Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A. Decreased appetite
Decreased appetite may occur but is not the most critical concern in this context.
B. Increased risk of serotonin syndrome
The combination of metoclopramide, which can influence serotonin pathways, with certain antidepressants, especially SSRIs, increases the risk of serotonin syndrome, a potentially life-threatening condition.
C. Elevated blood pressure
While some antidepressants can influence blood pressure, monitoring for elevated blood pressure is not the primary concern with metoclopramide.
D. Enhanced antidepressant effects
There is no evidence to suggest that metoclopramide enhances the effects of antidepressants; the focus should be on potential adverse interactions instead.
This question is an excerpt from Nurse Dive's nursing test bank - Med Surg Exam Antelope Valley College Proctored Exam. Take the full exam now
Full Explanation
A. Decreased appetite may occur but is not the most critical concern in this context.
B. The combination of metoclopramide, which can influence serotonin pathways, with certain antidepressants, especially SSRIs, increases the risk of serotonin syndrome, a potentially life-threatening condition.
C. While some antidepressants can influence blood pressure, monitoring for elevated blood pressure is not the primary concern with metoclopramide.
D. There is no evidence to suggest that metoclopramide enhances the effects of antidepressants; the focus should be on potential adverse interactions instead.
Similar Questions
The nurse is caring for a 38-year-old client who has been diagnosed with asthma and is prescribed albuterol. What assessment finding should the nurse most likely attribute to adverse medication effects?
A. The client reports excessive thirst.
Excessive thirst is not a common adverse effect associated with albuterol.
B. The client's heart rate is 99 beats/min.
Albuterol, a beta-agonist, can cause tachycardia as an adverse effect; a heart rate of 99 beats/min may indicate this response.
C. The client's oral temperature is 100°F (37.8°C).
An oral temperature of 100°F may suggest a mild infection or other issues, but it is not a specific adverse effect of albuterol.
D. The client had diarrhea this morning.
Diarrhea is not typically associated with albuterol use and is less likely to be attributed to the medication.
Full Explanation
A. Excessive thirst is not a common adverse effect associated with albuterol.
B. Albuterol, a beta-agonist, can cause tachycardia as an adverse effect; a heart rate of 99 beats/min may indicate this response.
C. An oral temperature of 100°F may suggest a mild infection or other issues, but it is not a specific adverse effect of albuterol.
D. Diarrhea is not typically associated with albuterol use and is less likely to be attributed to the medication.
Interpret and spell the abbreviation : ec
Enter the word below.
Full Explanation
Correct answer is emergency contraception.
What adverse reaction does the nurse anticipate if a client takes nitroglycerin with sildenafil?
A. Hypotension
The combination of nitroglycerin and sildenafil can lead to severe hypotension due to the vasodilatory effects of both medications. This is the most critical adverse reaction the nurse should anticipate.
B. Bradycardia
Bradycardia is not a direct effect of this combination; rather, hypotension is a more significant concern.
C. Chest pain
Chest pain may occur if hypotension leads to inadequate perfusion, but it is not a direct adverse effect of the drug interaction.
D. Nausea
Nausea can occur with various medications, but it is not specifically linked to the interaction between nitroglycerin and sildenafil.
Full Explanation
A. The combination of nitroglycerin and sildenafil can lead to severe hypotension due to the vasodilatory effects of both medications. This is the most critical adverse reaction the nurse should anticipate.
B. Bradycardia is not a direct effect of this combination; rather, hypotension is a more significant concern.
C. Chest pain may occur if hypotension leads to inadequate perfusion, but it is not a direct adverse effect of the drug interaction.
D. Nausea can occur with various medications, but it is not specifically linked to the interaction between nitroglycerin and sildenafil.