A nurse is caring for an elderly client who has received cimetidine. Which of the following interventions should the nurse perform?
A) Monitor the client for complaints of pain or sour taste.
B) Monitor the client for concentrated urine and restlessness.
C) Closely monitor the client for confusion and dizziness.
D) Report symptoms of tardive dyskinesia to the primary health care provider.
Ans: C
Feedback:
The nurse should closely monitor the elderly client who has been administered cimetidine for confusion and dizziness. When the client is receiving an antiemetic, the nurse monitors the client frequently for continued complaints of pain, sour taste, spitting blood, or coffee-ground-colored emesis. When antacids are given to the client, the nurse should observe the client for concentrated urine and restlessness. When the client is administered prolonged doses of metoclopramide, the nurse reports any sign of tardive dyskinesia or extrapyramidal symptoms to the primary health care provider.
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