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A client has been prescribed metoclopramide. Which of the following should the nurse
include in client education regarding this medication?
1) Notify your provider if you experience restlessness or spasms of the face or neck
2) This medication can cause insomnia
3) Decrease your fluid intake while taking this medication
4) This medication can cause urinary frequency - correct answer 1) Notify your
provider if your experience restlessness or spams of the face or neck
An adverse effect of metoclopramide is extrapyramidal symptoms. The client should
stop the medication and notify the provider if these occur
Disulfiram is taken by a client daily for abstinence maintenance. What is an adverse
effect of this therapy?
1) Hepatoxicity
2) Wernicke's aphasia
,3) Suicidal ideations
4) Diarrhea - correct answer 1) Hepatoxicity
Hepatoxicity is an adverse effect of disulfiram
A nurse is caring for a client who has diabetes and a new prescription for 14 units of
regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is
the total number of units of insulin that the nurse should prepare in the insulin
syringe?
1) 14 units
2) 28 units
3) 32 units
4) 42 units - correct answer 4) 42 units
Each order of for units of insulin is combined in the same syringe. The nurse should
withdrawal the regular insulin into the syringe first
Before administering blood products, which action should be taken?
, 1) Assess the client's temperature
2) Document client response
3) Prime IV tubing with 0.45% sodium chloride
4) Administer epinephrine - correct answer 1) Assess the client's temperature
Assess the client's vital signs, obtain consent for the procedure and ensure
compatibility. Prime the IV tubing with 0.9% sodium chloride. The nurse would not
document client response or administer epinephrine prior to starting the transfusion
A nurse is caring for a client prescribed HMG CoA reductase inhibitor, atorvastatin.
Which of the following should be monitored while this medication is prescribed?
1) Liver function tests
2) Renal function tests
3) Visual acuity screening
3) Hearing screenings - correct answer 1) Liver function tests
Statins (HMG CoA reductase inhibitors) like atorvastatin can cause hepatotoxicity.
Prior to initiating therapy the client's baseline liver function should be determined then