not painful.' Which action will the nurse take?

Explain the reason for the medication and encourage the client to take it

Analgesic A nurse is reviewing analgesic prescriptions for a client with a history of liver cirrhosis. The prescriptions state to administer PRN for pain. Which medication is the nurse most likely to administer to this client?

Fentanyl

A child with iron-deficiency anemia is prescribed oral iron therapy. Anticipatory guidance regarding which side effect would the nurse provide?

Greenish-black stool

Analgesic A client with a history of osteoporosis and vertebral compression has been coming to the clinic more frequently for prescription refills of hydrocodone/acetaminophen. Which inference will the nurse make?

Higher doses are needed to achieve pain relief

Analgesic - NSAIDS A nurse is assessing a client who takes prescribed oral indomethacin. Which client statement indicates an intended response to the medication?

I am able to rotate my wrists without pain

A nurse is providing education on the use of pregabalin to a client with a seizure disorder. Which client statement indicates further teaching is required?

I will hold the dose if my seizures are controlled

A nurse is preparing to administer doxorubicin to a client with bladder carcinoma. How will the nurse prepare this medication?

In a biological safety cabinet

A client with upper gastrointestinal (GI) bleeding develops mild anemia. Which agent is indicated for treatment of this condition?

Iron salts

The client wants to know why midazolam will be administered preoperatively. Which reason would the nurse provide?

It induces sedation.

An adolescent who has been prescribed prednisone and vincristine for leukemia tells the nurse that he is constipated. Which reason would the nurse cite as the probable cause of the constipation?

It is a side effect of the vincristine.

Chemotherapy via regional perfusion is the treatment of choice for a client's malignant sarcoma of the liver. Which reason would the nurse provide to explain to the client why this method of medication administration probably was selected?

Larger doses of medications can be delivered to the actual site of the tumor.

Which systemic side effect would the nurse monitor for in a client receiving combination chemotherapy for the treatment of metastatic carcinoma?

Leukopenia

Analgesic Which member of the health care team would the nurse ask to serve as a witness when wasting unused morphine?

Licensed practical nurse (LPN)

Analgesic A health care provider prescribes transdermal fentanyl 25 mcg/h every 72 hours. During the first 24 hours after starting the fentanyl, the nurse recognizes the need to take which action?

Manage pain with an analgesic by a different route

Which medications would the nurse identify as commonly used as an adjunct during conscious sedation for minor surgeries?

Midazolam

Which primary reason identifies why oxazepam is given during detoxification?

Minimizes withdrawal symptoms the client may experience

Analgesic A client with a history of heart disease has been prescribed prophylactic aspirin daily. Which action should the nurse implement to help prevent aspirin toxicity?

Monitor serum albumin

Which nursing action is the priority when administering chelation therapy for a toddler?

Monitoring urine output

Analgesic A client who has been diagnosed with a myocardial infarction receives digoxin, fluoxetine, morphine, and docusate sodium. Which medication would the nurse identify as a risk factor for straining due to constipation?

Morphine

Analgesic A client has increased intracranial pressure and is unconscious with a heart rate of 60 beats/min, respirations 16 breaths/min, and blood pressure 142/64 mm Hg. The nurse reviews the treatment plan and questions which prescription?

Morphine

Analgesic A client with a myocardial infarction is admitted to the cardiac intensive care unit. Which pain relief medication would the nurse expect to find on the plan of care for this client?

Morphine

Analgesic Which medication would the nurse anticipate will be prescribed to relieve anxiety and apprehension in a client with pulmonary edema?

Morphine

Which medication is indicated for management of clinical manifestations associated with an opioid overdose?

Naloxone

Which side effect would the nurse assess for in a child receiving vincristine?

Neurological complications

The hospice nurse is visiting a client diagnosed with end-stage lung cancer and metastases to the bone. What should the nurse keep in mind when planning for effective pain management?

Pain therapy is based on the client's report of pain

A client with leukemia who is receiving vincristine reports lower leg numbness. Which statement about vincristine explains this occurrence?

Peripheral neuropathies can result from vincristine chemotherapy

A school-age child with leukemia is receiving treatment with vincristine. Which toxic response would the nurse assess the child for?

Peripheral neuropathy

Which toxic effect would a nurse monitor for in a client who is prescribed vincristine?

