A nurse is teaching a client who is prescribed metoclopramide about signs and symptoms to report to the primary health care provider.
The nurse determines that the teaching was successful when the client states which of the following?
Difficulty swallowing.
Nausea.
Muscle laxity.
Shuffling gait.
The Correct Answer is A
Choice B rationale:
Nausea is a common side effect of metoclopramide, and while it is important to monitor, it is not a symptom that the client should specifically report to the primary healthcare provider unless it becomes severe or persistent.
Choice C rationale:
Muscle laxity and shuffling gait (Choices C and D) are potential side effects of other medications, such as antipsychotic drugs, but they are not typically associated with metoclopramide. Therefore, these are not the symptoms the client should report. Difficulty swallowing (Choice A) is a concerning side effect of metoclopramide and should be reported to the healthcare provider immediately. It can be a sign of a serious condition called tardive dyskinesia, which is a potentially irreversible side effect of the medication. Early recognition and discontinuation of metoclopramide are essential to prevent further complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Fever is a common side effect of the influenza vaccine (Fluzone). It's not usually a severe adverse reaction and is typically mild and short-lived. Patients should be informed about this potential side effect so they are aware and can take appropriate measures, such as taking antipyretic medications if needed.
Choice B rationale:
Hypotension is not a common adverse reaction to the influenza vaccine. While vaccines can sometimes cause allergic reactions, leading to symptoms like hypotension, this is very rare. Warning about this potential side effect would not be a priority.
Choice C rationale:
Sedation is not a common adverse reaction to the influenza vaccine. In general, the influenza vaccine is not associated with sedation. This side effect is more likely to be associated with medications or treatments other than vaccines.
Choice D rationale:
Constipation is not a common side effect of the influenza vaccine. Gastrointestinal symptoms like constipation are not typically associated with the influenza vaccine. It's important to focus on informing patients about potential side effects that are more likely to occur.
Correct Answer is C
Explanation
Choice A rationale:
Tapeworm. Tapeworm infections are caused by parasites known as cestodes. Antiprotozoal drugs are primarily used to treat infections caused by protozoa, which are a different type of pathogen. Tapeworms are not protozoa; they are classified as helminths. Therefore, using antiprotozoal drugs for tapeworm infections is not indicated.
Choice B rationale:
Aspergillosis. Aspergillosis is a fungal infection caused by Aspergillus species. Antiprotozoal drugs are not effective against fungal infections. They are designed to target protozoa, which are a different group of microorganisms. Therefore, antiprotozoal drugs are not indicated for the treatment of aspergillosis.
Choice D rationale:
Cryptococcal meningitis. Cryptococcal meningitis is a fungal infection caused by Cryptococcus neoformans. Like aspergillosis, it is caused by a fungus, not a protozoan parasite. Antiprotozoal drugs are not appropriate for the treatment of fungal infections. Therefore, the use of antiprotozoal drugs is not indicated for cryptosporidium meningitis.
Choice C rationale:
Giardiasis. Giardiasis is an intestinal infection caused by the protozoan parasite Giardia lamblia. Antiprotozoal drugs, such as metronidazole, are effective in treating giardiasis. These drugs target protozoa and disrupt their cellular functions, making them a suitable choice for the treatment of giardiasis.
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