A patient with chemotherapy-induced nausea has been prescribed metoclopramide. What adverse effect should the nurse report?
Diarrhea.
Unusual irritability.
Nausea.
Involuntary movements.
The Correct Answer is D
Choice A rationale
Diarrhea is a potential side effect of metoclopramide, but it’s not typically considered a serious adverse effect that would require immediate reporting.
Choice B rationale
Unusual irritability can occur with metoclopramide use, but it’s not typically considered a serious adverse effect that would require immediate reporting.
Choice C rationale
Nausea is actually one of the conditions that metoclopramide is used to treat, so it would be unusual for it to cause this symptom.
Choice D rationale
Involuntary movements, or tardive dyskinesia, is a serious potential side effect of metoclopramide. If a patient develops this condition, it should be reported immediately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Glucagon should not be administered before meals to prevent hyperglycemia. Glucagon is a hormone that raises blood glucose levels and is used to treat severe hypoglycemia. It is not intended to prevent hyperglycemia.
Choice B rationale
Glucagon should be administered when signs of severe hypoglycemia occur. Hypoglycemia, or low blood sugar, can cause symptoms such as confusion, dizziness, hunger, and shakiness. If left untreated, severe hypoglycemia can lead to unconsciousness or seizures.
Choice C rationale
Glucagon should not be administered when unable to eat during sick days. While it’s important to maintain blood glucose levels during illness, glucagon is specifically used for severe hypoglycemia.
Choice D rationale
Glucagon should not be administered at the onset of signs of diabetic ketoacidosis. Diabetic ketoacidosis is a serious condition that requires immediate medical attention. Glucagon is not a treatment for this condition.
Correct Answer is D
Explanation
Choice A rationale
Eye drops for glaucoma are not typically used for long-term control of pain and swelling.
Choice B rationale
Restoring a smaller angle is not the goal of treatment for open-angle glaucoma.
Choice C rationale
While reducing excess pressure is a goal of glaucoma treatment, eye drops are typically used for long-term control rather than a temporary reduction of pressure.
Choice D rationale
Eye drops for open-angle glaucoma are used for long-term control of normal eye pressure. They need to be used every day, and depending on the type of medicine, may need to be used once, twice, or up to 4 times a day.
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