pharm EAQ
how would the nurse reply when a pt prescribed tetracycline class med asks why milk n antacids should b avoided before n after dosing
"this can lead to decreased absorption of the med u need"
how will the nurse respond to a pt prescribed levothyroxine for hypothyroidism when the pt asks whether she can become preggo while taking levothyroxine
"this medicine will not interfere w ur ability to become preggo"
which statement explains y so many drugs are necessary for a pt w stage 3 hodgkin's disease who is started on a multiple-drug regiment of doxorubicin, bleomycin, vinblastine n dacarbazine
each drug destroys the cancer cell at a diff time in the cell cycle
which therapeutic effect would nurse expect to identify when mannitol is admin to pt
decreased intracranial pressure
which assessment finding indicates an improvement when the nurse is evaluating the results of treatment w erythropoietin
decreased pallor
which physiological response will occur if a pt being treated for myocardial infarction experiences the intended therapeutic effect of morphine
decreased workload of the heart
which info would the nurse include in the teaching plan for pt who will receive total parenteral nutrition at home
demonstrating how to test capillary glucose lvls
which effect of lorazepam is the reason it's given to a pt w status epilepticus
depresses the CNS
which action would nurse take when caring for pt using a patient-controlled analgesia pump who identifies attempts to self-admin the analgesic 10 times bc pt is still experiencing pain
determine integrity of IV delivery system
which med may cause gynecological malignancies in females
diethylstilbestrol
which concern when caring for a pt prescribed furosemide 40mg everyday in conjunction w digoxin would prompt the nurse to ask the HCP abt potassium supplements
digoxin toxicity occurs rapidly int he presence of hypokalemia
which med would b used to manage nonmetastatic gestational trophoblastic disease
dinoprostone *methylergonovine*: postpartum hemorrhage *oxytocin*: labor induction *mifepristone*: induce an abortion
which symp would the nurse include when teaching a pt w arthritis who takes large doses of aspirin abt the clinical
disturbances in hearing
which potential effect will the nurse teach to a pt receiving metoprolol
dizziness w strenuous activity
which factor must the nurse determine to adjust the drip rate when admin IV fluids to be delivered at 80 mL/hr
drops per mL delivered by the infusion set
which med is used to treat helicobacter pylori infex
- amoxicillin - tetracycline - pantoprazole - metronidazole - bismuth subsalicylate
which finding would lead the nurse to recheck blood glucose lvl of diabetic pt before admin a mealtime insulin dose
- confusion - drowsiness - diaphoresis - nervousness - HR 110 BPM
which advice will the nurse provide to a pt who is taking an oral hypoglycemic daily for type 2 diabetes who develops an infection w anorexia
- continue taking the oral med - drink fluids throughout the day - monitor capillary glucose lvls
which action would nurse take before admin each dose of oxycodone q3 hrs for pain
- count RR - rate lvl of pain - assess LOC
which manifestation may indicate that the pt w type 1 diabetes has insulin-induced hypoglycemia
- excessive hunger - weakness - diaphoresis
which substance hx of a severe allergic reax results in avoidance of the cephalosporins such as cefazolin, cefditoren, cefotetan, n ceftriaxone
- milk - calcium - aspirin - penicillin
which action transmits HIV
- sharing needles - breast feeding newborn - anal intercourse
which pt response is indicative of a hypoglycemic reax
- tremors - confusion - diaphoresis (sweating)
which finding in a pt w hypothyroidism n HTN who reports taking an extra dose of levothyroxine indicates the need to obtain a thyroid funx panel
- tremors - diaphoresis - nervousness - temp 101 - HR 116
which clinical finding in a pt receiving morphine warrants immediate follow up by the nruse
- unconsciousness - bradycardia - bradypnea
why would lactulose be prescribed for a pt w a hx of cirrhosis of the liver
elevated ammonia lvls are lowered
which AE would a nurse monitor for in a pt taking clopidogrel
epistaxis
which diagnosis would cause the nurse to assess for signs n symptoms of hypoglycemia
