The client is receiving fentanyl patch for control of chronic cancer pain. The nurse reviews the medication administration record (MAR). Which of the following medications when taken at the same time can cause an adverse effect when taken with fentanyl?

A client is scheduled to take a dose of warfarin at 1800. The patient’s INR level is 3 (normal 2-3). As the nurse you will? 

A client is receiving scheduled regular insulin and sliding scale lispro insulin with meals three times per day.  You are to administer the 0800 insulin.  You check a blood sugar immediately prior and it is 300 mg/dL. Order: Regular insulin 9 units subcutaneous at 0800 and Lispro Insulin Sliding Scale at 0800: 301 10 units and call physician  What nursing action do you implement for this client?

A cholinergic medication is contraindicated if the patient has:

A client has a bacterial infection, but the causative organism is not known. Which type of antibacterial drug will most likely be prescribed?

The nurse is caring for a client with a peptic ulcer who has a new prescription for sucralfate. How should the nurse administer this medication for the best results? 

What is the priority assessment data for a client prescribed antibiotic therapy?

A type 2 diabetic is admitted into the medical-surgical unit with a diagnosis of pneumonia. The client’s usual oral diabetes medication has been discontinued, and insulin SQ will be administered for glucose control. Why has this change been made?

A nurse is administering a daily dose of gentamicin at 1000. At which time should lab obtain the client’s blood sample to determine the trough level?

A post-op client with a PRN order for pain medication asks for a dose. After the nurse gets the codeine pill from the medication system, the client states they will save it until later. What is the nurse’s most appropriate action?