pharm ch 3

Nurse provides a health of education for a diverse group of clients. For which one emphasize the risk of teratogenic drug affects

20-year-old female client who has been diagnosed with a chlamydial infection

Many drugs can affect the functioning of the nerves in the periphery and central nervous system. What are examples of potential neurologic effects of drugs?

A Post operative client with extrapyrmidial symptoms, hyperthermia, And autonomic disturbances, a client taking an antipsychotic who exhibit akinesia, muscular tremors, drooling, changes in gate, jitters or spasms, and a post operative client who had and atropine and exhibits dry mouth, altered his perception, dysphasia, heartburn, constipation, and bloating

Which client is experiencing a secondary action of a medication

A client who is drowsy after taking an antihistamine

The nurse is caring for a client receiving an aminohlycoside(antibiotic) that can be nephrotoxic Which will alert the nurse that the client may be experiencing nephrotoxicity

A decrease in urine output

A client is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain. On a second dose of pain medication is given, the client develops redness of the skin, itching, and swelling at the site of injection of a drug. The most likely cause of this response is

Allergic reaction

The nurses called you a clients room 15 minutes after the client has received a new medication. Client reports pruritisus as well as nausea. And her snaps of the client appears pale, a Sweatсoin, and has begun to cough and wheeze. The nurse determines what the client is experiencing what type of reaction related to the new medication

Anaphylactic shock

Nurse is assessing a new client who states being allergic to nonsteroidal anti-inflammatory's what subsequent assessment should the nurse prioritize

Asking the client with the clients response is to taking nonsteroidal anti-inflammatory's

A client is four months pregnant. She works in the chemical unit of a research department and is responsible for handling various chemicals. Her gynecologist advise her not to expose yourself to come up or industrial labor and specific drugs. These restrictions are advised because exposure to industrial vapors could

Damage the immature nervous system of the fetus

My client develop as a cytotoxic reaction to a drug. What will the nurse expect to

Discontinue the drug immediately as ordered

And instructor is preparing a class that describes a toxic affects of drugs. Which fact with the instructor expect to include

Drugs cause unexpected or unacceptable reactions despite screening and testing

The nurse is assessing a client who's disability eating headache did not respond to the recommended dose of an OTC analgesic. In response, the client took another dose 30 minutes later and then a double dose one hour after that. The nurses assessment should focus on the possibility of

Poisoning

The nurses has begun on the intravenous infusion of the first dose of a clients prescribed anabiotic. A few minutes later, the client is diaphoretic, gasping for breath and has a heart rate of 145 bpm. After calling for help but as a nurses priority action

Protecting and maintaining the patency of a clients airway

I can't be on a new medication for days ago and presents with a temp of 100.8°F dependent Adema and swollen cervical lymph nodes. The nurse has informed the clients provider, who has discontinued the medication. What subsequent intervention should the nurse prioritize

Provide supportive care to manage fever and inflammation

The client receiving drug therapy develops numbness and tingling in the extremities and muscle cramps. What assessment should the nurse perform?

Review the clients most recent potassium level

When instructing a client who is taking an antibiotic about the possibility of nausea and diarrhea, the nurse understands that these are facts are examples of

Secondary actions

I nearly admitting client has signs and symptoms of an infection and the nurse anticipates that the client will be prescribed anabiotic's. What assessment for the nurse prioritize when determining the clients for ask for an excess of drug response due to impaired excretion?

The clients blood urea nitrogen level and creatinine clearance rate

A client in an anabiotic therapy for an axillary abscess. This client has been outside working in the yard and observes a rash everywhere that is not covered by clothing. What are the client be told about this finding

This client is having photo sensitivity and can occur even with brief exposure to the sun or UV rays

An elderly client has been taking a new medication for two months. During a follow up visit, the clients on toes and eyes that he feels his mother's memory is getting worse. What concerns should the nurse have at this time

This may be coincidental, and the memory loss may be attributed to changes with aging

The most serious allergic response is called anaphylaxis. Which clients exhibit possible symptoms of anaphylaxis? (Select all that apply.)

a client showing signs of acute respiratory distress, a client with marked hypotension and experiences convulsions, a client with laryngeal edema and pale, cool skin

Some clients are excessively responsive to either the primary or secondary effects of a drug. This is known as hypersensitivity, and it may result from a pathological or underlying condition. Which is an example of hypersensitivity? (Select all that apply.)

a client with kidney problems who may not be able to excrete the drug, which may accumulate in the body, resulting in toxicity, a client with an enlarged prostate who takes an anticholinergic drug and may develop urinary

The nurse is assessing a client for anticholinergic effects of a prescribed drug. What assessments should the nurse perform? (Select all that apply.)

assess the moisture level of the client's skin, assess the client's recent bowel pattern, assess the clients visual acuity

A client with a serious E. coli infection is being treated with gentamicin. One monitoring for potential adverse effects, the nurse should prioritize

blood urea nitrogen and creatine levels

A client is suspected to have nephrotoxicity from administration of a nephrotoxic medication. What laboratory results may indicate renal damage related to the administration of this medication? (Select all that apply.)

elevated blood urea nitrogen (BUN), elevated creatine level, elevated potassium level

A client is receiving antibiotics for treatment of infection. The nurse should assess for what potential indications of superinfection? Select all that apply.

fever, glossitis(swollen tongue), joint pain

What issues is gentamycin, a potent antibiotic, associated with

renal toxicity and ototoxicity

A client, prescribed a drug that has an exceptionally narrow margin of safety, should be educated about the need for what intervention

serum drug level monitoring

Many drugs that Reach the developing fetus or embryo can cause death or congenital defects. What are examples of congenital defects?

skeletal and Lim abnormalities, central nervous system alterations, heart defects

Many drugs at rachel developing fetus or embryo can cause death or congenital defects, which can include skeletal and limb abnormalities, central nervous system alterations, heart defects, and the like. What is the name of the adverse reaction that can cause birth defects

teratogenicity

A client who is being treated for cancer development a serum sickness reaction. The care team has been notified, and the client is being stabilized. What is the nurses priority action?

Discontinue the drug immediately as ordered

A nurse is instructing a client concerning a newly prescribed drug what should be included to help improveClient compliance and safety?

measures to alleviate any discomfort associated with adverse affects

Drugs can produce a wide variety of effects in addition to the desired pharmacological effect. Sometimes the drug dose can be adjusted so that the desired effect is achieved without producing undesired secondary reactions. Which are examples of this secondary action? (Select all that apply.)

reports of drowsiness after taking an diphenhydramine (Benadryl), diarrhea after taking cefuroxime (Ceftin)