A client has not responded to conservative treatment for nausea and vomiting as has subsequently been prescribed dronabinol. In addition to monitoring the client's nausea, the nurse should prioritize what assessment after administering the drug?

apical heart rate

blood pressure

skin integrity

mental status

Answer and Explanation

The Correct Answer is D

A. apical heart rate: While changes in heart rate can occur as side effects of some antiemetic medications, dronabinol primarily affects the central nervous system. Cardiac monitoring is not the priority unless the client has a pre-existing heart condition.

B. blood pressure: Dronabinol may cause postural hypotension, especially in older adults, but this is generally mild and not the most urgent concern. Monitoring blood pressure is appropriate but not the top priority compared to neurologic effects.

C. skin integrity: Skin integrity is not directly impacted by dronabinol and is not a primary concern in the acute monitoring of this drug. There are no common dermatologic side effects associated with dronabinol use that would necessitate prioritizing skin assessment.

D. mental status: Dronabinol is a synthetic cannabinoid and may cause central nervous system effects such as dizziness, confusion, euphoria, or hallucinations. Assessing mental status is crucial, especially in older adults or those with a history of psychiatric illness, to identify adverse cognitive effects early.

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Correct Answer is B

Explanation

A. Allergies: Although histamine is involved in allergic reactions, H2 antagonists target histamine receptors in the stomach, not the ones responsible for allergic symptoms. H1 blockers, such as diphenhydramine or loratadine, are used to manage allergies, not H2 antagonists.

B. Gastroesophageal Reflux Disease (GERD): Histamine-2 antagonists like ranitidine and famotidine reduce gastric acid secretion by blocking H2 receptors on parietal cells. This helps relieve symptoms of GERD, such as heartburn and acid regurgitation.

C. Constipation: Constipation is unrelated to histamine activity in the gastrointestinal tract. Treatment involves stool softeners, laxatives, or dietary fiber, not acid-suppressing agents like H2 blockers.

D. Diarrhea: H2 antagonists do not reduce intestinal motility or fluid secretion and have no therapeutic role in treating diarrhea. Antidiarrheal agents like loperamide are more appropriate for managing this condition.

A. abdominal cramping B. rectal bleeding C. confusion D. gastroesophageal reflux

Correct Answer is A

Explanation

A. abdominal cramping: Senna is a stimulant laxative that promotes bowel movements by irritating the intestinal lining and increasing peristalsis. This action can often lead to abdominal cramping or discomfort, especially when used regularly or in higher doses.

B. rectal bleeding: While rectal bleeding can occur with chronic misuse or overuse of laxatives, it is not a common or expected side effect of senna when used appropriately. If bleeding occurs, it warrants discontinuation and further evaluation.

C. confusion: Confusion is not associated with senna. This symptom is more commonly seen with medications that affect the central nervous system, especially in older adults, but not with stimulant laxatives.

D. gastroesophageal reflux: Senna acts on the lower gastrointestinal tract and does not influence the upper GI system or lower esophageal sphincter. Therefore, it does not contribute to or worsen gastroesophageal reflux.

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A client has not responded to conservative treatment for nausea and vomiting as has subsequently been prescribed dronabinol. In addition to monitoring the client's nausea, the nurse should prioritize what assessment after administering the drug?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

One therapeutic indication for Histamine-2 Antagonists is:

Correct Answer is B

Explanation

The nurse is teaching a client being discharged with a prescription for senna. The nurse should caution the client about what potential adverse effect?

Correct Answer is A

Explanation

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Which insulin can be administered intravenously?

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Regular, long term use of laxatives may cause:

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