A nurse is caring for a client who is receiving high-dose metalopramide. The nurse should monitor the client for which of the following adverse effects?

Black stools

Dry cough

Oral candidias

Tardive dyskinesia

Answer and Explanation

The Correct Answer is D

A) Black stools: While black stools can be a potential side effect of gastrointestinal bleeding, it is not commonly associated with high-dose metoclopramide. This side effect is more commonly seen with medications such as aspirin or NSAIDs. Therefore, it is not the most pertinent adverse effect to monitor for with high-dose metoclopramide.

B) Dry cough: Dry cough is not a typical adverse effect of metoclopramide. Cough is more commonly associated with medications such as ACE inhibitors. Therefore, it is not the primary adverse effect to monitor for with high-dose metoclopramide.

C) Oral candidiasis: While oral candidiasis (oral thrush) can occur as a side effect of some medications, it is not commonly associated with metoclopramide. Oral candidiasis is more frequently seen with corticosteroids or antibiotics. Therefore, it is not the primary adverse effect to monitor for with high-dose metoclopramide.

D) Tardive dyskinesia: Tardive dyskinesia is a serious adverse effect associated with prolonged use of edicaopramide, especially at high doses. It is characterized by involuntary, repetitive movements of the face, tongue, or other parts of the body. Monitoring for signs and symptoms of tardive dyskinesia, such as repetitive facial grimacing or tongue protrusion, is crucial when administering high-dose metoclopramide to prevent this potentially irreversible condition. Therefore, this is the correct adverse effect to monitor for in clients receiving high-dose metoclopramide.

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Correct Answer is ["324"]

Explanation

Here’s the calculation to find the filgrastim dosage the nurse should administer per day:

Client weight conversion:

We need the weight in kilograms (kg) for dosage calculation.
Conversion factor: 1 kg = 2.205 pounds
Client weight (kg) = 143 lb / 2.205 lb/kg = 64.86 kg (round to two decimal places for accuracy)
Dosage calculation:

Prescribed dosage: 5 mcg/kg/day
Client weight (kg): 64.86 kg (rounded value from step 1)
Daily filgrastim dose (mcg) = Dosage (mcg/kg/day) x Client weight (kg)
Daily filgrastim dose (mcg) = 5 mcg/kg/day * 64.86 kg = 324.3 mcg (round to nearest whole number as requested)
Therefore, the nurse should administer approximately 324 mcg of filgrastim per day.

A. Change the solution every 36 hr. B. Obtain the client's weight three times a week. C. Keep the solution refrigerated until 1 hr before infusion. D. Check the client's WBC count daily.

Correct Answer is C

Explanation

Answer: C. Keep the solution refrigerated until 1 hr before infusion.

Rationale:

A. Change the solution every 36 hr:
Total parenteral nutrition (TPN) solutions should be changed every 24 hours to prevent contamination and bacterial growth. Therefore, changing the solution every 36 hours would not adhere to best practice guidelines.

B. Obtain the client's weight three times a week:
While monitoring the client’s weight is important, especially for those on TPN, it should be done daily to accurately assess fluid balance and nutritional status. This frequency allows for timely adjustments to the TPN regimen.

C. Keep the solution refrigerated until 1 hr before infusion:
This action is correct. TPN solutions must be refrigerated to maintain stability and prevent bacterial growth. Allowing the solution to come to room temperature for at least 1 hour before infusion helps ensure that the solution is at a safe and comfortable temperature for the client.

D. Check the client's WBC count daily:
While monitoring the WBC count can be important for detecting infection, it is not a standard daily requirement specifically related to TPN administration. The priority is to focus on monitoring the client's nutritional status and fluid balance more closely during TPN therapy

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A nurse is caring for a client who is receiving high-dose metalopramide. The nurse should monitor the client for which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

. 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.) _mcg

Correct Answer is ["324"]

Explanation

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

Correct Answer is C

Explanation

Rationale:

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