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 B

Explanation

A. Antacids: Antacids are generally used to neutralize stomach acid and can provide symptomatic relief for peptic ulcer disease (PUD). They are not typically contraindicated and can be part of the treatment regimen, although they do not address the underlying cause of PUD.
B. NSAIDs: Nonsteroidal anti-inflammatory drugs (NSAIDs) are known to irritate the gastric mucosa and can exacerbate or cause peptic ulcers by inhibiting the production of protective prostaglandins in the stomach lining. Patients with peptic ulcer disease should avoid NSAIDs to prevent further irritation and ulcer formation.
C. PPIs: Proton pump inhibitors (PPIs) are commonly prescribed to reduce gastric acid secretion and promote ulcer healing in peptic ulcer disease. They are a key component of the treatment regimen and not to be avoided unless there are specific contraindications.
D. H2-receptor blockers: H2-receptor blockers reduce stomach acid production and are used to treat and prevent peptic ulcers. They are an important part of the management strategy for PUD and are not typically contraindicated.

A. Take the medication at least 2 hours prior to meals B. Take the medication with meals C. Decrease fluid intake D. Increase dosing with a large meal

Correct Answer is B

Explanation

A. Take the medication at least 2 hours prior to meals: This is incorrect because pancrelipase should be taken with meals to aid digestion.
B. Take the medication with meals: Pancrelipase must be taken with meals to facilitate digestion of nutrients in the food.
C. Decrease fluid intake: Fluid intake should not be decreased; adequate hydration is important.
D. Increase dosing with a large meal: Dosing should generally be consistent and based on a healthcare provider’s guidance, not arbitrarily increased.

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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

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is being treated for peptic ulcer disease. Which medication should the client be taught to avoid?

Correct Answer is B

Explanation

Which instruction is most appropriate for a client who is prescribed pancrelipase (Cotazym)?

Correct Answer is B

Explanation

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