A patient with chemotherapy-induced nausea has been prescribed metoclopramide. What adverse effect should the nurse report?

Diarrhea.

Unusual irritability.

Nausea.

Involuntary movements.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["200"]

Explanation

The correct answer is 200 mL/h.

Step 1: The client has been prescribed ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour.

Step 2: The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL12. Step 3: To calculate the infusion rate, the nurse should use the formula: Infusion rate (mL/hr)

= Volume (mL) / Time (hr)3.

Step 4: In this case, the volume is 200 mL and the time is 1 hour. Step 5: Therefore, Infusion rate (mL/hr) = 200 mL ÷ 1 hr.

Step 6: Infusion rate (mL/hr) = 200 mL/hr.

A. Stool color and character. B. Fingerstick glucose. C. Serum electrolytes and ammonia. D. Serum hepatic enzymes.

Correct Answer is C

Explanation

Choice A rationale

While changes in stool color and character can be indicative of various health conditions, they are not the best indicators of a patient’s therapeutic response to lactulose in the context of hepatic encephalopathy.

Choice B rationale

Fingerstick glucose monitoring is important in managing conditions like diabetes, but it does not provide the best information to evaluate a patient’s therapeutic response to lactulose in the context of hepatic encephalopathy.

Choice C rationale

Lactulose is used in the management of hepatic encephalopathy, a condition that can occur in patients with severe liver disease. It works by reducing the absorption of ammonia in the gut, which is a toxin that can accumulate in the blood in patients with liver dysfunction. Therefore, monitoring serum electrolytes and ammonia levels can help evaluate the effectiveness of lactulose therapy.

Choice D rationale

While monitoring serum hepatic enzymes can provide valuable information about liver function, it does not provide the best information to evaluate a patient’s therapeutic response to lactulose in the context of hepatic encephalopathy.

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A patient with chemotherapy-induced nausea has been prescribed metoclopramide. What adverse effect should the nurse report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been prescribed ciprofloxacin 400 mg intravenously (IV) every 12 hours to be infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D5W) 200 mL. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only.)

Correct Answer is ["200"]

Explanation

A patient with hepatic encephalopathy is receiving lactulose.Which assessment provides the nurse with the best information to evaluate the patient’s therapeutic response to the drug?

Correct Answer is C

Explanation

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