What is an appropriate nursing action for a hospitalized client receiving aprepitant?
Monitor the client’s temperature closely.
Place an NPO sign above the client’s bed.
Encourage fluids as tolerated.
Elevate the head of the bed
The Correct Answer is C
This is because aprepitant can cause dehydration as an adverse effect, so the nurse will want to encourage the client to drink as much liquid as possible.
Choice A is wrong because the client’s temperature would not be affected by aprepitant.
Choice B is wrong because the client must be encouraged for fluid intake as tolerated, so placing an NPO sign on the door would not be appropriate for this client.
Choice D is wrong because elevating the head of the bed would be unnecessary for a client receiving aprepitant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Ginseng is a herbal supplement that may have some antidiabetic effects, such as improving glucose tolerance and insulin resistance. However, ginseng may also interact with certain diabetes medications, especially insulin and sulfonylureas, and cause hypoglycemia (low blood sugar)2. Therefore, the nurse should inform the client about this potential risk and advise them to consult their doctor before taking ginseng.
Choice B is wrong because there is a reason ginseng cannot be taken by people with diabetes without medical supervision.
As explained above, ginseng may lower blood glucose levels too much and cause hypoglycemia.
Choice C is wrong because there is some research to indicate what effect ginseng will have on diabetes.
Several studies have shown that ginseng may have beneficial effects on blood glucose control, but also some adverse effects such as hypoglycemia.
Choice D is wrong because ginseng does not increase the risk for high blood
Correct Answer is B
Explanation
Metoclopramide is a medication that increases muscle contractions in the upper digestive tract and speeds up the rate at which the stomach empties into the intestines. It is used to treat gastroparesis (slow stomach emptying) in people with diabetes, which can cause heartburn and stomach discomfort after meals.
Choice A is wrong because impaction is a condition where a large mass of dry, hard stool becomes stuck in the rectum and cannot be passed.
Metoclopramide does not treat impaction, but laxatives or enemas may be used instead.
Choice C is wrong because encopresis is a condition where a child over the age of 4 has involuntary bowel movements, usually due to chronic constipation.
Metoclopramide does not treat encopresis, but behavioral therapy, laxatives, or dietary changes may be used instead.
Choice D is wrong because metoclopramide is not used for clients requiring diagnostic procedures involving the stomach or intestines.
However, it may be used to prevent nausea and vomiting caused by chemotherapy or surgery.
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