A client is prescribed ondansetron for nausea and vomiting. The nurse should monitor the client for which potential adverse effect?

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HESI Pharmacology Exam Test Bank Questions

Question 1 of 5

A client is prescribed ondansetron for nausea and vomiting. The nurse should monitor the client for which potential adverse effect?

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Constipation. Ondansetron is a 5-HT3 receptor antagonist commonly used to prevent nausea and vomiting, particularly in clients undergoing chemotherapy or surgery. Constipation is a potential adverse effect of ondansetron due to its impact on gut motility. Option A) Headache is a common side effect of ondansetron but not directly related to gastrointestinal effects. Option B) Diarrhea is less likely with ondansetron as it is more commonly associated with laxatives or antibiotics. Option D) Increased appetite is not a known side effect of ondansetron. Educationally, understanding the side effects of medications is vital for nurses to provide safe patient care. Monitoring for adverse effects helps in early detection and intervention, ensuring client safety and treatment efficacy. It is essential for nurses to have a comprehensive understanding of pharmacology to make informed clinical decisions and provide quality care to their patients.

Question 2 of 5

A client with asthma is prescribed montelukast. The nurse should instruct the client that this medication is used for which purpose?

Correct Answer: B

Rationale: Montelukast is a leukotriene receptor antagonist used for the long-term control of asthma symptoms by reducing inflammation in the airways. It is not typically used for immediate relief during acute asthma attacks, where short-acting bronchodilators are more appropriate. Montelukast does not specifically target exercise-induced bronchospasm or allergic rhinitis symptoms.

Question 3 of 5

A client is prescribed cyclobenzaprine for muscle spasms. The nurse should instruct the client to avoid which substance while taking this medication?

Correct Answer: A

Rationale: The correct answer is A: Alcohol. When taking cyclobenzaprine, it is important to avoid alcohol as it can potentiate the central nervous system depressant effects of the medication. This interaction can lead to increased drowsiness, dizziness, and impaired coordination. Therefore, it is essential for the client to refrain from alcohol consumption while on cyclobenzaprine to prevent these adverse effects and ensure their safety.

Question 4 of 5

A client with a history of stroke is prescribed clopidogrel. The nurse should monitor the client for which potential side effect?

Correct Answer: A

Rationale: Clopidogrel is an antiplatelet medication that works to prevent blood clots, but it can also increase the risk of bleeding. Therefore, the nurse should monitor the client for signs of bleeding, such as easy bruising, prolonged bleeding from cuts, blood in urine or stool, or unusual bleeding from the gums. Prompt identification and management of bleeding are crucial to prevent complications.

Question 5 of 5

A client with osteoporosis is prescribed raloxifene. The nurse should reinforce which instruction?

Correct Answer: A

Rationale: Rationale: The correct instruction for the client prescribed raloxifene for osteoporosis is option A) Take this medication at the same time each day. Raloxifene is a medication used to prevent and treat osteoporosis by improving bone density. Consistency in the timing of medication administration helps maintain a stable level of the drug in the body, maximizing its effectiveness in preventing bone loss. Option B) Take this medication with a full glass of water is incorrect because raloxifene should be taken with or without food, not specifically with water. Option C) Take this medication on an empty stomach is incorrect as raloxifene can be taken with or without food. Option D) Take this medication immediately after a meal is incorrect as raloxifene can be taken at any time, not necessarily right after a meal. In an educational context, it is crucial for nurses to understand the specific instructions for medications used to treat conditions like osteoporosis to ensure optimal patient outcomes. Consistency in medication administration is key to achieving the desired therapeutic effects and minimizing potential side effects. Nurses play a vital role in educating patients on the proper administration and timing of medications to promote adherence and treatment success.

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