Meperidine hydrochloride (Demerol) is given to a client who is experiencing post-operative pain. Which of the following are the side effects of the medication, except?

Correct Answer: A

Rationale: Meperidine hydrochloride (Demerol) is an opioid analgesic used for pain relief, but it is known to cause side effects. Tremors are not a common side effect associated with Meperidine. Diarrhea, sweating, and dizziness are commonly reported side effects of this medication. Tremors are more commonly associated with stimulant medications or conditions like anxiety or certain neurological disorders.

Correct Answer: B

Rationale: The nurse monitors the activated partial thromboplastin time (aPTT) to check the effectiveness of heparin therapy in a patient with a pulmonary embolism. Heparin works by inhibiting the clotting cascade, specifically by potentiating the activity of antithrombin III, which inactivates thrombin and factor Xa. Monitoring the aPTT helps determine the appropriate dosage of heparin to maintain therapeutic levels of anticoagulation and prevent clot formation without increasing the risk of bleeding. The desired therapeutic range for aPTT when a patient is on heparin therapy is usually 1.5 to 2.5 times the control value. Monitoring aPTT levels regularly helps ensure that the patient is receiving the correct dose of heparin for effective treatment of the pulmonary embolism.

Correct Answer: A

Rationale: The nurse should include the instruction to avoid drinking large amounts of green tea when providing dietary teaching for a patient receiving warfarin therapy. Green tea is high in vitamin K, which can interfere with the effectiveness of warfarin, an anticoagulant medication. Maintaining a consistent intake of vitamin K is important for patients on warfarin in order to keep their INR (International Normalized Ratio) levels stable. It is not necessary to avoid all sources of vitamin K, but rather to keep intake consistent and moderate. Drinking large amounts of green tea, which is high in vitamin K, can potentially impact the patient's INR levels and increase the risk of bleeding or clotting issues.

Correct Answer: D

Rationale: The most common undesirable effect of thrombolytic therapy is internal and superficial bleeding. Thrombolytic medications work by dissolving blood clots, which can lead to an increased risk of bleeding. This bleeding can occur internally, such as in the gastrointestinal tract or brain, or externally, in the form of bruising or easy bleeding from cuts or wounds. It is crucial for healthcare providers to closely monitor patients receiving thrombolytic therapy for signs of bleeding and to promptly address any concerns to prevent complications. Dysrhythmias, nausea and vomiting, and anaphylactic reactions are less common adverse effects associated with thrombolytic therapy compared to bleeding.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.