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 C

Explanation

The nurse should question the administration of human insulin to this client because they do not need exogenous insulin to maintain normal blood glucose levels. Human insulin is indicated for clients who have type 1 diabetes or type 2 diabetes that cannot be controlled by oral antidiabetic agents, diet, or exercise.

Choice A is wrong because a client who has been diagnosed with gestational diabetes may need human insulin to control their blood glucose levels during pregnancy, as oral antidiabetic agents are contraindicated.

Choice B is wrong because a client with type 2 diabetes, controlled with oral antidiabetic agents, who has a systemic infection may need human insulin to manage their blood glucose levels during periods of stress, as infection can increase blood glucose levels and impair the action of oral antidiabetic agents.

Choice D is wrong because a client who has been living with type 1 diabetes for 20 years needs human insulin to replace the endogenous insulin that their pancreas cannot produce.

A. A client being treated for a traumatic brain injury. B. A client with a history of ischemic heart disease. C. A pediatric client. D. A client with type 2 diabetes.

Correct Answer is A

Explanation

Phenothiazines are contraindicated in patients with suspected or established subcortical brain damage. Phenothiazines are a class of drugs that have antipsychotic, antiemetic, and sedative effects. They act by blocking dopamine receptors in the brain and can cause extrapyramidal symptoms, hypotension, and anticholinergic effects.

Choice B is wrong because phenothiazines are not contraindicated in patients with ischemic heart disease.

However, they can cause orthostatic hypotension and cardiac arrhythmias, so they should be used with caution and monitored closely in these patients.

Choice C is wrong because phenothiazines are not contraindicated in pediatric patients.

However, they can cause sedation, hypotension, and extrapyramidal symptoms, so they should be used with caution and at lower doses in these patients.

Choice D is wrong because phenothiazines are not contraindicated in patients with type 2 diabetes.

However, they can cause hyperglycemia and weight gain, so they should be used with caution and monitored closely in these patients.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

With what client should the nurse question the administration of human insulin?

Correct Answer is C

Explanation

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

Correct Answer is A

Explanation

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