A nurse is caring for a client who has a prescription for olanzapine. The nurse should monitor the client for which of the following manifestations as an expected response to this medication?

A decrease in resting blood pressure

Decreased auditory hallucinations

Control of seizure activity

Increased energy level and involvement in activities

Answer and Explanation

The Correct Answer is B

Olanzapine is used in the management of schizophrenia whose symptom include hallucinations, delusions and disorganized behavior. The expected features is a reduction or elimination of these symptoms.

A. Olanzapine may cause orthostatic hypotension, which can result in a decrease in blood pressure upon standing, but it is not typically expected to cause a decrease in resting blood pressure.

C. Olanzapine has no anticonvulsant effect.

D. Olanzapine causes fatigue and sedation as some of the side effects

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Correct Answer is A

Explanation

Calcium carbonate antacids should be taken with a full glass of water to ensure proper dissolution of the tablets and facilitates the absorption of calcium. Also, drinking water can help prevent potential side effects such as constipation, which can occur with the use of calcium carbonate antacids.
B. There is no need to reduce sodium intake specifically due to taking calcium carbonate antacids.
C. While calcium can be absorbed more efficiently when taken with food, it is not necessary to take calcium carbonate antacids with dairy products.
D. Increasing bulk in the diet is generally recommended for managing diarrhea, but not directly related to calcium carbonate antacids.

A. A severe allergy to amoxicillin B. A recent history of diarrhea for 3 days C. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq of potassium chloride D. Serum creatinine 0.8 mg/Dl

Correct Answer is A

Explanation

Cefoxitin is a cephalosporin with potential cross reactivity with penicillins (amoxicillin)and hence must be avoided in known history of penicillin allergy
B. A recent history of diarrhea for 3 days is not a contraindication for the administration of cefoxitin.
C. A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq of potassium chloride is not directly related to the administration of cefoxitin.
D. A serum creatinine level of 0.8 mg/dL is within the normal range

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A nurse is caring for a client who has a prescription for olanzapine. The nurse should monitor the client for which of the following manifestations as an expected response to this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing a medication history for a client Who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication?

Correct Answer is A

Explanation

A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin via intermittent IV bolus. Which of the following findings should the nurse identify as a contraindication for the client to receive cefoxitin and report to the provider?

Correct Answer is A

Explanation

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