A nurse administered ondansetron (Zofran) IV to a client 30 minutes ago. Which of the following findings should the nurse recognize as a complication of this medication?

Prolonged QT interval

Spasms of the neck and face

Nausea

Vomiting

Answer and Explanation

The Correct Answer is A

A.   Ondansetron (Zofran) can cause a prolonged QT interval, which may lead to arrhythmias. This is a known side effect and should be monitored.
B.   Spasms of the neck and face are more likely to occur with medications that have extrapyramidal side effects, such as certain antipsychotics, not ondansetron.
C.   Nausea and D. Vomiting are the symptoms ondansetron is intended to treat, so these are not complications.

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Correct Answer is C

Explanation

The total volume to be infused is 500 mL. The total time for the infusion is 2 hours.

The formula to calculate the IV pump rate is: Rate (mL/hr) = Total Volume (mL) / Time (hr)

Rate (mL/hr) = 500 mL / 2 hr Rate (mL/hr) = 250 mL/hr

Therefore, the nurse should set the IV pump to deliver 250 mL/hr.

A. Continue taking the medication as prescribed. B. Take two doses the next two days and use an additional form of contraception for 7 days. C. Take one dose as soon as possible, continue ora contraceptive regimen, use additional contraception for 7 days D. Use an alternative form of contraception only.

Correct Answer is B

Explanation

A. Continue taking the medication as prescribed: Missing doses requires specific action.
B. Take two doses the next two days and use an additional form of contraception for 7 days: Missing two days of active pills requires the client to take two pills for the next two days and use backup contraception for 7 days.
C. Take one dose as soon as possible, continue oral contraceptive regimen, use additional contraception for 7 days: While taking one dose is correct, the second dose for two days is needed.
D. Use an alternative form of contraception only: An alternative method is necessary, but taking two pills for two days is also important.

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A nurse administered ondansetron (Zofran) IV to a client 30 minutes ago. Which of the following findings should the nurse recognize as a complication of this medication?

Nursing Test Bank

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