A client with a diagnosis of schizophrenia is prescribed risperidone. The nurse should monitor the client for which potential side effect?

Correct Answer: A

Rationale: When a client is prescribed risperidone, it is essential to monitor for potential side effects. Weight gain is a common side effect of risperidone, so the nurse should closely monitor the client's weight throughout the treatment. This monitoring helps in early detection of weight changes and allows for timely interventions to prevent further complications.

Correct Answer: B

Rationale: The correct answer is B) Renal failure. In patients with renal failure, antacids containing magnesium and calcium should be used with caution due to the risk of electrolyte imbalances. Both magnesium and calcium are excreted by the kidneys, and in renal failure, there is a decreased ability to excrete these minerals, leading to potential accumulation and toxicity. This can further worsen the renal function and lead to serious complications. Option A) Hypertension is not directly contraindicated with antacids containing magnesium and calcium. While monitoring blood pressure is important, hypertension alone does not specifically warrant caution with these antacids. Option C) Heart failure is also not directly related to the use of antacids containing magnesium and calcium. Heart failure management may involve careful monitoring of electrolytes, but it is not a direct contraindication for these antacids. Option D) Peptic ulcer disease would actually benefit from the use of antacids containing magnesium and calcium as they help neutralize gastric acid and provide relief from symptoms associated with peptic ulcers. Educationally, understanding the importance of considering renal function when administering medications is crucial for safe nursing practice. Renal function directly impacts drug excretion and metabolism, highlighting the need for individualized care and monitoring in patients with renal impairment.

Correct Answer: C

Rationale: The correct response is to perform a pain assessment using a numeric scale. Ketorolac is an NSAID prescribed for pain relief. Monitoring pain levels is crucial to evaluate the therapeutic effectiveness of the medication. Pain assessment helps determine if the medication is providing adequate pain relief, indicating that therapeutic levels have been achieved.

Correct Answer: D

Rationale: The correct answer is to check the stool for occult blood when caring for a client receiving aspirin 600mg po QID. Aspirin can lead to gastrointestinal bleeding, and checking for occult blood in the stool is essential to monitor for this serious adverse effect. Monitoring temperature, assessing pain, and checking for dyspepsia and nausea are important interventions but not as critical as monitoring for gastrointestinal bleeding when a client is receiving aspirin.

Correct Answer: D

Rationale: In this scenario, the nurse should instruct the female client undergoing chemotherapy to take option D, which is Acetaminophen and diphenhydramine 2 capsules at bedtime. This combination medication is commonly used for managing insomnia, which is the client's primary concern. Acetaminophen helps with mild pain relief, and diphenhydramine is an antihistamine that induces drowsiness, aiding in sleep initiation. Option A (Ondansetron) is an antiemetic used to control nausea and vomiting, not for sleep. Option B (Lorazepam) is a benzodiazepine used for anxiety and insomnia but may not be the best choice due to potential interactions with chemotherapy drugs. Option C (Oxycodone, acetylsalicylic acid) is for pain management, not sleep. Educationally, this question highlights the importance of considering the holistic needs of patients undergoing chemotherapy and the appropriate selection of medications to address specific symptoms while considering potential drug interactions and side effects. It underscores the importance of thorough assessment and individualized care in pharmacological interventions.