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 {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
- Lispro (Humalog): This is a rapid-acting insulin with an onset of action of 15 to 30 minutes, making it effective for controlling blood sugar spikes after meals.
- Glargine: This is a long-acting insulin that provides a steady level of insulin over 24 hours, helping to maintain baseline blood glucose levels.
Correct Answer is B
Explanation
A. Hypothyroidism: This is incorrect. The client is taking levothyroxine (Synthroid) to treat hypothyroidism, and the symptoms described (diarrhea, weight loss, palpitations, heat intolerance) are more likely associated with excess thyroid hormone, not a lack of it.
B. Thyrotoxicosis: This is correct. The symptoms the client is experiencing—diarrhea, weight loss, palpitations, and heat intolerance—are classic signs of thyrotoxicosis, which occurs when there is an excess of thyroid hormone, possibly due to overtreatment with levothyroxine. These symptoms indicate that the thyroid hormone dose might need adjustment.
C. Addison's Disease: This is incorrect. Addison's disease is characterized by insufficient production of adrenal hormones and would typically manifest with symptoms such as fatigue, hypotension, and hyperpigmentation, not diarrhea or heat intolerance.
D. Cushing's Disease: This is incorrect. Cushing's disease is caused by excess cortisol and would typically result in symptoms such as weight gain, high blood pressure, and a round "moon" face, rather than the symptoms described in the question.
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