NSG 2400 Medications Unit #2

A client is prescribed Lisinopril for the treatment of hypertension. The client asks a nurse about possible adverse side effects. Which common adverse effects of angiotensin-converting enzyme (ACE) inhibitors would the nurse include in teaching? Select all that apply.

-Dry cough -Hypotension -Headache

The child is prescribed Phenytoin to be taken twice a day. The nurse tells the family that possible side effects could include:

-Gum hyperplasia -Increased hair growth

Which of the following medications would be best to use IV to treat a Status Epilepticus seizure?

-Lorazepam -Fosphenytoin

What signs would a patient exhibit having a chemotherapeutic anaphylaxis reaction? Select all that apply.

-Rash -Vomiting -Wheezing

Benzodiazepines are used for:

-Substance withdrawal -Chronic anxiety -Pre-surgery nervousness -Panic Disorder -Acute anxiety -Seizure disorders

A patient is receiving her third course of 5-fluorouracil therapy and knows that stomatitis is a potential adverse effect of antineoplastic therapy. What will the nurse teach her about managing this problem?

"Be sure to examine your mouth daily for bleeding, painful areas, and ulcerations."

Which of the following are common side effects of Benzodiazepines?

-Urinary retention -Drowsiness -Constipation

A client is ordered a dose of Epoetin alfa to treat anemia related to chronic kidney disease (CKD). The recommended dose is 150 units/kilogram. The client weighs 60 kg. The vial is labeled 10,000 units/mL. How many milliliters of Epoetin alfa would the nurse administer? Provide numerical value only. Round to the nearest tenth.

0.9 mL

A nurse is caring for a client with pulmonary edema whose respiratory status is declining. Chronologically arrange the nursing interventions to prioritize care and all options must be used.

1. Position the client upright at 45 degree angle 2. Administer oxygen via nasal cannula at 2L/min 3. Prepare suctioning equipment at the bedside 4. Call the physician 5. Administer Furosemide 40mg intravenously now 6. Insert an indwelling catheter

A 176-lb patient with minimal urine output has been prescribed Dopamine 5 micrograms/kg/minute. The premixed bag contains 600 mg of Dopamine 500 mL Dextrose 5% in water. How many milliliters of solution would the nurse administer each hour. Provide numeric value only. Round to the nearest whole number.

15 mL/hr

The patient in CRF has hyperphosphatemia. The nurse plans to administer...?

Calcium carbonate

A patient is receiving Vincristine. The nurse should monitor for which side effect of this medication?

Constipation

The nurse is caring for a client being discharged following kidney transplantation. The client is ordered Mofetil to prevent organ rejection. Which nursing instruction is essential regarding medication use?

Contact the health care provider at first signs of an infection

What side effect commonly occurs with corticosteroid (Prednisone) therapy?

Susceptibility to infection

Oliguria is defined as less than 400 mL per day. True or False?

True

The nurse administers Epogen (Epoetin alfa) to the patient with CRF to help...?

Activity intolerance R/T decreased RBCs

True or False: Morphine causes the side effects of drowsiness, respiratory depression, sedation, hypertension, and constipation.

False

Which medication is the most effective for phantom limb pain?

Gabapentin

Which medication can be given to a patient that will help with stomatitis (painful swelling and sores inside the mouth)?

Lidocaine

What is the Osmotic Diuretic used to help reduce increased intracranial pressure?

Mannitol

What chemotherapeutic agent can be administered intrathecal?

Methotrexate

What prescribed medication classification should be held prior to neurological assessment exam and EEG diagnostic testing on a potential brain death patient?

Opioids

What is the medication utilized for increased intracranial pressure to help lower carbon dioxide levels?

Oxygen

Chemotherapeutic drugs to treat cancer are often given in combination because...

The drugs allow for optimum cell destruction with minimum toxic effects.

What is the teaching priority when talking to a patient taking an Antiepileptic / Anticonvulsants?

To follow doctor's medication schedule exactly as directed.

True or False: Barbiturates can be used to treat seizures, increased intracranial pressure, and anxiety.

True