A significant number of patients taking metoclopramide (Reglan) may have which of the following adverse CNS effects?
A. Tremor, stiffness, rigidity
B. Tingling, numbness, loss of balance
C. Seizures, hyperactivity, and mania
D. Drowsiness, fatigue and insomnia
Ans: D. Drowsiness, fatigue and insomnia
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A male patient is advised to receive HIV antibody testing because of his multiple sexual partners and injectable drug use. What should the nurse inform the patient to ensure understanding?
a. The blood is tested with the highly sensitive test called the Western blot. b. The blood is tested with an ELISA; if positive, it is tested again with an ELISA, followed by a Western blot if the second ELISA is positive. c. A series of HIV tests is performed to confirm if the patient has AIDS. d. If the HIV tests are seronegative, the patient can be assured that he is not infected.
In checking the chart of an elderly female outpatient on anticoagulant therapy, the LPN/LVN notes that the patient's lab values are abnormal. The patient says she takes her medication as prescribed, so the nurse asks about her dietary intake
Which food might have an effect on anticoagulant therapy? a. Broccoli b. Eggplant c. Oranges d. Grapes
A 51-year-old woman calls with complaints of weight loss and constipation. She reports enlarged hemorrhoids and rectal bleeding. You advise her to:
a. use a topical, over the counter hemorrhoid treatment for 1 week. b. exercise and eat more fiber. c. come to the laboratory for a stool guaiac test. d. eat six small meals a day.
A preterm infant is diagnosed with necrotizing enterocolitis. The parents ask the nurse to explain this condition. Accurate information would include:
a. Intravenous feedings will be used for a while to permit the intestines to heal. b. The feeding tube could have damaged the stomach lining. c. The infant formula may have been too rich for the baby's system. d. This is a mild infection that is easily treated with antibiotics.