The nurse is caring for an older adult who is receiving diphenoxylate with atropine to treat severe diarrhea. The nurse will monitor this patient closely for which effect?
Bradycardia
Fluid retention
Nervousness and tremors
Respiratory depression
The Correct Answer is D
A. Bradycardia
Bradycardia is not a common side effect of diphenoxylate with atropine. Atropine, which is included in the combination, has anticholinergic effects that can lead to an increased heart rate (tachycardia), not bradycardia.
B. Fluid retention
Fluid retention is not a common side effect of diphenoxylate with atropine. In fact, the medication is used to treat severe diarrhea, and the goal is to decrease fluid loss associated with diarrhea rather than causing fluid retention.
C. Nervousness and tremors
Nervousness and tremors are not common side effects of diphenoxylate with atropine. Atropine's anticholinergic effects may cause nervousness, but these effects are generally not prominent at therapeutic doses.
D. Respiratory depression
This is the correct choice. Respiratory depression is a potential side effect of diphenoxylate with atropine, particularly if the medication is misused or taken in excessive amounts. Atropine is included in the combination to discourage misuse, as it can cause unpleasant anticholinergic effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ephedra:
Ephedra is an herb that contains ephedrine, a stimulant known to cause symptoms such as severe headache, diaphoresis, and restlessness. Ephedrine has been associated with cardiovascular side effects, leading to its restriction or banning in many countries.
B. Feverfew:
Feverfew is an herb commonly used for migraine prevention. It is not typically associated with severe headache, diaphoresis, or restlessness. Instead, it is known for its potential benefits in reducing the frequency and severity of migraines.
C. Garlic:
Garlic is an herb often used for various health purposes, including cardiovascular health. It is not known to cause severe headache, diaphoresis, or restlessness.
D. St. John's Wort:
St. John's Wort is an herb commonly used for mood-related conditions, such as mild to moderate depression. It is not associated with the symptoms described, and its primary effects are related to mood regulation.
Correct Answer is ["C","D","E"]
Explanation
A. Decreasing physical activity: This is not a helpful intervention for preventing constipation. Physical activity, such as regular exercise, is beneficial for promoting bowel regularity.
B. Decreasing fluid intake: This is not a helpful intervention for preventing constipation. An adequate fluid intake is crucial for maintaining bowel regularity.
C. Nutritional diet high in fiber: This is a correct choice. Consuming a diet rich in fiber helps add bulk to the stool and promotes regular bowel movements, preventing constipation.
D. Increasing fluid intake: This is a correct choice. Staying well-hydrated is important for maintaining bowel regularity. Fluids help soften the stool and aid in its passage.
E. Increasing daily activity: This is a correct choice. Regular physical activity helps stimulate bowel movements and can contribute to preventing constipation.
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