A nurse is preparing to administer ondansetron (Zofran) to a client. For which of the following adverse effects of ondansetron should the nurse monitor? (Select All that Apply)

Headache

Hyperglycemia

Constipation

Prolonged QT interval

Diarrhea

Answer and Explanation

Correct Answer : A,C,D,E

A. Headache. Headache is a common adverse effect of ondansetron.
B. Hyperglycemia: Hyperglycemia is not typically associated with ondansetron.
C. Constipation. Constipation is a known side effect of ondansetron.
D. Prolonged QT interval: Ondansetron can cause prolongation of the QT interval, which can lead to serious cardiac arrhythmias.
E. Diarrhea: This is correct. Diarrhea can also occur as an adverse effect of ondansetron.

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Correct Answer is D

Explanation

A. "I should avoid the use of alcohol." This statement is correct as alcohol can irritate and worsen peptic ulcers.
B. "Good thing I can eat raw foods. I love to go to the salad bar." While spicy or acidic foods might irritate the stomach, raw foods themselves aren't necessarily harmful for peptic ulcers. A healthcare professional can provide a more specific dietary plan.
C. "Right now I'm not feeling sick, but if I do feel nauseous, I can take an antiemetic." This is generally acceptable advice; antiemetics can be used to manage nausea associated with peptic ulcers.
D. "It's okay for me to take aspirin if I get a headache." This is incorrect and indicates a need for further education. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that can aggravate ulcers and should be avoided.

A. Laxatives are contraindicated in clients who have a small bowel obstruction. B. An osmotic laxative, such as magnesium citrate, should be substituted in this client C. The prescribed medication should be administered via NG route rather than the oral route for this client. D. Bulk-forming laxatives such as psyllium should be substituted for this client

Correct Answer is A

Explanation

A. Laxatives are contraindicated in clients who have a small bowel obstruction: This is the correct answer. Laxatives like senna are contraindicated in the presence of a bowel obstruction as they can increase peristalsis and pressure in the bowel, leading to complications such as perforation.
B. An osmotic laxative, such as magnesium citrate, should be substituted in this client: This is incorrect. Osmotic laxatives are also contraindicated in bowel obstruction because they can draw water into the bowel and worsen the obstruction or cause severe complications.
C. The prescribed medication should be administered via NG route rather than the oral route for this client: This is incorrect. Administering any form of laxative via the NG route does not address the contraindication in bowel obstruction and is not a safe practice in this context.
D. Bulk-forming laxatives such as psyllium should be substituted for this client: This is incorrect. Bulk-forming laxatives are also contraindicated in bowel obstruction due to the risk of worsening the obstruction and causing complications.

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A nurse is preparing to administer ondansetron (Zofran) to a client. For which of the following adverse effects of ondansetron should the nurse monitor? (Select All that Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient, newly diagnosed with a peptic ulcer, needs more education when he states:

Correct Answer is D

Explanation

A nurse is reviewing medications for a client who has just been diagnosed with a small bowel obstruction. The nurse should withhold senna prescribed orally based on understanding of which of the following?

Correct Answer is A

Explanation

A client has been taking an opioid for pain relief following abdominal surgery. The client complains of constipation. Which statements indicate understanding by the client? (Select All that Apply.)

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Decongestants should be used with caution in patients with which diagnoses? (Select All that Apply.)

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Gas exchange occurs in which of the following structures?

Which client is at the greatest risk for developing an acid-base imbalance or electrolyte disorder?