A nurse is teaching a client who has a new prescription for dextromethorphan. The nurse should instruct the client to monitor for which of the following adverse effects when taking dextromethorphan?

Palpitations

Hypertension

Ataxia

Diarrhea

Answer and Explanation

The Correct Answer is C

A) Palpitations: While palpitations can be concerning for many medications, they are not a commonly reported side effect of dextromethorphan. This medication primarily acts as a cough suppressant and does not typically have cardiovascular effects that would lead to palpitations. Therefore, clients should not primarily monitor for this side effect when taking dextromethorphan.

B) Hypertension: Dextromethorphan is not generally associated with causing hypertension. Its main action is to suppress the cough reflex, and it does not typically influence blood pressure levels. Patients taking this medication should focus on other side effects rather than worrying about hypertension.

C) Ataxia: Ataxia, or impaired coordination, is a notable adverse effect associated with dextromethorphan, especially at higher doses or when combined with other central nervous system depressants like alcohol. This side effect can lead to dizziness and increased risk of falls or accidents, making it important for clients to be aware of their coordination and alertness levels while on this medication. Advising patients to avoid driving or operating heavy machinery if they experience ataxia is essential for their safety.

D) Diarrhea: Diarrhea is not a common adverse effect of dextromethorphan. The medication is primarily used for its antitussive properties, and gastrointestinal disturbances like diarrhea are generally not associated with its use. If patients experience gastrointestinal symptoms while taking this medication, they may need to consider other factors or medications that could be contributing to those symptoms.

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Correct Answer is ["6.8"]

Explanation

To determine the correct dosage, let’s follow these steps:

Convert the child’s weight from pounds to kilograms:

1 pound = 0.453592 kilograms

80 pounds × 0.453592 = 36.3 kilograms

Calculate the total dose in milligrams (mg):

1.5 mg/kg × 36.3 kg = 54.45 mg

Determine the volume in milliliters (mL) to administer:

Available concentration: 40 mg/5 mL

Using the formula: (Desired dose / Available dose) × Volume

(54.45 mg / 40 mg) × 5 mL = 6.8 mL

A. montelukast (Singulair) B. methylprednisolone (Solumedrol) C. ipratropium bromide (Atrovent) D. albuterol (Ventolin)

Correct Answer is C

Explanation

A) Montelukast (Singulair): This medication is a leukotriene receptor antagonist used to manage asthma and allergic rhinitis. It does not contain soy or soy-derived ingredients, making it a safe option for a client with a soybean allergy. There are no known contraindications related to soy in this medication.

B) Methylprednisolone (Solumedrol): This is a corticosteroid used to reduce inflammation. It is not contraindicated for clients with a soybean allergy, as it does not contain soy-derived components. The medication primarily poses risks related to long-term use, but not specifically regarding soybean allergies.

C) Ipratropium bromide (Atrovent): This medication is an anticholinergic used to relieve bronchospasm. Ipratropium bromide is formulated with soy lecithin, which is derived from soybeans. Therefore, it is contraindicated for clients with a known allergy to soybeans, as it may trigger an allergic reaction.

D) Albuterol (Ventolin): This medication is a short-acting beta-agonist used for quick relief of bronchospasm. It does not contain any soy components and is generally safe for patients with soybean allergies. While there may be other considerations for its use, the allergy to soy is not a concern with this medication.

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A nurse is teaching a client who has a new prescription for dextromethorphan. The nurse should instruct the client to monitor for which of the following adverse effects when taking dextromethorphan?

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Naxlex Comprehensive Predictor Exams

pediatric client. The child weighs 80 pounds. Available is promethazine 40mg/5ml. How many mL should the nurse administer? (Round to the nearest tenth. Do not use a trailing zero.)

Correct Answer is ["6.8"]

Explanation

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Correct Answer is C

Explanation

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