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

Dry cough

Oral candidiasis

Black stools

Tardive dyskinesia

Answer and Explanation

The Correct Answer is D

metoclopramide is a dopamine antagonist which could interact with central dopamine receptors to cause tardive dyskinesia. The nurse should monitor the client for tardive dyskinesia, a serious movement disorder that can be caused by high-dose metoclopramide. When administering injections, it is generally recommended to inject the medication into the lateral thigh.

A-ACEIS, ARBS cause angioedema and persistent dry cough

B-Corticosteroids or other immunosuppressants increases risk of fungal infections such as oral candidiasis

C-anticoagulants can cause black stools which is a sign of upper GI bleeding.

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Correct Answer is B

Explanation

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

A. Ask another nurse to check the medication dosage prior to administration. B. Verify a written order with the medication administration record. C. Use two client identifiers prior to administering the medication. D. Document the full name of the prescribed medication after administration.

Correct Answer is C

Explanation

A- Confirming with another nurse ensures right dosage is not necessary. Dosage should be confrimed with the prescription and proper calculation

B-Verification with the administration record ensures that the prescribed medication is the one given. This is important as it ensures that the client receives the right medications for the illness. However, it is not part of the rights of medication administration

C-Use of 2 identifiers ensures right client which is part of the rights of medication administration

D-Documenting full names is important for record-keeping but not part of the rights of medication administration

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is preparing to administer a medication to a client. Using the rights of medication administration. Which of the following actions should the nurse take to ensure the right medication is administered to the client?

Correct Answer is C

Explanation

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