A client has responded poorly to conservative treatment for nausea and vomiting and 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.

Mental status.

Skin integrity.

Answer and Explanation

The Correct Answer is C

Dronabinol is a synthetic cannabinoid that can cause psychoactive effects such as euphoria, anxiety, hallucinations, and paranoia. The nurse should monitor the client’s mental status after administering the drug and report any changes or adverse reactions.

Choice A is wrong because dronabinol does not affect the heart rate significantly.

Choice B is wrong because dronabinol may lower or raise the blood pressure depending on the dose and the individual response, but this is not a priority assessment.

Choice D is wrong because dronabinol does not affect the skin integrity directly.

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Correct Answer is A

Explanation

This is the recommended dosage for the prevention and treatment of osteoporosis in postmenopausal women.

Choice B is wrong because 70 mg once a week is the dosage for alendronate (Fosamax), not ibandronate.

Choice C is wrong because 400 mg/d is the dosage for etidronate (Didronel), not ibandronate.

Choice D is wrong because ibandronate should be taken on an empty stomach, at least 60 minutes before food or drink.

A. “I will take this medication anytime I start to cough.”. B. “This medication may make me anxious and nervous.”. C. “This medication can cause drowsiness, so I will avoid driving after taking it.”. D. “I might get diarrhea, so I’ll call my provider if that happens.”.

Correct Answer is C

Explanation

This statement indicates that the patient understands the common side effect of codeine and how to prevent accidents while taking it.

Choice A is wrong because the patient should not take the medication anytime he starts to cough, but only as prescribed by the doctor.

Taking too much codeine can lead to overdose, addiction, or respiratory depression.

Choice B is wrong because this medication may not make the patient anxious and nervous, but rather sedated and relaxed.

Anxiety and nervousness are more likely to occur with decongestants, which are stimulants.

Choice D is wrong because diarrhea is not a common side effect of codeine.

In fact, codeine may cause constipation, so the patient should increase fluid and fiber intake while taking it.

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A client has responded poorly to conservative treatment for nausea and vomiting and 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

The nurse is teaching the client with a new prescription for ibandronate how to take the medication. Which instruction provided by the nurse is correct?

Correct Answer is A

Explanation

What statement by a client who is to take an antitussive with codeine indicates that the nurse’s teaching has been effective?

Correct Answer is C

Explanation

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A client has responded poorly to conservative treatment for nausea and vomiting and has subsequently been prescribed dronabinol.
In addition to monitoring the client’s nausea, the nurse should prioritize what assessment after administering the drug?