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 B

Explanation

A. The statement regarding antiviral drugs not preventing the spread of the disease is accurate, as these medications do not eliminate the virus or prevent transmission.

B. Saying that antivirals are the cure for viral infections is incorrect; while they can reduce symptoms and viral load, they do not cure the infection.

C. The instruction about topical antivirals not being applied more frequently than prescribed is correct and reflects safe medication use.

D. The recommendation to use a finger cot or gloves when applying topical antivirals is correct to prevent contamination and ensure proper application.

A. Spontaneous bleeding after taking an anticoagulant B. Dizziness after starting an antihypertensive C. Drowsiness after taking an antihistamine D. Diarrhea after taking an antibiotic

Correct Answer is A

Explanation

A. Spontaneous bleeding after taking an anticoagulant is a secondary action that occurs due to the anticoagulant's effect on blood clotting, which is an undesired effect when it leads to excessive bleeding.

B. Dizziness after starting an antihypertensive is a common secondary action related to the lowering of blood pressure, which can lead to hypotension and resultant dizziness.

C. Drowsiness after taking an antihistamine is a well-known secondary action, especially with first-generation antihistamines, which can cause sedation as a side effect.

D. Diarrhea after taking an antibiotic is a secondary action that can occur due to disruption of the normal gut flora, leading to gastrointestinal upset. All these examples illustrate secondary effects of medications.

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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

The nursing instructor has been teaching about antivirals, actions and effects. The instructor realizes that a student needs further instruction when the student makes which statement?

Correct Answer is B

Explanation

Drugs can produce a wide variety of effects in addition to the desired pharmacological effect. Sometimes the drug dose can be adjusted so that the desired effect is achieved without producing undesired secondary reactions. Which are examples of this secondary action?

Correct Answer is A

Explanation

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