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

Hypoglycemia is a potential complication of parenteral nutrition, especially if the infusion rate is too high or if the infusion is interrupted. The nurse should promptly address hypoglycemia by administering IV dextrose, which will help raise the client's blood glucose levels.
A. Discontinuing the infusion may be necessary if the cause of hypoglycemia is related to the parenteral nutrition solution or if the infusion rate needs adjustment. However, the immediate priority is to treat the hypoglycemia by providing a glucose source.
C. Warming the formula to room temperature is not relevant to treating hypoglycemia. Warming the formula might be done for other reasons, such as improving tolerance or reducing discomfort during administration.
D. Obtaining arterial blood gases is not indicated for treating hypoglycemia. Arterial blood gases are typically obtained to assess oxygenation and acid-base balance, not glucose levels.

A. Potassium level B. BUN C. INR D. WBC count

Correct Answer is D

Explanation

Filgrastim is a medication that stimulates the production of white blood cells (WBCs), particularly neutrophils, which are a type of WBC important for fighting infections. An increase in the WBC count would indicate that filgrastim is effectively stimulating the production of WBCs, which is desirable, especially in clients who are at risk of neutropenia (low WBC count) due to chemotherapy or other factors.

Monitoring potassium levels is important for clients receiving certain medications or experiencing conditions that can affect potassium balance, but it is not specifically related to filgrastim therapy.

BUN is a measure of kidney function and hydration status, but it is not typically monitored to evaluate the effectiveness of filgrastim treatment.

INR is a measure of blood clotting and is primarily monitored in clients receiving anticoagulant therapy, such as warfarin. It is not relevant to filgrastim therapy.

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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 caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?

Correct Answer is D

Explanation

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A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?

A nurse is preparing to administer total parenteral nutrition to a client. Which of the following actions should the nurse take?

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