The parent of a child who is receiving chemotherapy asks the nurse why metoclopramide (Reglan) is not being used to suppress vomiting. The nurse will explain that, in children, this drug is more likely to cause which effect?
a. Excess sedation
b. Extrapyramidal symptoms
c. Paralytic ileus
d. Vertigo
ANS: B
Metoclopramide can cause extrapyramidal symptoms, and these effects are more likely in children. Children are not more prone to sedative effects, paralytic ileus, or vertigo while taking this drug.
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A psychiatric home care nurse knocks on the client's door for the first time and is told by the client, "Go away and leave me alone. I don't want to buy any Girl Scout cookies." What should the nurse do in this instance?
1. Leave, and try to gain admittance to the client's home tomorrow 2. Show the client identification and explain the purpose of the visit 3. Offer to give the client money to buy Girl Scout cookies 4. Call the home health agency and request a new assignment
Which information should be taught to patients starting on anticoagulant therapy for a valvular disorder? (Select all that apply.)
a. Increase the dose of aspirin for better therapy. b. Take medication at the same time each day. c. Report to physician cuts that do not stop bleeding with direct pressure. d. No restrictions for food or drink. e. Report for prescribed blood tests (PTT, INR, CBC, blood sugar).
1/3 à· 1/2 = _____
a. 2/3 b. 1/5 c. 2/5 d. 1 1/3
A frail older cognitively impaired client has developed a urinary tract infection. Which signs and symptoms would the nurse expect to find?
A) hypertension B) flank pain C) increased confusion D) high fever