A client has responded poorly to conservative treatment for nausea and vomiting and has subsequently been prescribed dronabinol.
In addition to monitoring the client’s nausea, the nurse should prioritize what assessment after administering the drug?

Apical heart rate.

Blood pressure.

Mental status.

Skin integrity.

Answer and Explanation

The Correct Answer is C

Dronabinol is a synthetic cannabinoid that can cause psychoactive effects such as euphoria, anxiety, hallucinations, and paranoia. The nurse should monitor the client’s mental status after administering the drug and report any changes or adverse reactions.

Choice A is wrong because dronabinol does not affect the heart rate significantly.

Choice B is wrong because dronabinol may lower or raise the blood pressure depending on the dose and the individual response, but this is not a priority assessment.

Choice D is wrong because dronabinol does not affect the skin integrity directly.

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Correct Answer is D

Explanation

Oxygen cannot diffuse rapidly across the membrane to tissues in the eye. This is because diabetic retinopathy is a condition that occurs when high blood sugar levels damage the tiny blood vessels that nourish the retina, the light-sensitive tissue at the back of the eye. As a result, the retina becomes ischemic (lacking oxygen) and tries to grow new blood vessels that are fragile and leaky.

Choice A is wrong because inability of cells in the eye to reproduce is not a cause of diabetic retinopathy.

The retina has a high metabolic rate and needs a constant supply of oxygen and nutrients to function properly.

Choice B is wrong because increase of aqueous humor in the eye is not a cause of diabetic retinopathy.

Aqueous humor is the clear fluid that fills the front part of the eye, not the retina.

An increase of aqueous humor can cause glaucoma, which is a different eye disorder that affects the optic nerve.

Choice C is wrong because decrease of nerve innervations throughout the eye is not a cause of diabetic retinopathy.

Nerve innervations are the connections between nerves and other tissues, such as muscles or glands.

Diabetic retinopathy affects the blood vessels, not the nerves, of the retina.

A. Loratadine. B. Diphenhydramine. C. Hydroxyzine. D. Dexchlorpheniramine.

Correct Answer is A

Explanation

Loratadine is a second-generation antihistamine that does not cause drowsiness or sedation as a common side effect. It can relieve the symptoms of seasonal rhinitis such as sneezing, runny nose, and itching.

Choice B. Diphenhydramine is wrong because it is a first-generation antihistamine that can cause drowsiness or sedation as a common side effect.

It can also cause dry mouth, blurred vision, and urinary retention.

Choice C. Hydroxyzine is wrong because it is also a first-generation antihistamine that can cause drowsiness or sedation as a common side effect.

It can also cause dry mouth, blurred vision, and urinary retention.

It is mainly used for anxiety and itching.

Choice D. Dexchlorphen

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A client has responded poorly to conservative treatment for nausea and vomiting and has subsequently been prescribed dronabinol. In addition to monitoring the client’s nausea, the nurse should prioritize what assessment after administering the drug?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client, newly diagnosed with diabetic retinopathy, asks what caused this disorder. What is the nurse’s best response?

Correct Answer is D

Explanation

A client has an important presentation to make in 4 hours, and he needs relief from the congestion of seasonal rhinitis. The client calls the nurse, explains the situation, and tells the nurse that he cannot afford to be drowsy. What medication is most likely to meet this client’s needs?

Correct Answer is A

Explanation

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A client with hepatitis C has been experiencing symptoms of gastroesophageal reflux. What H antagonist would be most appropriate for this client’s needs?

The client, newly diagnosed with diabetic retinopathy, asks what caused this disorder. What is the nurse’s best response?

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A client has responded poorly to conservative treatment for nausea and vomiting and has subsequently been prescribed dronabinol.
In addition to monitoring the client’s nausea, the nurse should prioritize what assessment after administering the drug?