A nurse is caring for a newly admitted client who has acute inflammatory bowel disease with constipation and reports bloody stools. Which of the following medications should the nurse plan to administer?

Omeprazole

Infliximab

Ondansetron

Metoclopramide

Answer and Explanation

The Correct Answer is B

Choice A rationale

Omeprazole is a proton pump inhibitor used to reduce stomach acid production and is not typically used for treating bloody stools in inflammatory bowel disease.

Choice B rationale:

Infliximab is used to treat inflammatory bowel disease and can help manage symptoms such as bloody stools by suppressing the inflammatory response.

Choice C rationale:

Ondansetron is an antiemetic used for nausea and vomiting, not related to bloody stools.

Choice D rationale:

Metoclopramide is used to treat nausea, vomiting, and gastrointestinal motility disorders, not specifically indicated for bloody stools.

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Correct Answer is B

Explanation

Choice A rationale:

A slightly elevated WBC count is not a contraindication for the administration of methylergonovine.

Choice B rationale:

Methylergonovine can cause vasoconstriction and bronchoconstriction, which can exacerbate asthma symptoms. Therefore, a history of asthma is a contraindication for its use.

Choice C rationale:

Hgb of 11.2 g/dL is within an acceptable range and not a contraindication for methylergonovine.

Choice D rationale:

Blood pressure of 154/98 mm Hg is elevated, but it is not a contraindication for the administration of methylergonovine.

A. "This medication might cause me to have a dry mouth." B. "This medication might cause my blood pressure to increase." C. "This medication might cause me to lose weight. D. "This medication might cause me to urinate more often."

Correct Answer is A

Explanation

Choice A rationale:

Dry mouth is a common side effect of amitriptyline, which is a tricyclic antidepressant. Informing the client of potential side effects is important for their understanding and management of medication-related symptoms.

Choice B rationale:

Amitriptyline is not known to cause an increase in blood pressure. In fact, it can have a hypotensive effect.

Choice C rationale:

Weight loss is not a typical side effect of amitriptyline. It can often lead to weight gain.

Choice D rationale:

Amitriptyline can cause urinary retention rather than increased urination.

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A nurse is caring for a newly admitted client who has acute inflammatory bowel disease with constipation and reports bloody stools. Which of the following medications should the nurse plan to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

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