A client is receiving chemotherapy and has a prescription for ondansetron IV for nausea and vomiting. The nurse should monitor the client for which of the following adverse effects?
- A. Hypotension
- B. Bradycardia
- C. Tremors
- D. Urinary retention
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Most antibiotic resistance in bacteria is caused by which of the following?
- A. Genes that are carried on plasmids
- B. Depression of a previously existing gene pool
- C. An ever increasing mutation rate in bacteria
- D. Unequal distribution of antibiotics into body spaces
Correct Answer: A
Rationale: Antibiotic resistance in bacteria is commonly caused by genes that are carried on plasmids. Plasmids are small, circular DNA molecules that can be transferred between bacteria, allowing for the rapid spread of antibiotic resistance genes throughout bacterial populations. These resistance genes can encode enzymes that inactivate antibiotics, alter antibiotic targets, or even pump antibiotics out of bacterial cells. Plasmid-mediated resistance is a major concern in the healthcare setting as it can lead to the development of multi-drug resistant bacteria, making infections harder to treat. Therefore, the presence and transfer of genes on plasmids play a significant role in the development of antibiotic resistance in bacteria.
What is the appropriate medication to administer for a suspected opioid overdose in a patient who comes to the hospital?
- A. Exenatide
- B. Naloxone
- C. Heparin
- D. Tolvaptan
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient will be receiving a thrombolytic drug as part of the treatment for acute myocardial infarction. The nurse explains to the patient that this drug is used for which purpose?
- A. To relieve chest pain
- B. To prevent further clot formation
- C. To dissolve the clot in the coronary artery
- D. To control bleeding in the coronary vessels
Correct Answer: C
Rationale: Thrombolytic drugs, also known as clot busters, are used to dissolve blood clots, specifically in the coronary artery for patients with acute myocardial infarction (heart attack). These medications work by activating the body's natural plasminogen system to break down the clot and restore blood flow to the heart muscle. By helping to dissolve the clot, thrombolytic therapy can help to minimize damage to the heart muscle and improve the patient's outcome following a heart attack. It is crucial for patients to receive this treatment promptly after the onset of symptoms for the best chance of success.
A client has a new prescription for Metronidazole to treat an infection. Which of the following instructions should the nurse include?
- A. Avoid alcohol while taking this medication.
- B. Take this medication on an empty stomach.
- C. Increase your intake of dairy products while taking this medication.
- D. Avoid direct sunlight while taking this medication.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A patient is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin?
- A. Hemoglobin
- B. Prothrombin time (PT)
- C. Bleeding time
- D. Activated partial thromboplastin time (aPTT)
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.