A client has a new prescription for Metoclopramide. Which of the following instructions should the nurse include?

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Question 1 of 5

A client has a new prescription for Metoclopramide. Which of the following instructions should the nurse include?

Correct Answer: C

Rationale: The correct instruction to include when teaching a client about Metoclopramide is to report any signs of restlessness or involuntary movements. Metoclopramide can lead to extrapyramidal symptoms, such as restlessness or involuntary movements. It is essential for clients to notify their healthcare provider if they experience these symptoms to receive appropriate management.

Question 2 of 5

A patient about to receive a morning dose of digoxin has an apical pulse of 53 beats/min. What will the nurse do next?

Correct Answer: D

Rationale: A low apical pulse rate of 53 beats/min indicates bradycardia, which is a side effect of digoxin. Before administering digoxin, the nurse should always check the patient's pulse rate. If the apical pulse is below the facility's specified parameters (typically below 60 beats/min), the nurse should withhold the dose and notify the prescriber immediately. Bradycardia can be an indication of digoxin toxicity, which can be potentially life-threatening, so it is crucial to follow the protocol and seek further guidance before administering the medication.

Question 3 of 5

The nurse is preparing to give a potassium supplement. Which laboratory test should be checked before the patient receives a dose of potassium?

Correct Answer: B

Rationale: Before administering a potassium supplement to a patient, it is crucial to check the patient's serum potassium level. This is because if the serum potassium level is already elevated or within the high end of the normal range, giving additional potassium could lead to hyperkalemia, which can be life-threatening. Conversely, if the serum potassium level is low (hypokalemia), then administering potassium supplementation may be necessary to correct the deficiency. Monitoring the serum potassium level helps ensure safe and effective treatment with potassium supplements. It is a critical part of assessing the patient's electrolyte balance and overall health status.

Question 4 of 5

What action is often recommended to help reduce tolerance to transdermal nitroglycerin therapy?

Correct Answer: A

Rationale: Omitting a dose of transdermal nitroglycerin therapy once a week is often recommended to help reduce tolerance. Tolerance to nitroglycerin can develop with continuous use, limiting its effectiveness. By omitting a dose once a week, you are essentially giving the body a break from the medication and preventing tolerance from developing. This strategy can help maintain the efficacy of the nitroglycerin therapy over time. It is important to follow the guidance of a healthcare provider when making any changes to the dosing regimen of nitroglycerin to ensure safety and effectiveness.

Question 5 of 5

The nurse is preparing to transfuse a patient with a unit of packed red blood cells (PRBCs). Which intravenous solution is correct for use with the PRBC transfusion?

Correct Answer: B

Rationale: 0.9% sodium chloride (NS), also known as normal saline, is the correct intravenous solution to use with packed red blood cell (PRBC) transfusion. NS is isotonic and compatible with blood products, making it the preferred solution for blood transfusions to prevent hemolysis of red blood cells. Other solutions such as D5W, D5NS, and D5LR are not recommended for use with PRBC transfusions due to their potential to cause hemolysis or affect the stability of the blood product.

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