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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Repeating instructions: Repeating instructions can reinforce learning but does not guarantee that the patient has correctly understood or can apply the instructions. It does not provide an opportunity for the nurse to observe and correct errors.
B. Assessing lung sounds: Assessing lung sounds helps evaluate the effectiveness of the inhaled medication but does not verify whether the patient is using the inhaler correctly.
C. Return demonstration: A return demonstration involves the patient showing the nurse how they use the inhaler. This allows the nurse to observe the technique and provide immediate feedback and correction, ensuring proper use.
D. Answering questions: Answering questions can clarify doubts and enhance understanding, but it does not confirm that the patient is correctly using the inhaler.
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.
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