A patient has been taking ergotamine to relieve their migraines. Which of the following adverse effects would indicate to the nurse that the drug may have entered into toxic levels?

Diarrhea

Delirium

Hypotension

Bradycardia

Answer and Explanation

The Correct Answer is B

A.   Diarrhea is not typically associated with ergotamine toxicity. Gastrointestinal symptoms such as nausea and vomiting are more common adverse effects of ergotamine use.
B.   Delirium is a potential sign of ergotamine toxicity. At toxic levels, ergotamine can cause central nervous system symptoms such as confusion, hallucinations, and delirium.
C.   Hypotension may occur as an adverse effect of ergotamine due to its vasoconstrictive properties. However, hypotension alone may not indicate ergotamine toxicity.
D.   Bradycardia is not a typical adverse effect of ergotamine. Ergotamine is more commonly associated with vasoconstriction and can lead to hypertension or tachycardia rather than bradycardia.

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Correct Answer is ["50"]

Explanation

Gtt/min= Volume per hour× Drop factor/ Time in minutes per hour Given:

Volume per hour = 150 mL Drop factor = 20 gtt/mL

Time in minutes per hour = 60 minutes Gtt/min= 150mL/hr×20gtt/mL/60min/hr Gtt/min=50
Therefore, the nurse should set the manual IV infusion to deliver 50 gtt/min

Correct Answer is ["0.5"]

Explanation

Given:

Dose required = 35 mg

Concentration of medication = 75 mg/mL Formula:

Volume (mL) = Dose required (mg) / Concentration of medication (mg/mL) Calculation:

Volume (mL) = 35 mg / 75 mg/mL Result:

Volume (mL) = 0.4666667 mL Rounded to the nearest tenth:

Volume (mL) ≈ 0.5 mL

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A patient has been taking ergotamine to relieve their migraines. Which of the following adverse effects would indicate to the nurse that the drug may have entered into toxic levels?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["50"]

Explanation

A nurse is preparing to administer meperidine 35 mg IM to a client every 6 hr PRN for pain. Available is meperidine injection 75 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

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