A patient receiving metoclopramide is also taking an antidepressant. What should the nurse monitor for?

Decreased appetite

Increased risk of serotonin syndrome

Elevated blood pressure

Enhanced antidepressant effects

Answer and Explanation

The Correct Answer is B

A. Decreased appetite may occur but is not the most critical concern in this context.

B. The combination of metoclopramide, which can influence serotonin pathways, with certain antidepressants, especially SSRIs, increases the risk of serotonin syndrome, a potentially life-threatening condition.

C. While some antidepressants can influence blood pressure, monitoring for elevated blood pressure is not the primary concern with metoclopramide.

D. There is no evidence to suggest that metoclopramide enhances the effects of antidepressants; the focus should be on potential adverse interactions instead.

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Correct Answer is C

Explanation

A. An allergic reaction is a possible response to medication, but it is not directly related to doubling the dosage.

B. Anaphylactic reaction is a severe and rapid allergic response; while possible, it is not the most likely consequence of an overdose in this context.

C. Poisoning is a likely concern when a client takes double the prescribed dosage of analgesics, especially if the medication has a narrow therapeutic index or is known to cause toxicity at high doses.

D. Sedative effects could occur depending on the analgesic used, but poisoning is a more pressing concern following an overdose.

A. possible drug toxicity. B. decreased therapeutic effects. C. altered drug absorption. D. increased drug metabolism.

Correct Answer is A

Explanation

A. A reduced plasma albumin level can lead to increased free drug levels in the bloodstream, raising the risk of drug toxicity, particularly for highly protein-bound medications.

B. Decreased therapeutic effects are less likely because the decrease in albumin can lead to higher free drug concentrations, which may actually increase effects rather than decrease them.

C. Altered drug absorption is generally not directly influenced by plasma albumin levels; it relates more to gastrointestinal factors.

D. Increased drug metabolism is not a direct consequence of lower albumin levels; instead, the concern is primarily about increased free drug concentrations and potential toxicity.

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A patient receiving metoclopramide is also taking an antidepressant. What should the nurse monitor for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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