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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. decrease the amount of wastes excreted: Laxatives do not reduce waste excretion; rather, they stimulate bowel movements to promote elimination. Their purpose is to relieve constipation by encouraging the evacuation of feces, not to decrease waste output.

B. improve and speed up the passage of the intestinal contents: Laxatives act by softening stool, stimulating peristalsis, or increasing water in the bowel to ease and hasten stool passage. This supports their use in treating constipation or preparing the bowel for procedures.

C. increase the digestion of stomach contents: Laxatives do not influence gastric digestion. Digestion involves enzymatic breakdown in the stomach and small intestine, while laxatives act primarily in the colon to facilitate stool movement and excretion.

D. increase absorption of the contents of the intestines: Many laxatives actually decrease absorption by accelerating transit through the intestines. The faster movement leaves less time for water and nutrients to be absorbed, often leading to looser stools.

A. "Reduce the fiber in your diet." B. "This medication will make you drowsy." C. "Drink plenty of fluid while taking this." D. "This laxative can be addictive."

Correct Answer is C

Explanation

A. "Reduce the fiber in your diet.": Bulk-forming laxatives, such as psyllium, work similarly to dietary fiber by absorbing water and increasing stool bulk. Reducing dietary fiber would counteract the intended therapeutic effect and is not advised during treatment.

B. "This medication will make you drowsy.": Bulk-forming laxatives do not have central nervous system effects and are not associated with sedation or drowsiness. This side effect is more relevant for medications like antihistamines or opioid analgesics.

C. "Drink plenty of fluid while taking this.": Adequate fluid intake is essential when using bulk-forming laxatives to prevent intestinal obstruction. Water helps the fiber expand and form a soft, bulky stool, which promotes effective and safe bowel movements.

D. "This laxative can be addictive.": Unlike stimulant laxatives, bulk-forming agents do not cause dependency or lead to laxative abuse. They are safe for long-term use when taken with sufficient water and proper diet.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Laxatives are used to:

Correct Answer is B

Explanation

Which is an important teaching point for the nurse to make to a client taking a bulk- forming laxative?

Correct Answer is C

Explanation

A client with a long history of constipation is prescribed magnesium sulfate. What aspect of the client's current health status should the nurse address before administering the medication?

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?

When caring for a client who has been diagnosed with a peptic ulcer, the nurse administers omeprazole and amoxicillin. What diagnostic finding indicates therapeutic effects of this drug regimen?

The nurse is caring for a client who has begun vomiting after undergoing bariatric surgery. When including this complication in the plan of care, what would be an appropriate nursing conclusion related to the central nervous system (CNS) effects associated with an antiemetic?

The nurse administers loperamide to a client. The nurse expects to decrease the client's number and liquidity of stool by what mechanism?

The nurse knows that proton pump inhibitor drugs often end in the suffix:

The nurse is teaching a client who has been diagnosed with type 2 diabetes about the newly prescribed external insulin pump. What are appropriate teaching points for the nurse to include? Select all that apply.