A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?

Increase in heart rate

Decrease in respiratory rate

Increase in bowel function

Decrease in body temperature

Answer and Explanation

The Correct Answer is B

Propofol causes positive modulation of the inhibitory function of the neurotransmitter gamma-aminobutyric acid (GABA) through GABA-A receptors. It also enhances GABA's effects leads to increased chloride influx into neurons, causing hyperpolarization and decreased neuronal activity. This results in the sedative and hypnotic effects for which propofol is used during anesthesia. Propofol can cause respiratory depression when levels in the blood are high and hence respiratory rate should be monitored closely

A-Propofol is likely to cause bradycardia due to depression of central cardiac centers

C-Propofol has no effect on bowel function

D-Propofol can cause hypothermia when used in anesthesia but not as critical as respiratory depression

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Correct Answer is B

Explanation

- Theophylline is used in the management of asthma and COPD which present with wheezing and respiratory distress. COPD is characterized by chronic inflammation of the airway and increased mucus secretion leading to obstruction of airflow. Theophylline stimulates the respiratory centers to increase ventilation.

A- No effect on blood pressure C- increases urine output

D-Theophylline is a CNS stimulant

A. A client experiences a seizure. B. A client vomits after receiving an oral medication. C. A client receives their insulin 1 hr before scheduled. D. A client receives their meal tray 20 min late.

Correct Answer is C

Explanation

Incident reports are documented for incidences that are likely to cause adverse outcomes for the clients or healthcare professionals and, therefore, their occurrence needs to be mitigated. In this case, wrong timing for medications such as insulin may lead to overdose with subsequent hypoglycemia which is detrimental

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A nurse is caring for a client who has received propofol during a colonoscopy. The nurse should monitor for which of the following as an adverse effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has started taking theophylline. Which of the following client findings should indicate to the nurse that the medication is effective?

Correct Answer is B

Explanation

A nurse is caring for a group of clients. Which of the following situations requires an incident report?

Correct Answer is C

Explanation

A nurse is developing a teaching plan for an older adult client who has a new prescription for insulin glargine. Which of the following expected outcomes should the nurse include in the plan?

A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?

A nurse in a provider's office is evaluating the effectiveness of alendronate for a client who has osteoporosis. Which of the following diagnostic results should the nurse review?

A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?

A nurse is caring for a client who is experiencing severe vomiting. Which of the following medications should the nurse plan to administer?

A nurse is caring for a client who is receiving parenteral nutrition and identifies that the client has hypoglycemia. Which of the following actions should the nurse take?

A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?