A nurse is caring for a client who received alteplase 12 hr ago following a thrombotic stroke. The nurse should monitor the client for which of the following adverse effects?

Laryngospasm

Polycythemia

Hemorrhage

Steatorrhea

Answer and Explanation

The Correct Answer is C

A.   Laryngospasm: Laryngospasm is not a commonly associated adverse effect of alteplase administration. It is more commonly associated with airway irritants or allergic reactions.
B.   Polycythemia: Polycythemia, or an abnormally high red blood cell count, is not a typical adverse effect of alteplase administration. Alteplase is a thrombolytic agent used to dissolve blood clots and is not associated with increasing red blood cell production.

C.   Hemorrhage: Hemorrhage, or bleeding, is the most significant adverse effect associated with alteplase administration. Alteplase works by promoting fibrinolysis and can increase the risk of bleeding, including intracranial hemorrhage, particularly in the context of thrombolytic therapy for stroke.
D.   Steatorrhea: Steatorrhea, or fatty stools, is not a commonly associated adverse effect of alteplase administration. It is more commonly associated with malabsorption disorders or pancreatic insufficiency.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. "This medication can cause an increase in appetite." is correct. Amitriptyline is a tricyclic antidepressant (TCA) that commonly causes increased appetite and weight gain as side effects. Clients should be informed of this possibility and encouraged to monitor their diet and weight while taking the medication.

B. "You might experience hair loss while taking this medication." is incorrect. Hair loss is not a common adverse effect of amitriptyline. This side effect is more commonly associated with other medications, such as chemotherapy agents or certain anticonvulsants.

C. "This medication can cause diarrhea." is incorrect. Amitriptyline typically causes constipation rather than diarrhea due to its anticholinergic effects, which slow gastrointestinal motility. Clients should be advised to increase fiber and fluid intake to help manage constipation.

D.While trouble urinating can occur due to anticholinergic effects, urinary frequency is not a commonly reported adverse effect of amitriptyline.

A. Oxycodone blocks the sodium channel suspending nerve conduction. B. Oxycodone inhibits prostaglandin synthesis. C. Oxycodone promotes vasodilation of cranial arteries. D. Oxycodone uses central nervous system depression.

Correct Answer is D

Explanation

A. Oxycodone primarily exerts its analgesic effects through binding to opioid receptors and modulating neurotransmitter release, rather than blocking sodium channels.
B. Oxycodone does not directly inhibit prostaglandin synthesis; this mechanism is associated with nonsteroidal anti-inflammatory drugs (NSAIDs).
C. Oxycodone does not promote vasodilation of cranial arteries. This mechanism is more commonly associated with medications used to treat migraines, such as triptans.
D. Oxycodone is an opioid analgesic that acts centrally on the nervous system to depress respiratory drive, leading to respiratory depression, especially at higher doses.

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A nurse is caring for a client who received alteplase 12 hr ago following a thrombotic stroke. 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 A

Explanation

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Correct Answer is D

Explanation

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