pharm

The nurse will monitor a client taking an aluminum-containing antacid, such as aluminum hydroxide (Amphojel), for which adverse effect?

Constipation

When assessing a patient taking triamterene (Dyrenium), the nurse would monitor for which possible adverse effect?

Hyperkalemia

Which laboratory test result is a common adverse effect of furosemide (Lasix)?

Hypokalemia

When teaching a patient about symptoms of hypokalemia, the nurse will instruct the patient to notify the health care provider if which symptom occurs?

Muscle weakness

The nurse will teach clients that antacids are effective in the treatment of hyperacidity based on which mechanism of action?

Neutralizes gastric acid

Which nursing diagnosis is appropriate for a patient receiving famotidine (Pepcid)?

Risk for injury related to thrombocytopenia

The nurse should teach a client about which antiemetic commonly used to prevent motion sickness?

Scopolamine (Transderm-Scōp)

To treat a patient diagnosed with primary hyperaldosteronism, the nurse would expect to administer which diuretic?

Spironolactone (Aldactone)

When planning to administer metoclopramide (Reglan), the nurse is aware that this drug must be given in regards to which fluid or food consideration?

Take 30 minutes before meals and at bedtime.

Which client statement indicates the need for further teaching about antiemetic medications?

"I will apply the scopolamine patch to my right or left arm and rotate sites of application."

A patient asks the nurse about using potassium supplements while taking spironolactone (Aldactone). What is the nurse's best response?

"This diuretic is potassium sparing, so there is no need for extra potassium."

When preparing to administer intravenous furosemide (Lasix) to a patient with renal dysfunction, the nurse will administer the medication no faster than which rate?

4 mg/min

To avoid fecal impaction, psyllium (Metamucil) should be administered with at least how many ounces of fluid?

8

The nurse will question an order for misoprostol (Cytotec) in which patient?

A 32-year-old pregnant woman with a urinary tract infection

PPIs have the ability to almost totally inhibit gastric acid secretion. Because of this possibility, the use of the medication can lead to what condition?

Achlorhydria

The nurse would question the use of mannitol (Osmitrol) for which patient condition?

Anuria related to end-stage kidney disease

Antidopaminergic drugs are useful to treat not only nausea and vomiting but also which other conditions? (Select all that apply.)

Anxiety Schizophrenia Intractable hiccups

A patient prescribed spironolactone (Aldactone) asks the nurse to assist with food choices that are low in potassium. The nurse would recommend which food choices? (Select all that apply.)

Apples Pineapple Lean meat

To evaluate the therapeutic effects of mannitol (Osmitrol), the nurse should monitor the patient for which clinical finding?

Decrease in intracranial pressure

A nurse is reviewing the laboratory results of a client who has liver failure with ascites and is receiving spironolactone. Which of the following findings should the nurse expect?

Decreased sodium level

In developing a plan of care for a client receiving an antihistamine antiemetic drug, which nursing diagnosis would be the highest priority?

Deficient fluid volume related to nausea and vomiting

When planning administration of antiemetic medications to a client, the nurse is aware that combination therapy is preferred because of which drug effect?

Different vomiting pathways are blocked.

To treat a patient with pulmonary edema, the nurse prepares to administer which diuretic to this patient?

Furosemide (Lasix)

The nurse would question the prescription of bismuth subsalicylate (Pepto-Bismol) as an antidiarrheal medication for a client prescribed aspirin daily because of which potential adverse effect?

Increased bleeding

A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?

Reduced dyspepsia

Related to its mechanism of action, what is an additive effect of lactulose (Enulose)?

Reducing ammonia levels

A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including an H2 receptor antagonist (H2RA). Which of the following outcomes indicates the H2RA is therapeutic?

Relief of heartburn

A client is prescribed the over-the-counter laxative of magnesium hydroxide (Milk of Magnesia). Which condition in the client's history would alert the nurse to discuss this medication with the client and the health care provider?

Renal insufficiency

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

The medication relieves nausea by promoting gastric emptying.

How will the nurse describe the action of proton pump inhibitors (PPIs)?

They irreversibly bind to the hydrogen-potassium-ATPase pump.

.A client is teaching a client who has a new prescription for hydrochlorothiazide for management of hypertension. Which of the following instructions should the nurse include?

"Monitor for leg cramps."

Which client statement demonstrates understanding of teaching by the nurse regarding the use of histamine2-receptor antagonists?

"Smoking decreases the effects of this medication, so I should look into cessation programs."

A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching?

"Take the medication with a full glass of water."

A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?

Ammonia

Bismuth subsalicylate (Pepto-Bismol), as an adsorbent, has which mechanism of action?

Binds to diarrhea-causing bacteria for excretion

How does sucralfate (Carafate) achieve a therapeutic effect?

By forming a protective barrier over the gastric mucosa

The nurse would teach a client prescribed simethicone (Mylicon) to avoid which substance?

Carbonated beverages

Potassium-sparing diuretics may cause which common adverse reactions? (Select all that apply.)

Dizziness Headache Hyperkalemia

A nurse is completing a medication history for a client who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication?

Drink a glass of water after taking the medication.

A client receiving an anticholinergic drug to treat nausea and vomiting should be taught to expect which adverse effect?

Dry mouth

Why does the health care provider prescribe furosemide (Lasix) 40 mg twice a day by mouth for a patient with a history of renal insufficiency?

Furosemide is effective in treating patients with impaired kidney function.

Before administering the anticholinergic drug scopolamine (Transderm-Scōp), the nurse should carefully assess the client for a history of which condition?

Glaucoma

For a patient prescribed hydrochlorothiazide (HydroDIURIL), the nurse should closely monitor which laboratory test value?

Glucose

What is the mechanism of action for Famotidine (Pepcid)?

It competes with histamine for binding sites on the parietal cells.

What is the mechanism of action of diphenoxylate (Lomotil)?

It decreases peristalsis in the intestinal wall.

The nurse recognizes that metoclopramide (Reglan) is useful in treating postoperative nausea and vomiting because of what action?

It promotes motility in the small intestine.

A nurse is assessing a client who has heart failure and is prescribed furosemide. Which of the following findings is an adverse effect of this medication?

Leg cramps

Which drug works by blocking serotonin receptors in the GI tract, vomiting center, and CTZ?

Ondansetron (Zofran)

The nurse is providing education to a patient prescribed spironolactone (Aldactone) and furosemide (Lasix). What information does the nurse explain to the patient?

This combination promotes diuresis but decreases the risk of low levels of potassium.

The nurse plans to administer 50 mg of diphenhydramine (Benadryl) intravenously. How will the nurse administer this medication?

Undiluted over 2 minutes

Magnesium hydroxide (Milk of Magnesia) alleviates constipation by which action?

Causes water absorption into the colon

A nurse is teaching a client who has a new prescription for aluminum hydroxide to treat heartburn. The nurse should instruct the client to monitor for and report which of the following adverse reactions?

Constipation

Acetazolamide (Diamox) is used to treat which conditions? (Select all that apply.)

High-altitude sickness Open-angle glaucoma Edema associated with heart failure

For a client with chronic renal failure, the nurse MOST likely will question a prescription for which type of antacid?

Magnesium-containing antacids

When diarrhea occurs in a pediatric client, the nurse will advise the parents to seek emergency medical treatment if which symptoms occur? (Select all that apply.)

Malaise or lethargic Bloody diarrhea Firm or rigid abdomen Severe abdominal pain

What condition will the nurse monitor for with a client using sodium bicarbonate to treat gastric hyperacidity?

Metabolic alkalosis