A nurse is preparing to administer ondansetron (Zofran) to a client. For which of the following adverse effects of ondansetron should the nurse monitor? (Select All that Apply)

Headache

Hyperglycemia

Constipation

Prolonged QT interval

Diarrhea

Answer and Explanation

Correct Answer : A,C,D,E

A. Headache. Headache is a common adverse effect of ondansetron.
B. Hyperglycemia: Hyperglycemia is not typically associated with ondansetron.
C. Constipation. Constipation is a known side effect of ondansetron.
D. Prolonged QT interval: Ondansetron can cause prolongation of the QT interval, which can lead to serious cardiac arrhythmias.
E. Diarrhea: This is correct. Diarrhea can also occur as an adverse effect of ondansetron.

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Correct Answer is A

Explanation

A. Stimulates secretions: Expectorants work by thinning and loosening mucus in the airways, making it easier to cough up and clear out. This mechanism helps to reduce cough by facilitating the removal of mucus.
B. Suppresses the urge to cough: Cough suppressants, or antitussives, work by suppressing the cough reflex, not by stimulating secretions. This choice describes a different type of medication used for dry, unproductive coughs.
C. Reduces inflammation: Anti-inflammatory medications reduce inflammation, but they do not specifically target mucus production or the cough reflex. Expectorants do not primarily work by reducing inflammation.
D. Dries mucous membranes: Drying mucous membranes would typically be the action of antihistamines or decongestants, which are not the primary mechanism of action for expectorants. Expectorants aim to keep mucus hydrated to facilitate its removal.

A. Fine rales B. Pleural friction rub C. Expiratory wheeze D. Rhonchi

Correct Answer is C

Explanation

A. Fine rales: Fine rales are more indicative of fluid in the lungs, such as in heart failure, and are not typical in asthma exacerbations.
B. Pleural friction rub: Pleural friction rub is associated with pleuritis or inflammation of the pleura, not asthma.
C. Expiratory wheeze: Expiratory wheezing is a classic sign of asthma, caused by narrowed airways and airflow obstruction during expiration.
D. Rhonchi: Rhonchi are usually related to secretions or obstructions in the larger airways and are less specific to asthma.

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A nurse is preparing to administer ondansetron (Zofran) to a client. For which of the following adverse effects of ondansetron should the nurse monitor? (Select All that Apply)

Nursing Test Bank

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