liver failure
which diagnostic testing would a nurse focus on when caring for a pt on isoniazid therapy for TB
liver funx test
which part of the renal system does furosemide exerts its effects
loop of henle thiazide: distal tubule potassium-sparing diuretics: collecting duct plasma expanders: glomerulus of nephron
which action would nurse take for pt who has a tonic-clonic seizure caused by an overdose of aspirin
monitor vital signs q 15 mins
which independent nursing action would b included in the plan of care for a pt after an ep of ketoacidosis
monitoring for signs of hypoglycemia resulting from treatment
which action will the nurse include as part of the initial 24hr postoperative care plan of a pt receiving intrathecal morphine to control severe postoperative pain
monitoring respiratory rate hrly
which is involved in post procedure nursing care of a child after left-side cardiac cath
monitoring the insertion site for bleeding
which nursing action is important when transfusing packed red blood cells to a pt w a diagnosis of anemia
monitoring the pt's response within first 10 mins
which med would the nurse identify as a risk factor for straining due to constipation in a pt w a MI receiving digoxin, fluoxetine, morphine n docusate sodium
morphine
which pain relief med would the nurse expect to find int he plan of care of a pt w myocardial infarction admitted to the cardiac ICU
morphine
which measure would nurse take to ensure pt safety when admin enoxaparin subq
only abdomen area
which class is contraindicated in pts who take rifampin
oral contraceptives
which organism is a common opportunistic infection in a client infected w HIV
oropharyngeal candidiasis
which gland secretes melatonin
pineal gland adrenal: androgens thyroid: thyroid hormones parathyroid: calcitonin
which is a secondary cause of adrenal insufficiency
pituitary tumors primary: hemorrhage, tuberculosis, metastatic cancer
which technique will the nurse teach a pt who has prescription for sublingual nitroglycerin tab
place the pill under the tongue n let it dissolve
which action will the nurse take when a pt when a pt who had a myocardial infarction complains of feeling dizzy 15 mins after receiving 15 mg of morphine sulfate for chest pain
place the pt in supine position n take the vital sign
which med is unsafe to admin as an IV bolus
potassium chloride - can cause cardiac arrest, must b diluted n infused slowly thru an IV infusion pump
which condition contraindicates use of ginseng herbal therapy
pregnancy schiz, bipolar n alz = contraindicates for st john's wort herbal therapy
which technique used by the nurse demonstrates medication safety n effectiveness when assisting an older pt to instill prescribed eyedrops for glaucoma
pressing the inner canthus for 1-2 mins after instillation
what is the purpose of encouraging active leg n foot exercises who had hip surgery
prevent clot formation
which reason would an IV infusion of 5% dextrose w 0.45% sodium chloride n 20 mEq of potassium b prescribed for a pt w nasogastric tube set to low intermittent suction
prevent electrolyte imbalance
which rationale supports NI to turn pt w paraplegia q1-2hrs
prevent pressure injuries
which relationship reflects the relationship of naloxone to morphine sulfate
protamine sulfate to heparin
which substance does vit K contribute to formation of
prothrombin
which nursing care will b included for a pt who's receiving doxorubicin for acute myelogenous leukemia
providing frequent oral hygiene
which statement will the nurse need to consider when developing the teaching plan for a client w type 2 diabetes prescribed an oral hypoglycemic med
pts taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control
which food item will a pt diagnosed w TB n taking isoniazid be advised to avoid to prevent a food n med interaction
red wine, tuna, hard cheese
which med action would the nurse identify as the purpose of azathioprine, cyclosporine, n prednisone given before receiving a kidney transplant
reduce antibody production
which condition would the nurse monitor for int he client on aminoglycoside therapy n skeletal muscle relaxants
respiratory arrest
which MOA would nurse identify for levodopa therapy prescribed to a pt diagnosed w parkinson disease