Peripheral paresthesia

A client who is receiving phenytoin asks why folic acid was prescribed. Which explanation would the nurse provide?

Phenytoin inhibits absorption of folate from foods.

Analgesic A client who had a myocardial infarction receives 15 mg of morphine sulfate for chest pain. Fifteen minutes after receiving the medication, the client complains of feeling dizzy. Which action will the nurse take?

Place the client in the supine position and take the vital signs

Which concern will the nurse keep in mind when a client has been taking a benzodiazepine?

Rebound insomnia may occur if the medication is discontinued abruptly.

A child with Wilms tumor is prescribed doxorubicin hydrochloride. Which common side effect unique to doxorubicin would the nurse expect to observe in the child?

Red urine

The nurse is caring for a client who was prescribed alprazolam. When educating the client about the new medication, which intended effect should the nurse include?

Reduce anxiety and provide a calming effect

Analgesic A client in the coronary care unit develops 'viselike' chest pain radiating to the neck. Assessment reveals a blood pressure of 124/64 mm Hg, an irregular apical pulse of 64 beats per minute, and diaphoresis. Cardiac monitoring is instituted, and morphine sulfate 4 mg intravenous (IV) push stat is prescribed. Which intervention is the priority nursing care for this client?

Relief of pain

Analgesic A client using fentanyl transdermal patches for pain management in late-stage cancer dies. Which action will the hospice nurse take regarding the patch in use at the time of death?

Remove and dispose of the patch in an appropriate receptacle

Analgesic The nurse is caring for a client with acute pain and realizes a medication error has occurred. The client received twice the ordered dose of morphine an hour ago. Which nursing problem is the priority at this time?

Respiratory depression

The healthcare provider prescribes naloxone (Narcan) for a client in the emergency room. Which assessment data would indicate that the naloxone has been effective?

Respiratory rate is 16 breaths/minute

Analgesic An adolescent client has orders for morphine sulfate for severe pain and acetaminophen-codeine compound for moderate pain after a spinal fusion. The pain assessment reveals the client is rigid and crying in pain. Which information would influence the nurse's choice of analgesic?

Spinal fusion causes considerable pain during the early postoperative days, and morphine is the more effective analgesic

A nurse is preparing to administer reconstituted doxorubicin (Myocet) to a client with thyroid carcinoma. Nuclear medicine calls for the client, and the nurse is unable to administer the medication. Which action should the nurse perform with the medication?

Store the medication in the refrigerator inside the syringe

A client has completed therapy and requests to discontinue treatment with benzodiazepines. Which information would the nurse provide to prevent injury?

Taper dose over several months.

Which would the nurse include when teaching a client with Parkinson disease about carbidopa-levodopa?

The medication should be taken with meals.

Which rationale explains why the nurse would question a benzodiazepine prescription for an individual experiencing acute grief?

The period of denial is extended, and the grieving process is suppressed.

Analgesic - NSAIDS The nurse educating a client who is postpartum about the use of ibuprofen for uterine cramping. Which statement should the nurse include in the teaching?

This medication could cause gastrointestinal discomfort

The nurse receives an order to administer intravenous (IV) iron sucrose to a client with anemia. Which statement best describes the purpose of administering this medication using the IV route?

To prevent the drug from causing tissue irritation

In addition to hydration, parenteral lorazepam is prescribed for a client during alcohol withdrawal delirium. Which primary purpose accurately explains why this medication is given during detoxification?

To reduce the anxiety tremor state and prevent more serious withdrawal symptoms

A client develops severe bone marrow suppression related to cancer treatment. Which instruction is important for the nurse to include in the client's teaching?

Use a soft toothbrush for oral hygiene.

Which step would the nurse include during the administration of epoetin prescribed to a client with acquired immunodeficiency syndrome (AIDS)?

Use a syringe that has a 1-inch (2.5-cm), 25-gauge needle.

A school-age child diagnosed with acute lymphocytic leukemia (ALL) becomes constipated after receiving induction therapy with prednisone, vincristine, and asparaginase. Which would the nurse suspect as the cause?

Vincristine, which decreases peristalsis

The nurse is reviewing the laboratory results for a client with cancer who is being treated with chemotherapy and recently started prescribed filgrastim. Which laboratory value indicates the treatment is effective?

