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 D

Explanation

Dantrolene prevents release of calcium from the sarcoplasmic reticulum preventing the interaction of actin and myosin in the excitation-contraction coupling process. This process prevents excessive muscle contraction and slows down metabolism.

A- A calcium channel blocker

B- An opioid antagonist

C- C-An antibiotic

A. Increase in heart rate B. Decrease in respiratory rate C. Increase in bowel function D. Decrease in body temperature

Correct Answer is B

Explanation

Propofol causes positive modulation of the inhibitory function of the neurotransmitter gamma-aminobutyric acid (GABA) through GABA-A receptors. It also enhances GABA's effects leads to increased chloride influx into neurons, causing hyperpolarization and decreased neuronal activity. This results in the sedative and hypnotic effects for which propofol is used during anesthesia. Propofol can cause respiratory depression when levels in the blood are high and hence respiratory rate should be monitored closely

A-Propofol is likely to cause bradycardia due to depression of central cardiac centers

C-Propofol has no effect on bowel function

D-Propofol can cause hypothermia when used in anesthesia but not as critical as respiratory depression

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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

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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