Nokea
For which of the following adverse effects should the nurse monitor a client who is prescribed metoclopramide following bowel surgery?
- A. Muscle weakness
- B. Sedation
- C. Tinnitus
- D. Peripheral edema
Correct Answer: B
Rationale: The correct answer is B: Sedation. Metoclopramide is a medication that can cause sedation as a side effect. After bowel surgery, sedation can mask signs of postoperative complications such as abdominal pain or changes in vital signs. Muscle weakness (A), tinnitus (C), and peripheral edema (D) are not common adverse effects of metoclopramide and would not typically be monitored for in this situation. Sedation is the most relevant adverse effect to monitor for in a client post-bowel surgery, as it can impact the assessment and management of their recovery.
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Which of the following findings should the nurse report to the provider as an adverse effect of gentamicin?
- A. Constipation
- B. Tinnitus
- C. Hypoglycemia
- D. Joint pain
Correct Answer: B
Rationale: The correct answer is B: Tinnitus. Gentamicin is an aminoglycoside antibiotic known to cause ototoxicity, including tinnitus. Tinnitus is characterized by ringing or buzzing in the ears and can be an early sign of auditory nerve damage. This adverse effect should be reported to the provider promptly to prevent further hearing loss.
A: Constipation is not a typical adverse effect of gentamicin.
C: Hypoglycemia is not a known adverse effect of gentamicin.
D: Joint pain is not commonly associated with gentamicin use.
Which of the following interventions should the nurse include in the plan of care for a client who has hypertension and is to start taking metoprolol?
- A. Weigh the client weekly
- B. Determine apical pulse prior to administering
- C. Administer the medication 30 minutes before breakfast
- D. Monitor the client for jaundice
Correct Answer: B
Rationale: The correct answer is B: Determine apical pulse prior to administering. Metoprolol is a beta-blocker that can lower heart rate. By assessing the apical pulse before administering, the nurse can ensure the heart rate is within the safe range for medication administration. Weighing the client weekly (A) is not directly related to metoprolol therapy. Administering the medication 30 minutes before breakfast (C) is not specific timing for metoprolol. Monitoring for jaundice (D) is not a common side effect of metoprolol.
A nurse is teaching a client about cyclobenzaprinWhich of the following client statements should indicate to the nurse that the teaching is effective?
- A. I will have increased saliva production.
- B. I will continue taking the medication until the rash disappears.
- C. I will taper off the medication before discontinuing it.
- D. I will report any urinary incontinence.
Correct Answer: C
Rationale: The correct answer is C: "I will taper off the medication before discontinuing it." This indicates effective teaching because cyclobenzaprine should not be abruptly stopped to prevent withdrawal symptoms. Tapering off gradually helps the body adjust. Saliva production (A) is not a typical side effect. Continuing until rash disappears (B) is incorrect as it may not be related to the medication. Reporting urinary incontinence (D) is important but not related to proper medication use.
Which of the following findings should the nurse document as a manifestation of pseudoparkinsonism in a client taking haloperidol?
- A. Serpentine limb movement
- B. Shuffling gait
- C. Nonreactive pupils
- D. Smacking lips
Correct Answer: B
Rationale: The correct answer is B: Shuffling gait. Pseudoparkinsonism is a side effect of antipsychotic medications like haloperidol, characterized by symptoms resembling Parkinson's disease. A shuffling gait, where the client takes small steps with feet barely leaving the floor, is a classic manifestation. Serpentine limb movement (A) is not typically associated with pseudoparkinsonism. Nonreactive pupils (C) can be a sign of anticholinergic toxicity, not pseudoparkinsonism. Smacking lips (D) is more indicative of tardive dyskinesia, another side effect of antipsychotics.
Which of the following actions of sucralfate should the nurse include in the teaching for a client who is to start a new prescription for sucralfate for peptic ulcer disease?
- A. Decreases stomach acid secretion
- B. Neutralizes acids in the stomach
- C. Forms a protective barrier over ulcers
- D. Treats ulcers by eradicating H. pylori
Correct Answer: C
Rationale: The correct answer is C: Forms a protective barrier over ulcers. Sucralfate works by forming a protective barrier over ulcers in the stomach and small intestine, providing a physical barrier to prevent further damage from stomach acid. This action helps promote healing of the ulcers. Choices A, B, and D are incorrect because sucralfate does not decrease stomach acid secretion, neutralize acids in the stomach, or treat ulcers by eradicating H. pylori bacteria. It is important for the nurse to educate the client on the mechanism of action of sucralfate to ensure understanding and adherence to the treatment plan.