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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Tolbutamide is preferred for clients with renal dysfunction, who may not be able to excrete chlorpropamide, because it is more easily cleared from the body.

Choice B. Tolazamide is wrong because it is a first-generation sulfonylurea that is used less frequently and is usually tried after tolbutamide and chlorpropamide have been shown to be ineffective.

Choice C. Chlorpropamide is wrong because it is a first-generation sulfonylurea that may accumulate in clients with renal dysfunction and cause hypoglycemia.

Choice D. Chlorpromazine is wrong because it is an antipsychotic agent, not an oral antidiabetic agent.

First-generation sulfonylureas are oral antidiabetic agents that stimulate insulin secretion from the pancreas.

They are used to treat type 2 diabetes mellitus.

The normal range of blood glucose level is 70 to 110 mg/dL.

A. Loratadine. B. Diphenhydramine. C. Hydroxyzine. D. Dexchlorpheniramine.

Correct Answer is A

Explanation

Loratadine is a second-generation antihistamine that does not cause drowsiness or sedation as a common side effect. It can relieve the symptoms of seasonal rhinitis such as sneezing, runny nose, and itching.

Choice B. Diphenhydramine is wrong because it is a first-generation antihistamine that can cause drowsiness or sedation as a common side effect.

It can also cause dry mouth, blurred vision, and urinary retention.

Choice C. Hydroxyzine is wrong because it is also a first-generation antihistamine that can cause drowsiness or sedation as a common side effect.

It can also cause dry mouth, blurred vision, and urinary retention.

It is mainly used for anxiety and itching.

Choice D. Dexchlorphen

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What is an appropriate nursing action for a hospitalized client receiving aprepitant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with renal dysfunction who requires an oral antidiabetic agent. What drug will the nurse expect to see ordered?

Correct Answer is A

Explanation

A client has an important presentation to make in 4 hours, and he needs relief from the congestion of seasonal rhinitis. The client calls the nurse, explains the situation, and tells the nurse that he cannot afford to be drowsy. What medication is most likely to meet this client’s needs?

Correct Answer is A

Explanation

The nurse is caring for a client who has begun vomiting. The nurse is aware that which part of the client’s brain has been stimulated?

The nurse is caring for a client with hypothyroidism who has a history of myocardial infarction and heart failure. What thyroid replacement drug would the nurse expect to be ordered?

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For which client would the use of a phenothiazine most likely be contraindicated?

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What type of insulin would the nurse administer if the fastest therapeutic effects are needed?

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After administering propylthiouracil (PTU), what effect would the nurse anticipate the drug will have in the client’s body?