A nurse is caring for a client who has a new prescription for alosetron. Which of the following therapeutic effects should the nurse expect the client to experience?

A decrease in the amount of gastric acid production

A decrease in the frequency of defecation

An increase in gastric motility

An increase in the absorption of water into the intestine

Answer and Explanation

The Correct Answer is B

A. A decrease in the amount of gastric acid production: Alosetron is not used to decrease gastric acid production. This effect is more associated with medications such as proton pump inhibitors or H2 blockers.

B. A decrease in the frequency of defecation: Alosetron is used to treat irritable bowel syndrome with diarrhea (IBS-D) by reducing bowel movement frequency and improving stool consistency.

C. An increase in gastric motility: Alosetron works by decreasing intestinal motility, which helps reduce diarrhea, not by increasing it.

D. An increase in the absorption of water into the intestine: Alosetron does not specifically increase water absorption into the intestine. Its primary effect is slowing intestinal transit to reduce diarrhea.

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Correct Answer is C

Explanation

A. Applying a warming blanket is not appropriate, as it may exacerbate the client's reaction to the infusion and is not a standard pre-medication strategy.

B. Infusing amphotericin B deoxycholate over 1 hour is too rapid; it is typically infused over 2-6 hours to minimize adverse effects.

C. Administering diphenhydramine prior to the administration of amphotericin B can help prevent or alleviate infusion-related reactions such as fever and chills, which the client experienced during previous infusions.

D. Monitoring vital signs once per hour following administration is insufficient; vital signs should be monitored more frequently during and immediately after the infusion to promptly detect and address any adverse reactions.

A. Ganciclovir B. Amphotericin B C. Azithromycin D. Nitrofurantoin

Correct Answer is D

Explanation

A. Ganciclovir: Ganciclovir is an antiviral medication used primarily to treat viral infections such as cytomegalovirus (CMV), not bacterial infections like UTIs.

B. Amphotericin B: Amphotericin B is an antifungal agent used to treat serious fungal infections, not bacterial UTIs.

C. Azithromycin: Azithromycin is an antibiotic that is effective against a broad range of bacterial infections but is not commonly used for treating recurrent UTIs.

D. Nitrofurantoin: Nitrofurantoin is an antibiotic commonly used to prevent and treat recurrent lower urinary tract infections due to its efficacy in targeting the bacteria that typically cause UTIs.

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A nurse is caring for a client who has a new prescription for alosetron. Which of the following therapeutic effects should the nurse expect the client to experience?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a systemic fungal infection and is receiving IV amphotericin B deoxycholate. During previous infusions, the client developed a fever and chills. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who has recurrent lower urinary tract infections (UTIs). Which of the following medications should the nurse expect to administer?

Correct Answer is D

Explanation

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