A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?

Dry cough

Oral candidiasis

Black stools

Tardive dyskinesia

Answer and Explanation

The Correct Answer is D

metoclopramide is a dopamine antagonist which could interact with central dopamine receptors to cause tardive dyskinesia. The nurse should monitor the client for tardive dyskinesia, a serious movement disorder that can be caused by high-dose metoclopramide. When administering injections, it is generally recommended to inject the medication into the lateral thigh.

A-ACEIS, ARBS cause angioedema and persistent dry cough

B-Corticosteroids or other immunosuppressants increases risk of fungal infections such as oral candidiasis

C-anticoagulants can cause black stools which is a sign of upper GI bleeding.

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Correct Answer is C

Explanation

- Prochlorperazine is an antiemetic agent that is used to manage nausea and vomiting especially in clients undergoing chemotherapy.

A-Propafenone is an antiarrhythmic agent B-Simvastatin is antilipemic agent

D-Metformin is an oral hypoglycemic agent

A. Taking a high-ceiling diuretic B. Taking an HMG COA reductase inhibitor C. Having a 10-year history of COPD D. Having a prolapsed mitral valve

Correct Answer is A

Explanation

Diuretics decrease potassium reabsorption in the renal tubules leading to urinary loss. hypokalemia can lead to an apparent overdose of digoxin even if the dose is within the therapeutic range. taking a high ceiling diuretic leads to hypokalemia which worsens digoxin toxicity. It is essential to monitor potassium levels in clients taking digoxin to prevent complications.

B, C, D- These histories do not predispose to digoxin toxicity

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A nurse is caring for a client who is receiving high-dose metoclopramide. The nurse should monitor the client for which of the following adverse effects?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

A nurse is caring for a client who is taking digoxin to treat heart failure. Which of the following factors predisposes this client to developing digoxin toxicity?

Correct Answer is A

Explanation

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