When providing health education to a client taking octreotide, the nurse should warn the client about the possibility of what potential adverse effect?

Abdominal pain.

Tinnitus.

Alteration in consciousness.

Changes in vision.

Answer and Explanation

The Correct Answer is A

Octreotide is a synthetic analog of somatostatin, a hormone that inhibits the secretion of growth hormone, insulin, glucagon, and other hormones. Octreotide can cause gastrointestinal side effects such as abdominal pain, diarrhea, constipation, nausea, vomiting, and flatulence. These side effects are more common and severe with the oral route than with the injectable route.

Choice B is wrong because tinnitus, or ringing in the ears, is not a common or serious side effect of octreotide.

Choice C is wrong because alteration in consciousness is not a common or serious side effect of octreotide.

However, octreotide can affect blood glucose levels and cause hypoglycemia or hyperglycemia, which can lead to confusion, dizziness, fainting, seizures, or coma in severe cases.

Choice D is wrong because changes in vision are not a common or serious side effect of octreotide.

However, octreotide can cause rare but serious eye problems such as blurred vision, double vision, eye pain, or blindness due to optic nerve damage or retinal detachment.

These eye problems require immediate medical attention.

Normal ranges for blood glucose are 70 to 100 mg/dL (3.9 to 5.6 mmol/L) for fasting and less than 140 mg/dL (7.8 mmol/L) for postprandial.

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Correct Answer is C

Explanation

The nurse should advise the client to avoid aluminum salts because they can increase the risk of aluminum toxicity when taken with sucralfate. Sucralfate forms a protective coating over the ulcer and binds to aluminum in the stomach.

Choice A is wrong because Milk of Magnesia is a magnesium-based antacid that can cause diarrhea, but does not interact with sucralfate.

Choice B is wrong because Calcium carbonate is a calcium-based antacid that can cause constipation, but does not interact with sucralfate.

Choice D is wrong because Proton pump inhibitors are drugs that reduce the production of stomach acid and can help heal ulcers.

They do not interact with sucralfate.

A. Monitoring the client for increased bruising. B. Assessing for signs and symptoms of infection. C. Assessing the client’s level of consciousness. D. Monitoring the client’s electrolyte levels.

Correct Answer is A

Explanation

This is because levothyroxine can increase the anticoagulant effect of oral anticoagulants and increase the risk of bleeding. The nurse should check the client’s prothrombin time and international normalized ratio (INR) regularly and report any abnormal values to the prescriber.

Choice B is wrong because hypothyroidism does not increase the risk of infection.

Choice C is wrong because hypothyroidism does not affect the level of consciousness unless it is severe and causes myxedema coma.

Choice D is wrong because hypothyroidism does not cause electrolyte imbalances.

Normal ranges for prothrombin time are 11 to 13.5 seconds and for INR are 0.8 to 1.22.

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When providing health education to a client taking octreotide, the nurse should warn the client about the possibility of what potential adverse effect?

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Naxlex Comprehensive Predictor Exams

A client with a duodenal ulcer is receiving sucralfate for short-term treatment. What should the nurse advise the client to avoid?

Correct Answer is C

Explanation

A client has a history of atrial fibrillation and is taking an oral anticoagulant. The client has been newly diagnosed with hypothyroidism and placed on levothyroxine. What assessment should the nurse prioritize?

Correct Answer is A

Explanation

When providing health education to a client taking octreotide, the nurse should warn the client about the possibility of what potential adverse effect?

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