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The nurse is caring for a client who experienced a severe headache. When the prescribed dose of analgesics did not cause relief, the client took double the dosage 1 hour later. The nurse should assess the client for what adverse effect?

A.

An allergic reaction

B.

Anaphylactic reaction

C.

Poisoning

D.

Sedative effects

Answer and Explanation

The Correct Answer is C

A. An allergic reaction is a possible response to medication, but it is not directly related to doubling the dosage.  

 

B. Anaphylactic reaction is a severe and rapid allergic response; while possible, it is not the most likely consequence of an overdose in this context.  

 

C. Poisoning is a likely concern when a client takes double the prescribed dosage of analgesics, especially if the medication has a narrow therapeutic index or is known to cause toxicity at high doses.  

 

D. Sedative effects could occur depending on the analgesic used, but poisoning is a more pressing concern following an overdose.  


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Correct Answer is B

Explanation

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C. While some antidepressants can influence blood pressure, monitoring for elevated blood pressure is not the primary concern with metoclopramide.

D. There is no evidence to suggest that metoclopramide enhances the effects of antidepressants; the focus should be on potential adverse interactions instead.

Correct Answer is C

Explanation

A. Metformin does not stimulate the pancreas to produce more insulin; that action is characteristic of sulfonylureas.

B. Metformin does not increase the absorption of glucose in the intestines; rather, it works by reducing the amount of glucose released into the bloodstream.

C. Metformin primarily decreases glucose production in the liver and improves insulin sensitivity in peripheral tissues, which helps lower blood sugar levels. This makes it effective for managing type 2 diabetes.

D. While metformin can have effects on fat metabolism, its primary action is not to decrease fat breakdown but to manage blood glucose levels.

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