White blood cell count (WBC) of 5,200/mm3

A client who is immunosuppressed is receiving filgrastim. When monitoring effectiveness, the nurse will check for an increase in which blood component?

White blood cells

During the admission process, the client reports heavy alcohol use for at least one year. What effect does the nurse anticipate the hospitalized client will experience when alcohol consumption stops?

Withdrawal

Analgesic After surgery the client has a prescription for morphine sulfate via intravenous (IV) route every 3 hours as needed for pain. The client's preoperative blood pressure was 128/76 mm Hg. Postoperative assessments reveal that the client's blood pressure ranges between 90/60 mm Hg and 100/70 mm Hg. Which action will the nurse take if the client requests medication for pain?

Withhold morphine until the blood pressure stabilizes

The nurse is educating a client with seizure disorder about newly prescribed phenytoin. Which statement should the nurse include in the teaching?

You will need to have routine visits with a dentist when taking this medication

The nurse is providing teaching to a client who has been prescribed cyclophosphamide for breast cancer treatment. Which of the following statements made by the client would indicate that additional teaching is needed?

"I should limit the amount of fluids I drink while taking this medication."

A client receives doxorubicin as part of a chemotherapy protocol. The nurse would assess the client for signs and symptoms of which adverse effect?

Heart failure

A client is prescribed epoetin injections. To ensure the client's safety, which laboratory value would the nurse assess before administration?

Hematocrit

A client has surgery for the insertion of an implanted infusion port for chemotherapy. How often will the port need to be flushed when not in use?

Every month

An antianxiety medication is prescribed for an extremely anxious client. The client states, 'I'm afraid to take this medication because I heard it's addictive.' Which response by the nurse is most appropriate?

'The medication has the potential for physiological and psychological dependence.'

The mother of an infant recently prescribed phenobarbital for seizures calls the pediatric clinic and states that the infant is lethargic and sleeps for long periods. Which response by the nurse is most appropriate?

'This is a temporary response to the medication; it usually stops after a few weeks.'

Carbidopa-levodopa is prescribed for a client with Parkinson's disease. Which Instruction will the nurse include when teaching the client about this medication?

'You may experience dizziness when moving from sitting to standing.'

Analgesic A postoperative client has a prescription for acetaminophen with codeine for pain relief. The nurse understands which action to be the primary purpose of this drug combination?

Enhanced pain relief

Analgesic The nurse is caring for a client hospitalized with a myocardial infarction. Which analgesic is the medication of choice for this client?

Morphine sulfate

Which response would the nurse give to a client receiving chemotherapy who develops sores in the mouth and asks the nurse why this happened?

"The frequently dividing cells of the gastrointestinal tract are damaged by the medication."

Analgesic - NSAIDS A client with rheumatoid arthritis is to begin taking ibuprofen 800 mg by mouth three times a day. The nurse provides education about the medication's side effects. The nurse concludes that the teaching was effective when the client makes which statements? Select all that apply. One, some, or all responses may be correct.

'I need to report any dark tarry stools.' 'I will need to stop taking this medication before any scheduled surgery.'

A client is receiving epoetin for the treatment of anemia associated with chronic renal failure. Which client statement indicates to the nurse that further teaching about this medication is necessary?

'I realize it is important to take this medication because it will cure my anemia.'

Analgesic Which would the nurse include in the client's medication teaching on the administration of aspirin 650 mg every 6 hours as needed for arthritic pain? Select all that apply. One, some, or all responses may be correct.

'Report persistent abdominal pain.' 'Do not chew enteric-coated tablets.' 'Take the aspirin with meals or a snack.'

A child receiving methotrexate and undergoing cranial radiation is very weak. The mother asks the nurse if she should give her child vitamins. Which response by the nurse is most appropriate?

'That won't be possible. Vitamins interfere with the action of methotrexate.'

Which statement by the nurse reflects teaching for a client recently initiated on anticonvulsants? Select all that apply. One, some, or all responses may be correct.

A. 'It is important to take the medication at the same time every day with meals.' B. 'It is important to not drink excessive amounts of caffeine-containing beverages or alcohol.' C. 'Avoid driving or hazardous activities until any side effects such as drowsiness can be determined.' D. 'Some anticonvulsants interfere with vitamin and mineral absorption, so you may need a supplement.' E. 'Oral hygiene, such as gum massage and tooth brushing, is important to combat the gingival hyperplasia that some anticonvulsant medication can cause.' ALL OF THE ABOVE

Analgesic A client has been given a prescription for acetylsalicylic acid. The nurse recalls that this medication has which property?

