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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Ondasentron is an antiemetic used to reduce nauseas and vomiting. It functions as a selective antagonist of the serotonin receptor subtype, 5-HT3. It works by blocking the action of serotonin, a natural substance in the body that can trigger nausea and vomiting.
B,C,D- Are not effects of ondasentron
Correct Answer is D
Explanation
Melena means that the stool has a dark discoloration. This is a sign of gastrointestinal bleeding and should be reported immediately as it can be a serious complication of warfarin therapy.
A,B,C- Are not related to use of warfarin
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