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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
allow them to reach room temperature, which reduces the risk of discomfort or complications from infusing a cold solution.
A-Weight measures are not necessary to evaluate the effectiveness of the TPN
B-Daily WBCs are not necessary unless infection is suspected C-Refrigeration of TPN is not necessary
D It is crucial to change the TPN solution regularly to prevent contamination and minimize the risk of infection. Typically, TPN solutions are changed every 24 hours to maintain freshness and reduce the risk of bacterial growth.
Correct Answer is ["50"]
Explanation
Infusion rate (gtt/min)= ( Volume (mL)/ Time (min) × Drop factor Substitute the values into the formula
100ml/30 *15
=50gtt/min
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