A patient with chemotherapy-induced nausea has been prescribed metoclopramide. What adverse effect should the nurse report?

Diarrhea.

Unusual irritability.

Nausea.

Involuntary movements.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Diarrhea is a potential side effect of metoclopramide, but it’s not typically considered a serious adverse effect that would require immediate reporting.

Choice B rationale

Unusual irritability can occur with metoclopramide use, but it’s not typically considered a serious adverse effect that would require immediate reporting.

Choice C rationale

Nausea is actually one of the conditions that metoclopramide is used to treat, so it would be unusual for it to cause this symptom.

Choice D rationale

Involuntary movements, or tardive dyskinesia, is a serious potential side effect of metoclopramide. If a patient develops this condition, it should be reported immediately.

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Correct Answer is ["42"]

Explanation

To calculate the infusion rate in gtt/min, we first need to calculate the infusion rate in mL/hr. The formula for this is:

Step 1: Calculate the infusion rate in mL/hr

Infusion rate (mL/hr)=Total time (hr)Total volume (mL) Substituting the given values: Infusion rate (mL/hr)=2 hr mL=250 mL/hr

Step 2: Convert the infusion rate from mL/hr to gtt/min Infusion rate (gtt/min)=60 min/hrInfusion rate (mL/hr)×Drop factor (gtt/mL).

Substituting the given values: Infusion rate (gtt/min)=60 min/hr mL/hr×10 gtt/mL ≈42 gtt/min Therefore, the nurse should regulate the infusion to approximately 42 gtt/min.

A. Advise the patient to move slowly and cautiously when getting up and walking. B. Evaluate the patient’s muscle strength every 4 hours. C. Monitor the patient’s intake and output every 8 hours. D. Ensure the patient understands to stop taking baclofen before using other antispasmodics.

Correct Answer is A

Explanation

Choice A rationale

Baclofen is a muscle relaxant used to treat muscle symptoms caused by multiple sclerosis (MS), including spasm, pain, and stiffness. It acts on the central nervous system to relieve spasticity, improving muscle movement and relieving pain from spasticity. One of the common side effects of Baclofen is drowsiness, dizziness, and weakness. Therefore, advising the patient to move slowly and cautiously when getting up and walking is an important nursing intervention to prevent falls and injuries.

Choice B rationale

While evaluating the patient’s muscle strength every 4 hours can provide valuable information about the patient’s response to treatment, it is not the most critical intervention in this context. Baclofen’s primary effect is to relieve spasticity, not necessarily to increase muscle strength.

Choice C rationale

Monitoring the patient’s intake and output every 8 hours is a standard nursing intervention for many patients, but it is not specifically related to the administration of baclofen.

Choice D rationale

While it’s important for patients to understand their medication regimen, including when to stop taking certain medications, baclofen should not be stopped abruptly. Abrupt discontinuation has resulted in serious adverse reactions including death. Therefore, ensuring the patient understands to stop taking baclofen before using other antispasmodics is not the correct intervention.

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A patient with chemotherapy-induced nausea has been prescribed metoclopramide. What adverse effect should the nurse report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is receiving a secondary infusion of azithromycin 500 mg in 500 mL of normal saline (NS) to be infused over 2 hours. The intravenous (IV) administration set delivers 10 gtt/mL. How many gtt/min should the nurse regulate the infusion?

Correct Answer is ["42"]

Explanation

The nurse is administering the muscle relaxant baclofen orally to a patient diagnosed with multiple sclerosis. What intervention should the nurse implement?

Correct Answer is A

Explanation

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