A nurse is caring for an 82-year-old male with a history of mild kidney dysfunction who is recently admitted to the hospital for an unwitnessed fall. The nurse noted that the client had been taking cimetidine (Tagamet HB) at the maximum dosage for 2 months. Which of the following are complications of this cimetidine (Tagamet HB) that contributed to his admission? (Select All That Apply.)
Restlessness
Lethargy
Increased libido
Confusion
Correct Answer : B,D
A. Restlessness is not a common side effect of cimetidine. Neurological side effects typically involve sedation or confusion rather than hyperactivity.
B. Lethargy is a potential adverse effect of cimetidine, especially in older adults or those with renal dysfunction, due to the drug’s impact on the central nervous system.
C. Increased libido is not associated with cimetidine. In fact, it may cause decreased libido and sexual dysfunction in some cases.
D. Confusion is a known complication of cimetidine, particularly in elderly clients with impaired renal function, as the drug can accumulate in the body and affect the brain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. "Complications of this medication include tardive dyskinesia and prolonged QT interval." This is correct. Metoclopramide (Reglan) can cause side effects such as tardive dyskinesia, a movement disorder, and may prolong the QT interval, which can increase the risk of arrhythmias.
B. "The IV form of this medication is used for control of postoperative and chemotherapy-induced nausea and vomiting, as well as facilitation of small bowel intubation and examination of the GI tract." This is correct. The IV form of metoclopramide is commonly used for these indications, particularly for nausea and vomiting related to chemotherapy or surgery, as well as aiding in small bowel intubation.
C. "Complications of this medication include tardive dyskinesia and sedation." This is correct. In addition to tardive dyskinesia, metoclopramide can also cause sedation, making patients feel drowsy or lethargic.
D. "The oral form is used for diabetic gastroparesis (delayed stomach emptying with gas and bloating) and management of GERD through its ability to increase gastric motility." This is correct. The oral form of metoclopramide is frequently used to treat diabetic gastroparesis by improving gastric emptying, as well as managing gastroesophageal reflux disease (GERD) by enhancing motility.
Correct Answer is B
Explanation
A. Metformin does not typically cause hypoglycemia because it works by decreasing hepatic glucose production and improving insulin sensitivity, not directly lowering blood sugar levels.
B. Somnolence could indicate lactic acidosis, a rare but serious adverse effect of metformin that warrants immediate medical attention.
C. Fluid retention is not a known adverse effect of metformin. Other medications, such as certain thiazolidinediones, are associated with this complication.
D. Hyperglycemia is not a typical adverse effect of metformin; instead, it helps manage blood glucose levels in clients with type 2 diabetes mellitus.
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