Analgesic

A client with Parkinson disease is admitted to the hospital. Which medication is prescribed to improve the physical manifestations of Parkinson disease?

Carbidopa-levodopa

Which concept is important to teach a client in relation to why medication cocktails are more effective than a single medication in cancer therapy?

Cellular growth cycle

A client is prescribed alprazolam. Which action must the nurse include in the client assessment during the initiation of therapy?

Check the client's blood pressure.

Analgesic - NSAIDS A nurse is reviewing prescriptions for a client with a history of rheumatoid arthritis and peptic ulcer disease. The client has prescriptions for ibuprofen and ranitidine. Which action will the nurse perform?

Clarify the prescription for ibuprofen

The health care provider prescribes alprazolam 5 mg by mouth three times a day for a client with anxiety. Which intervention will the nurse take before administering this prescription?

Clarify the prescription with the health care provider.

Analgesic - NSAIDS A nurse is evaluating a client who takes naproxen for pain associated with osteoarthritis. Which documented statement indicates the expected outcome was met?

Client observed with steady gait upon ambulation

The nurse is completing a health history of a client diagnosed with Alzheimer's disease. The nurse reviews a list of the client's medications and supplements routinely taken at home. Which treatment should be a cause for concern by the nurse?

Coconut oil

Which mechanism of action explains the ability of nitrogen mustard to interfere with growth of cancer cells?

Combining with DNA strands and interfering with cell replication

A client is treated with lorazepam for status epilepticus. Which effect of lorazepam is the reason it is given?

Depresses the central nervous system (CNS)

For which side effects will the nurse assess a client with cancer who is being treated with chemotherapeutic agents? Select all that apply. One, some, or all responses may be correct.

Diarrhea Bleeding tendencies

A client receiving doxorubicin (Adriamycin) intravenously (IV) complains of pain at the insertion site, and the nurse notes edema at the site. Which intervention is most important for the nurse to implement?

Discontinue the IV fluids.

Analgesic A client with arthritis takes large doses of aspirin. Which symptom would the nurse include when teaching the client about the clinical manifestations of aspirin toxicity?

Disturbances in hearing

Analgesic Morphine has been prescribed for a client in a hospice home care program. Which information will the nurse provide regarding this pain management regimen?

Dosages of the medication will be given automatically at regular intervals around the clock

A child is prescribed dactinomycin and doxorubicin therapy after a nephrectomy for Wilms tumor. Which intervention would the nurse include in the plan of care?

Ensuring meticulous oral hygiene

The nurse is assessing a child receiving chemotherapy for treatment of leukemia. Which side effect would the nurse anticipate?

Epistaxis

Analgesic A client is prescribed controlled-release oxycodone. Which dosing schedule is best for the nurse to teach the client?

Every 12 hours

The oncology nurse is preparing to administer the initial dose of vincristine to a child diagnosed with acute lymphocytic leukemia. Which interventions should the nurse include in the plan of care? Select all that apply.

Monitor liver function tests regularly. Monitor for numbness or tingling in the fingers and toes. Verify blood return before, during and after intravenous administration.

A client has a tonic-clonic seizure caused by an overdose of aspirin. Which action would the nurse take next?

Monitor vital signs every 15 minutes.

Analgesic A client receives intrathecal morphine to control severe postoperative pain. Which action will the nurse include as part of the client's initial 24-hour postoperative care plan?

Monitoring of respiratory rate hourly

The nurse considers that the safe administration of high-dose methotrexate therapy would include which intervention?

Monitoring plasma levels of the medication

A school-age child with a seizure disorder has been on long-term carbamazepine therapy. Which intervention would the nurse incorporate into the plan of care?

Monitoring the child's complete blood cell counts

Analgesic A client, admitted to the cardiac care unit with a myocardial infarction, complains of chest pain. Which intervention will be most effective in relieving the client's pain?

Morphine sulfate 2 mg IV

Analgesic A client who receives morphine by patient-controlled analgesia has a respiratory rate of 6 breaths/minute. Which intervention is needed?

