A nurse is caring for a client who has been prescribed prochlorperazine (Compazine) for postoperative nausea. Which of the following reported signs can indicate a potential complication of this medication?

Nausea

Prolonged QT interval

Restlessness

Vomiting

Answer and Explanation

The Correct Answer is C

A. Nausea is the symptom prochlorperazine is intended to treat, so its occurrence would suggest that the medication is not effective rather than being a complication.

B. Prolonged QT interval is not a typical complication of prochlorperazine; it is more commonly associated with medications like ondansetron.

C. Restlessness can indicate akathisia, a potential extrapyramidal side effect of prochlorperazine. This condition involves an intense feeling of restlessness and the need to move, commonly associated with dopamine antagonists.

D. Vomiting is a symptom treated by prochlorperazine and would likely occur due to inadequate control rather than being a complication of the drug itself.

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Correct Answer is A

Explanation

A. Lipohypertrophy – This is correct. Lipohypertrophy is the thickening of subcutaneous fat that can occur from repeated insulin injections at the same site. This can interfere with insulin absorption, leading to inconsistent glucose control. Rotating injection sites prevents this complication and ensures even absorption of insulin.

B. Injection pain – This is incorrect. Injection pain is typically related to technique or needle size rather than the location. Rotating injection sites does not specifically address this issue.

C. Rapid absorption – This is incorrect. Rotating injection sites does not necessarily prevent rapid absorption but ensures more consistent absorption rates.

D. Intradermal injection – This is incorrect. Intradermal injection occurs when the needle is not inserted deep enough, unrelated to rotating injection sites.

A. Osteoporosis and fractures B. Torsades de Pointes C. Nausea D. Rebound acid hypersecretion

Correct Answer is ["A","D"]

Explanation

A. Long-term use of omeprazole is associated with an increased risk of osteoporosis and fractures due to decreased calcium absorption caused by reduced stomach acid. This complication is significant in older adults, particularly with prolonged therapy.

B. Torsades de Pointes is not a common complication of omeprazole. QT prolongation is more often linked to medications like ondansetron or antiarrhythmics.

C. Nausea is not a typical complication of omeprazole; rather, it is a symptom the drug may help alleviate as part of managing gastrointestinal conditions.

D. Rebound acid hypersecretion can occur after discontinuation of omeprazole. The body may produce an excessive amount of acid to compensate for the previous suppression, leading to worsening symptoms if the medication is abruptly stopped.

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A nurse is caring for a client who has been prescribed prochlorperazine (Compazine) for postoperative nausea. Which of the following reported signs can indicate a potential complication of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client about self-administering regular insulin. The nurse should instruct the client to rotate injection sites to prevent which of the following?

Correct Answer is A

Explanation

Correct Answer is ["A","D"]

Explanation

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