The nurse knows that proton pump inhibitor drugs often end in the suffix:

A. apical heart rate: While changes in heart rate can occur as side effects of some antiemetic medications, dronabinol primarily affects the central nervous system. Cardiac monitoring is not the priority unless the client has a pre-existing heart condition.

B. blood pressure: Dronabinol may cause postural hypotension, especially in older adults, but this is generally mild and not the most urgent concern. Monitoring blood pressure is appropriate but not the top priority compared to neurologic effects.

C. skin integrity: Skin integrity is not directly impacted by dronabinol and is not a primary concern in the acute monitoring of this drug. There are no common dermatologic side effects associated with dronabinol use that would necessitate prioritizing skin assessment.

D. mental status: Dronabinol is a synthetic cannabinoid and may cause central nervous system effects such as dizziness, confusion, euphoria, or hallucinations. Assessing mental status is crucial, especially in older adults or those with a history of psychiatric illness, to identify adverse cognitive effects early.

A. Nausea is resolved: Loperamide is not used to treat nausea; its mechanism targets intestinal motility to reduce diarrhea. Improvement in nausea would more likely be attributed to antiemetics such as ondansetron or metoclopramide, not loperamide.

B. Rectal bleeding is reduced: Loperamide does not directly treat rectal bleeding. If bleeding is present, further evaluation is needed to rule out serious conditions like inflammatory bowel disease or colorectal pathology. It is not a therapeutic target for this medication.

C. Diarrhea is resolved: Loperamide is an antidiarrheal agent that works by slowing peristalsis and increasing absorption of fluids in the intestines. The resolution of diarrhea, such as fewer loose stools and more formed bowel movements, indicates the drug has been effective.

D. Temperature returns to normal: While fever may accompany infections that cause diarrhea, a return to normal temperature is not a direct effect of loperamide. Antipyretics or treating the underlying infection are more closely associated with temperature regulation.