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

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Weight gain. Quetiapine is an atypical antipsychotic commonly used to treat schizophrenia. Weight gain is a potential side effect of this medication due to its impact on metabolic functions and appetite regulation. Patients taking quetiapine may experience an increase in appetite and metabolic changes, leading to weight gain over time. Option B) Dry mouth is a common side effect of many antipsychotic medications, but it is not specifically associated with quetiapine. Option C) Nausea is also a common side effect of antipsychotics, but it is not the most prominent side effect of quetiapine. Option D) Headache is a less common side effect of quetiapine compared to weight gain. Educationally, understanding the side effects of medications used in mental health conditions like schizophrenia is crucial for nurses to provide comprehensive care. Monitoring and managing side effects can enhance patient compliance and overall treatment outcomes. By recognizing the potential side effects of quetiapine, nurses can proactively address and educate patients on managing weight gain to promote their overall well-being.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Bradycardia. Metoprolol is a beta-blocker medication commonly used to treat hypertension. The main mechanism of action of beta-blockers like metoprolol is to reduce heart rate and blood pressure by blocking the effects of adrenaline on the heart. As a result, one of the potential side effects of metoprolol is bradycardia, or a slow heart rate. Option B) Tachycardia is incorrect because metoprolol actually works to decrease heart rate, so tachycardia would not be an expected side effect. Option C) Hyperglycemia is not typically associated with metoprolol use. In fact, beta-blockers can sometimes mask the symptoms of hypoglycemia in diabetic patients, but they do not usually cause hyperglycemia. Option D) Hyponatremia is also not a common side effect of metoprolol. Hyponatremia is more commonly associated with diuretic medications that can cause electrolyte imbalances. In an educational context, understanding the side effects of medications is crucial for healthcare providers to provide safe and effective care to their patients. By knowing the potential side effects of a medication like metoprolol, healthcare providers can monitor patients appropriately and intervene if necessary to prevent any adverse outcomes. This knowledge helps ensure patient safety and optimal treatment outcomes.

Correct Answer: A

Rationale: When a client with chronic kidney disease is prescribed calcium acetate, the nurse must monitor for hypercalcemia, not hypocalcemia, hyperkalemia, or hypokalemia. Calcium acetate can increase calcium levels in the blood, leading to hypercalcemia. Symptoms of hypercalcemia include fatigue, confusion, constipation, and muscle weakness. Regular monitoring of calcium levels is crucial to prevent complications associated with elevated calcium levels.

Correct Answer: A

Rationale: Tofacitinib is an immunosuppressive medication used in rheumatoid arthritis. Patients taking tofacitinib should avoid live vaccines because the medication can weaken the immune system, making live vaccines potentially harmful. It is essential to educate the client on this to prevent any complications related to live vaccines during their treatment.

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.