The nurse is providing discharge instructions to a client who has been prescribed gabapentin 300 mg by mouth (PO) three times a day for postherpetic neuralgia. Which symptom should the nurse tell the client to report to the healthcare provider?
Gastric irritation.
Rapid weight gain.
Sexual dysfunction.
Photosensitivity.
The Correct Answer is B
A. Gastric irritation:
Gastric irritation is not a common side effect of gabapentin. While gastrointestinal symptoms can occur, they are not typically severe or indicative of a serious issue. Thus, this symptom is less critical to report immediately.
B. Rapid weight gain:
Rapid weight gain can be a significant side effect of gabapentin, potentially indicating fluid retention or other systemic issues. It is important to report this symptom, as it may require further evaluation and adjustment of the medication.
C. Sexual dysfunction:
Sexual dysfunction is not commonly reported with gabapentin. While it may affect some individuals, it is not typically a primary concern for discontinuing or altering treatment. Therefore, it is less urgent compared to other side effects.
D. Photosensitivity:
Photosensitivity is not a recognized side effect of gabapentin. The medication does not generally cause sensitivity to light, so this symptom is unlikely to be related to gabapentin use and is less critical to report immediately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Migraine headaches: While migraine headaches are significant for overall health management, they are less directly related to the risks associated with NSAID use compared to other conditions. Migraines do not typically influence the safety profile of NSAIDs.
B) Chronic alcoholism: Chronic alcoholism is a major concern because it significantly increases the risk of gastrointestinal complications with NSAID use. NSAIDs can cause gastric irritation, bleeding, and ulcers, and alcohol can exacerbate these risks, leading to severe gastrointestinal issues or liver damage.
C) Osteoarthritis: Osteoarthritis is a common indication for NSAID use and, therefore, does not pose an additional risk specific to the medication. NSAIDs are often prescribed to manage pain and inflammation associated with osteoarthritis.
D) Type 2 diabetes mellitus: Although diabetes mellitus requires careful management, it does not directly increase the risk of NSAID-related complications. However, clients with diabetes need to be monitored for overall health and medication effects, but chronic alcoholism poses a more immediate risk for NSAID use.
Correct Answer is ["200"]
Explanation
Calculations:
Total volume of the IV bag = 200 mL
Infusion time = 1 hour
To calculate the infusion rate in mL/hr, we use the formula:
Infusion rate (mL/hr) = Total volume (mL) / Infusion time (hours)
Infusion rate (mL/hr) = 200 mL / 1 hour = 200 mL/hr
Therefore, the nurse should program the infusion pump to deliver 200 mL/hr.
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