A nurse administered prochlorperazine (Compazine) IV to a client two hours ago. Which of the following signs should the nurse recognize as a complication of this medication?
Nausea
Anxiety
Prolonged QT interval
Vomiting
The Correct Answer is C
A. Nausea is a common symptom of the condition being treated with prochlorperazine (such as nausea from chemotherapy), but it is not a complication of the medication itself.
B. Anxiety is not a common complication of prochlorperazine. It is a dopamine antagonist, and while it may cause sedation, it is not known for causing anxiety.
C. Prochlorperazine is associated with cardiac side effects such as a prolonged QT interval, which can lead to arrhythmias. This is a serious complication and requires monitoring.
D. Vomiting is not a typical side effect of prochlorperazine; in fact, prochlorperazine is used to prevent nausea and vomiting.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Mannitol is an osmotic diuretic, and although it can cause dehydration and electrolyte imbalances, it does not specifically cause hypokalemia as a primary side effect.
B. Spironolactone is a potassium-sparing diuretic, so it is less likely to cause hypokalemia. In fact, it can cause hyperkalemia.
C. Furosemide is a loop diuretic that increases urine output and can lead to potassium loss, causing hypokalemia. This is a common complication of loop diuretics.
D. Metformin is an oral antidiabetic medication and is not a diuretic, so it is not associated with hypokalemia.
Correct Answer is B
Explanation
A. This is one of the "rights" of safe medication administration. It ensures that the nurse is giving the correct medication to the patient.
B. This is not one of the 10 rights of medication administration. The "rights" focus on the patient, medication, dose, time, route, and other safety checks, but insurance approval is a separate concern.
C. Ensuring the medication is given at the right time is an essential aspect of medication safety.
D. The route of administration (oral, intravenous, etc.) is another crucial component of the "rights."
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