Naloxone administration

The nurse teaches the client about effects of carbamazepine that would be reported to the primary health care provider. Which effects would the nurse include? Select all that apply.

Nausea Unusual bleeding or bruising

The nurse is caring for a child who is receiving vincristine. Which body systems are most important for the nurse to assess after medication administration? Select all that apply. One, some, or all responses may be correct.

Neurological Hematologic Gastrointestinal

The alkylating agent cyclophosphamide is prescribed for a school-age child with cancer. Which clinical manifestation would the nurse be alert for while the child is receiving this medication?

Pain with urination

Analgesic A client takes morphine sulfate for severe metastatic bone pain. The nurse will assess the client for which adverse effect?

Respiratory depression

A client has been robbed, beaten, and sexually assaulted. The primary health care provider prescribes 0.25 mg of alprazolam for agitation. Which event would alert the nurse to administer this medication?

The client requests something to calm her.

A client with anemia has a new prescription for ferrous sulfate. When teaching the client about diet and iron supplements, what should the nurse emphasize about taking an iron supplement?

Take the iron tablet with a glass of orange juice

Analgesic - NSAIDS The nurse is teaching a group of clients diagnosed with arthritis about the use of non-steroidal anti-inflammatory agents (NSAIDs). In order to minimize side effects of these drugs, which action should the nurse emphasize?

Take the medication with food

Parents of a child with sickle cell anemia ask about their child taking iron supplements to help treat the anemia. How will the nurse respond?

Taking supplements will not help with this condition.

Warfarin is prescribed for the client who takes phenytoin for a seizure disorder. Which medication interaction complicates seizure therapy?

Warfarin inhibits the metabolism of phenytoin.

Which anticipatory guidance would the nurse include when teaching an adolescent about side effects of dactinomycin and doxorubicin therapy?

Wear a baseball cap.

Analgesic In which time frame would the nurse advise a client with a long leg cast for a fractured bone to take the prescribed as-needed oxycodone?

When the discomfort begins

Analgesic How would the nurse instruct a client with arthritis to take aspirin when the client states that the aspirin causes stomach irritation?

With food and a full glass of water

The caregiver of a client with Alzheimer's disease asks the nurse for information about different treatment options that can help with memory or behavior problems. Which of the following responses by the nurse are correct? Select all that apply.

A. "Music therapy has been found to help some clients." B. "Ginkgo biloba may help with memory." C. "Acupuncture may be very relaxing." D. "Donepezil (Aricept) may help slow cognitive decline." E. "Garlic may help with this disease." A, B, D

Which action would the nurse implement for a client who has overdosed on barbiturates? Select all that apply

A. Apply ice packs. B. Maintain airway. C. Administer naloxone. D. Give activated charcoal. E. Give intravenous fluids. B, D, E

Which medication would the nurse instruct a client to avoid while taking alprazolam? Select all that apply

A. Opioids B. Alcohol C. Barbiturates D. Antidepressants E. First-generation antipsychotics A, B, & C

Analgesic Which medication increases the risk for upper gastrointestinal (GI) bleeding? Select all that apply. One, some, or all responses may be correct.

Aspirin Ibuprofen Methylprednisolone

A client with multiple myeloma who is receiving the alkylating agent melphalan returns to the oncology clinic for a follow-up visit. For which adverse effect will the nurse monitor the client?

Leukopenia

Analgesic The nurse is caring for a client that is taking prednisone and aspirin for rheumatoid arthritis. Which action by the nurse is appropriate for this client?

Test the client's stool for occult blood

Analgesic A client develops tinnitus. Which of the client's medications would the nurse suspect is the cause of this new development?

Aspirin 325 mg, two tablets every 4 hours

Analgesic A terminally ill client is receiving a morphine drip that exceeds the typical recommended dosage. The client's spouse tells the nurse that the client is again uncomfortable and needs the morphine increased. The prescription states to titrate the morphine to comfort level. Which action will the nurse take?

Assess the client's pain before increasing the dose of morphine

A nurse is providing care to a client who takes phenytoin for seizure prevention. The latest laboratory report shows a phenytoin level of 32 mcg/mL. Which action does the nurse take next?

Assess the pupillary response

Analgesic The nurse is teaching a client who is postoperative cesarean section about prescribing morphine via a patient-controlled device. Which statement should the nurse include in client teaching about the medication?

