A nurse is assessing a client who has anxiety and is taking buspirone. Which of the following findings should the nurse identify as an adverse effect of the medication?

Hypoglycemia

Bradycardia

Hypothermia

Hypokalemia

Answer and Explanation

The Correct Answer is B

Buspirone is an anxiolytic agent that primarily acts as a serotonin 5-HT1A receptor agonist. It is thought to cause bradycardia by enhancing serotonergic activity in the brain, which can influence heart rate. The exact mechanism of how buspirone causes bradycardia is not fully understood, but it is believed to be related to its action on the central nervous system and its effects on neurotransmitters.

A,C,D- Not related to buspirone

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Correct Answer is B

Explanation

Septic shock is a state of reduced intravascular volume due to extravasation of plasma. It is caused by systemic infections that lead to inflammation and increased leakage in blood vessels. It presents with hypotension, and persistent hypotension indicates that the infusion rate is not addressing the shock status.

A, C, D- These are adverse effects that can be observed with dopamine and could be worsened by increasing the infusion rate.

A. Gently massage the site following the injection. B. Grasp skin between thumb and forefinger throughout the injection. C. Use the Z-track method to administer the medication. D. Aspirate the syringe prior to injecting the heparin.

Correct Answer is B

Explanation

Pinching the area of skin between two fingers facilitates the injection of the insulin into the subcutaneous tissue rather than muscle. Inject into the subcutaneous tissue prevents hematoma formation and bleeding after the injection.

A,C,D- Increase risk of bleeding

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A nurse is assessing a client who has anxiety and is taking buspirone. Which of the following findings should the nurse identify as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?

Correct Answer is B

Explanation

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?

Correct Answer is B

Explanation

A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?

A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?

A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?

A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who is experiencing severe vomiting. Which of the following medications should the nurse plan to administer?

A nurse is caring for a client who is receiving diazepam for moderate (conscious) sedation. Which of the following actions should the nurse take to assess for an adverse reaction to the medication?

A nurse is teaching a client who has a new prescription for captopril. Which of the following information should the nurse include in the teaching?

A nurse is preparing to transcribe a prescription for a client that reads "ondansetron 8 mg by mouth every 12 hr PRN." Which of the following parts of the prescription should the nurse clarify with the provider?