A patient receiving metoclopramide is also taking an antidepressant. What should the nurse monitor for?

Decreased appetite

Increased risk of serotonin syndrome

Elevated blood pressure

Enhanced antidepressant effects

Answer and Explanation

The Correct Answer is B

A. Decreased appetite may occur but is not the most critical concern in this context.

B. The combination of metoclopramide, which can influence serotonin pathways, with certain antidepressants, especially SSRIs, increases the risk of serotonin syndrome, a potentially life-threatening condition.

C. While some antidepressants can influence blood pressure, monitoring for elevated blood pressure is not the primary concern with metoclopramide.

D. There is no evidence to suggest that metoclopramide enhances the effects of antidepressants; the focus should be on potential adverse interactions instead.

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Correct Answer is D

Explanation

A. Nitrates do not share a cross-sensitivity with penicillin and are safe to use in this client.

B. Tetracycline is a different class of antibiotics and does not have cross-sensitivity with penicillin.

C. Aminoglycosides also do not have cross-sensitivity with penicillin and can be safely administered.

D. Cephalosporins are structurally related to penicillin and have a risk of cross-sensitivity; thus, they should not be given to a client with a history of anaphylaxis to penicillin.

Correct Answer is ["0.6"]

Explanation

Volume (mL) = Desired dose (units) / Concentration (units/mL)

In this case:

Desired dose = 6000 units
Concentration = 10000 units/mL

Plugging the values into the formula:

Volume = 6000 units / 10000 units/mL = 0.6 mL

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A patient receiving metoclopramide is also taking an antidepressant. What should the nurse monitor for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client previously experienced a severe anaphylactic reaction to penicillin G. Which medication class should not be administered to this client due to the potential for cross-sensitivity?

Correct Answer is D

Explanation

Order: Heparin 6000 units subq Dose on hand: Heparin 10,000 units/mL vial Question: How many mL of heparin does the nurse administer?

Correct Answer is ["0.6"]

Explanation

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A patient receiving metoclopramide is also taking an antidepressant. What should the nurse monitor for?