Let a staff member know if you experience any trouble breathing

Analgesic Aspirin is prescribed for a client with rheumatoid arthritis. Which clinical indicators of aspirin toxicity will the nurse teach the client to report? Select all that apply. One, some, or all responses may be correct.

Blood in the stool Ringing in the ears

Analgesic - NSAIDS A child with juvenile idiopathic arthritis is prescribed nonsteroidal anti-inflammatory drug (NSAID) therapy at home. Which important toxic effect of NSAIDs would the nurse include in discharge instructions to the child and family?

Blood in the urine

Analgesic - NSAIDS The mother of a toddler with hemophilia A asks the nurse, 'Can I give my child ibuprofen for fever or pain?' How will the nurse respond?

'Give your child acetaminophen. Ibuprofen may cause bleeding.'

Which manifestation is an adverse effect of intravenous lorazepam? Select all that apply.

A. Amnesia B. Drowsiness C. Sleep driving D. Blurred vision E. Respiratory depression All of the above

A client with a diagnosis of dementia of the Alzheimer type has been taking donepezil 10 mg/day for 3 months. The client's partner calls the clinic and reports that the client has increasing restlessness and agitation accompanied by nausea. Which advice would the nurse give the partner?

Bring the partner to the clinic for testing and a physical examination.

A client is admitted to the emergency department after experiencing a seizure. Which action would the nurse take first?

Obtain a history of seizure type and incidence.

A client with insomnia takes a new medication to promote sleep. Two hours later, the client is wide awake and feeling more energized than before the medication was taken. Which type of response is the client demonstrating?

Paradoxical

Which medication would the nurse expect to administer to actively reverse the overdose sedative effects of benzodiazepines?

Flumazenil

Analgesic Which client should the nurse identify as being at highest risk for complications during the use of an opioid analgesic?

A young adult with inflammatory bowel disease

A client's phenytoin level is 16 mcg/L. Which action will the nurse take?

Administer the next dose of the medication as prescribed.

A client with lymphosarcoma is receiving allopurinol and methotrexate. The nurse can help the client prevent complications related to uric acid nephropathy by administering which medication in relation to which changes in fluid intake?

Allopurinol and encouraging increased fluid intake

An adolescent is to begin a chemotherapeutic medication regimen. Which side effect of vincristine is most important for the nurse to prepare the adolescent to expect?

Alopecia

Analgesic The nurse understands which anesthetic medication is commonly used for short procedures on pediatric clients?

Fentanyl

The nurse is caring for a client with Parkinson's disease. Which finding indicates that the client might be experiencing an adverse side effect from the dopamine-enhancing drugs?

Hallucinations

Which side effect would the nurse anticipate in a child receiving chelation therapy?

Hypocalcemia

Analgesic A nurse has removed a 2 ml vial of fentanyl from the medication dispensing system. After dosage calculations, the nurse determines only 1 ml will be administered to the client. Which action will the nurse perform with the remainder of the medication?

Request another nurse to witness wasting of the unused medication

The nursing is preparing to administer phenytoin IV push to a client. The client has dextrose 5% in water infusing continuously. Which action is appropriate?

Stop the infusion and flush the port with normal saline prior to administration

Which administration guidelines would the nurse follow when administering midazolam to an older client?

The increments should be smaller, and the rate of injection should be slower.

Analgesic - NSAIDS A nurse is preparing to administer indomethacin to a client with acute pain. Which medication on the client's medical record will prompt the nurse to monitor the client more frequently?

Warfarin

The nurse understands which antiepileptic medication would be used as the first-line treatment for absence seizures?

Valproic acid

A client with cancer is receiving leucovorin as part of a chemotherapy protocol. Which purpose does leucovorin serve?

Diminishing toxicity of folic acid antagonists

Which medication acts as an antidote to benzodiazepine?

Flumazenil

A client receiving chemotherapy develops bone marrow suppression. The nurse will monitor for which thrombocytopenic effect? Select all that apply. One, some, or all responses may be correct.

Melena Purpura Hematuria

Analgesic The nurse is caring for a client who is receiving aspirin therapy. Which clinical indicator would be related to this therapy?

Prolonged bleeding time

Analgesic Which relationship reflects the relationship of naloxone to morphine sulfate?

Protamine sulfate to heparin