When monitoring a patient who has diabetes and is receiving a carbonic anhydrase inhibitor for edema, the nurse will monitor for which possible adverse effect?

Correct Answer: B

Rationale: Carbonic anhydrase inhibitors such as acetazolamide are commonly used to treat edema by promoting diuresis. However, one notable adverse effect of carbonic anhydrase inhibitors in patients with diabetes is the potential to elevate blood glucose levels. These medications can lead to an increase in blood glucose due to their effect on renal glucose reabsorption, resulting in hyperglycemia. Therefore, when monitoring a patient with diabetes who is receiving a carbonic anhydrase inhibitor for edema, it is crucial for the nurse to closely monitor the patient's blood glucose levels to prevent any adverse effects related to hyperglycemia.

Correct Answer: B

Rationale: The nurse's best response would be, It takes 6 to 8 weeks to see a change in cholesterol levels. Statin drugs typically start to show an effect on lowering cholesterol levels within 6 to 8 weeks of starting therapy. It may take some time for the medication to reach its maximum effectiveness, but a noticeable change can usually be seen within this time frame. Monitoring cholesterol levels through blood tests is important to assess the effectiveness of the medication and make any necessary adjustments to the treatment plan.

Correct Answer: C

Rationale: Ondansetron is classified as an antiemetic. It is commonly used to prevent nausea and vomiting caused by chemotherapy, radiation therapy, and surgery. Antiemetics work by blocking serotonin, a natural substance in the body that can trigger nausea and vomiting. Ondansetron specifically targets serotonin receptors in the brain, preventing the sensation of nausea and reducing the urge to vomit. Therefore, the correct classification for Ondansetron is as an antiemetic agent.

Correct Answer: B

Rationale: Meperidine hydrochloride (Demerol) is an opioid analgesic commonly used for post-operative pain management. The common side effects of meperidine include tremors, sweating, and dizziness. Diarrhea is not a common side effect associated with meperidine use. Opioid analgesics like meperidine more commonly cause constipation rather than diarrhea. Therefore, choice B is the correct answer as the side effect of diarrhea is not typically seen with meperidine administration.

Correct Answer: D

Rationale: In the case of a Heparin overdose, the antidote of choice is Protamine sulfate. Heparin is a commonly used anticoagulant medication, and if an overdose occurs leading to excessive bleeding, Protamine sulfate can be administered to reverse the effects of Heparin by neutralizing its anticoagulant activity. It forms a complex with Heparin, rendering it inactive and helping to slow down or stop the bleeding. Naloxone is used as an antidote for opioid overdose, Ibutilide is used for arrhythmias, and Methylphenidate is a central nervous system stimulant commonly used to treat ADHD. But these antidotes are not appropriate for reversing the effects of a Heparin overdose.