The nurse is caring for an older adult who is receiving diphenoxylate with atropine to treat severe diarrhea. The nurse will monitor this patient closely for which effect?
Bradycardia
Fluid retention
Nervousness and tremors
Respiratory depression
The Correct Answer is D
A. Bradycardia
Bradycardia is not a common side effect of diphenoxylate with atropine. Atropine, which is included in the combination, has anticholinergic effects that can lead to an increased heart rate (tachycardia), not bradycardia.
B. Fluid retention
Fluid retention is not a common side effect of diphenoxylate with atropine. In fact, the medication is used to treat severe diarrhea, and the goal is to decrease fluid loss associated with diarrhea rather than causing fluid retention.
C. Nervousness and tremors
Nervousness and tremors are not common side effects of diphenoxylate with atropine. Atropine's anticholinergic effects may cause nervousness, but these effects are generally not prominent at therapeutic doses.
D. Respiratory depression
This is the correct choice. Respiratory depression is a potential side effect of diphenoxylate with atropine, particularly if the medication is misused or taken in excessive amounts. Atropine is included in the combination to discourage misuse, as it can cause unpleasant anticholinergic effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Headache, dizziness, and fatigue
Ondansetron (Zofran) is commonly used to control nausea and vomiting associated with chemotherapy. While it is generally well-tolerated, some common side effects may include headache, dizziness, and fatigue.
B. Anorexia and hair loss
Anorexia (loss of appetite) and hair loss are not commonly associated with ondansetron. These symptoms may be side effects of chemotherapy itself, but they are not typically attributed to ondansetron.
C. Abdominal cramping and irritability
Abdominal cramping and irritability are not common side effects of ondansetron. These symptoms may be related to other factors, but they are not typically associated with this antiemetic medication.
D. Psychosis and middle ear disturbances
Psychosis and middle ear disturbances are not common side effects of ondansetron. These symptoms may be associated with other medications or conditions, but they are not typically attributed to ondansetron.
Correct Answer is B
Explanation
A. Give the child fluids and proceed to the emergency department.
While giving the child fluids is generally important, proceeding to the emergency department without consulting poison control may not be the most appropriate initial action. Poison control can provide specific guidance based on the substance ingested.
B. Call the poison control center and follow directions.
The safest advice for a toddler who has ingested a small amount of household cleaning fluid is to call the poison control center and follow their directions. Poison control centers are staffed with professionals who can provide specific guidance based on the type and amount of the ingested substance. They can advise on the appropriate steps to take, such as whether immediate medical attention is needed or if monitoring at home is sufficient.
C. Administer syrup of ipecac and monitor for vomiting.
The use of syrup of ipecac is no longer recommended as a routine measure for ingested substances. It can have adverse effects and may not be effective for all substances. Consulting poison control for guidance is considered a more appropriate approach.
D. Have the toddler eat bread to absorb the substance.
The ingestion of certain substances may not be effectively addressed by having the toddler eat bread. The specific advice for management should come from poison control, which can provide evidence-based guidance.
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