Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
For which of the following adverse effects should the nurse monitor?.
A. Increased triglyceride level.
Risperidone can indeed increase triglyceride levels. The nurse should monitor this.
B. Weight loss.
Risperidone is more likely to cause weight gain, not weight loss. This is not a common adverse effect.
C. Elevated blood pressure.
Risperidone does not typically elevate blood pressure. This is not a common adverse effect.
D. Decreased blood glucose level.
Risperidone does not typically decrease blood glucose levels. This is not a common adverse effect. So, the correct answer is A, after analyzing all choices.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Custom Pharmacology Cohert 6 Mid term Remidiation Cloned Assessment 1 Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale:
Risperidone can indeed increase triglyceride levels. The nurse should monitor this.
Choice B rationale:
Risperidone is more likely to cause weight gain, not weight loss. This is not a common adverse effect.
Choice C rationale:
Risperidone does not typically elevate blood pressure. This is not a common adverse effect.
Choice D rationale:
Risperidone does not typically decrease blood glucose levels. This is not a common adverse effect.
So, the correct answer is A, after analyzing all choices.
Similar Questions
A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder.
Which of the following instructions should the nurse include?.
A. Limit fluid intake to 800 ounces per day while taking this medication.
The client should maintain a normal fluid intake while taking lithium, not limit it to 800 ounces per day.
B. Take the medication on an empty stomach.
Lithium can be taken with or without food. This instruction is not necessary.
C. Wait up to 3 weeks to see the full effects of the medication.
It can indeed take up to 3 weeks to see the full effects of lithium. This is a correct instruction.
D. Follow a low-sodium diet.
The client should maintain a normal sodium diet while taking lithium, not a low-sodium diet. So, the correct answer is C, after analyzing all choices.
Full Explanation
Choice A rationale:
The client should maintain a normal fluid intake while taking lithium, not limit it to 800 ounces per day.
Choice B rationale:
Lithium can be taken with or without food. This instruction is not necessary.
Choice C rationale:
It can indeed take up to 3 weeks to see the full effects of lithium. This is a correct instruction.
Choice D rationale:
The client should maintain a normal sodium diet while taking lithium, not a low-sodium diet.
So, the correct answer is C, after analyzing all choices.
A nurse is reinforcing discharge teaching for a client who will continue to take lithium carbonate at home to manage bipolar disorder.
Which of the following instructions should the nurse include when reinforcing the teaching?.
A. Withhold dose if having a fine hand tremor.
Withholding the dose if having a fine hand tremor is not recommended. Hand tremors are a common side effect of lithium, but they can be managed by adjusting the dose.
B. Avoid foods with a high tyramine content.
Avoiding foods with a high tyramine content is not necessary for lithium users. This dietary restriction is typically associated with certain antidepressants, not lithium.
C. Limit daily fluid intake.
Limiting daily fluid intake is incorrect. Lithium can cause increased thirst and urination, so it’s important to maintain adequate hydration.
D. Follow a low-sodium diet.
Following a low-sodium diet is not advised. Both salt and fluid can affect the levels of lithium in your blood, so it’s important to consume a steady amount every day. So, the correct answer is, none of the above.
Full Explanation
Choice A rationale:
Withholding the dose if having a fine hand tremor is not recommended. Hand tremors are a common side effect of lithium, but they can be managed by adjusting the dose.
Choice B rationale:
Avoiding foods with a high tyramine content is not necessary for lithium users. This dietary restriction is typically associated with certain antidepressants, not lithium.
Choice C rationale:
Limiting daily fluid intake is incorrect. Lithium can cause increased thirst and urination, so it’s important to maintain adequate hydration.
Choice D rationale:
Following a low-sodium diet is not advised. Both salt and fluid can affect the levels of lithium in your blood, so it’s important to consume a steady amount every day.
So, the correct answer is, none of the above.
A nurse is reinforcing teaching with a client who is newly diagnosed with myasthenia gravis and is to start taking neostigmine.
Which of the following instructions should the nurse include in the teaching?.
A. Treat nasal rhinitis with an over-the-counter antihistamine.
Treating nasal rhinitis with an over-the-counter antihistamine is not directly related to neostigmine use or myasthenia gravis.
B. If a medication dose is missed, wait until the next scheduled dose to take the medication.
If a medication dose is missed, wait until the next scheduled dose to take the medication is not the best advice. Neostigmine should be taken at regular intervals for maximum effectiveness.
C. Expect diaphoresis as a side effect of the neostigmine.
Expecting diaphoresis as a side effect of the neostigmine is not accurate. Diaphoresis is not a common side effect of neostigmine.
D. Take the medication 45 minutes before eating.
Taking the medication 45 minutes before eating is correct. This timing helps maximize the medication’s effectiveness during meals, when muscle strength for swallowing is crucial. So, the correct answer is, D.
Full Explanation
Choice A rationale:
Treating nasal rhinitis with an over-the-counter antihistamine is not directly related to neostigmine use or myasthenia gravis.
Choice B rationale:
If a medication dose is missed, wait until the next scheduled dose to take the medication is not the best advice. Neostigmine should be taken at regular intervals for maximum effectiveness.
Choice C rationale:
Expecting diaphoresis as a side effect of the neostigmine is not accurate. Diaphoresis is not a common side effect of neostigmine.
Choice D rationale:
Taking the medication 45 minutes before eating is correct. This timing helps maximize the medication’s effectiveness during meals, when muscle strength for swallowing is crucial.
So, the correct answer is,
D.