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 B

Explanation

Ensures the right client is receiving the medication to avoid medication errors. Two identifiers ensures that two clients with a thing in common can be told apart to avoid administering medications into the wrong individual.

A,C,D- Are important steps but not related to client safety which is priority

A. Increased blood pressure B. Decreased wheezing C. Decreased urine output D. Increased level of consciousness

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

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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

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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