restores the dopamine lvls in the brain
which advice will the nurse give the pt to avoid lipodystrophy when self-admin insulin therapy
rotate injection sites
which complication will occur as the result of admin sildenafil to a pt who takes isosorbide dinitrate
severe hypotension
which assessment is the nurse's priority before beginning an infusion of tissue plasminogen activator (t-PA) to a client in the emergency department
signs of bleeding
which nursing intervention is priority when assessment reveals a bounding pulse, distended jugular veins, dyspnea, n cough during admin of TPN
slowing the infusion rate
which action is responsible for the therapeutic effect of docusate sodium
softens the feces
which action will the nurse take during admin of blood products to ensure the pt's safety
stay w the pt during first 15 mins of infusion
which MOA explains how glyburide decreases serum glucose lvls
stimulates the pancreas to produce insulin
which preventative would nurse anticipate will b prescribed daily to avoid straining due to constipation for a pt who had a recent brain attack
stool softener
which info would b included in teaching plan for pt w peptic ulcer disease who is taking an antacid n sucralfate
sucralfate should b taken on an empty stomach 1 hr before meals
which circumstance would the nurse use the Z-track technique to admin a med
the med is irritating to SUBQ tissue n skin
which issue related to antibiotic use is an increased risk for the older adult
toxicity bc of reduced metabolism n excretion of medications
which explanation would the nurse provide to a pt w gastric ulcer disease who asks the nurse why the HCP has prescribed metronidazole
treat helicobacter pylori infex
which clinical indicator would the nurse monitor to determine if the pt's simvastatin is effective
triglycerides
which symptom of levodopa toxicity will a pt taking levodopa b taught as a reason to contact the HCP
twitching
which assessment would the nurse perform specific to the safe admin of IV mannitol
urine output hrly - mannitol = osmotic diuretic = increases intravascular volume that must b excreted by the kidneys
which step would the nurse include during the admin of epoetin prescribed to a pt w AIDS
use a syringe that has a 1 in, 25 gauge needle
which assessment finding in a pt w acute lymphoblastic leukemia receiving chemotherapy would alert the nurse to the possible development of thrombocytopenia
- melena - hematuria - ecchymosis
which med is classified as an H2 receptor antagonist
- nizatidine - ranitidine - famotidine
which therapeutic outcome is expected after admin ibuprofen
- pain relief - temp reduction - reduced inflammation
which response indicates that the pt receiving total parenteral nutrition is experiencing hyperglycemia
- polyuria - polydipsia - resp rate of 26 breaths/min
which factor is a likely cause of hyponatremia
- profuse diaphoresis - rapid IV infusion of 5% dextrose in water
which time will nurse teach pt to take antacid when also prescribed famotidine n magnesium hydroxide/aluminum hydroxide antacid for a pt w peptic ulcer
1 hr before or 2 hrs after famotidine
within which period of time would a nurse advise the pt to anticipate pain relief will begin when nitroglycerin sublingual tabs are prescribed for a pt w diagnosis of angina
1-3 mins
which statement by a pt who is receiving total parenteral nutrition after extensive colon surgery indicates effective teaching
TPN provides total nutrition when gastrointestinal funx is questionable
which test would the nurse identify as specific for the diagnosis of myasthenia gravis
endrophonium chloride test
which synovial joint movement is described as turning the sole away from the midline of body
eversion
which condition would b indicated by presence of ketones in urine
fat metabolism - pt who ingesting fewer calories than needed produce ketones from fat metabolism as alt source of fuel for muscles n organs
which food would the nurse instruct a pt taking diltiazem to avoid
grapefruit calcium channel blockers = X grapefruit acetaminophen = X alc MAOIs = X aged cheese n meat
which action would the nurse perform first when a HCP prescribed milrinone for a pt w congestive heart failure
have the prescription, dosage calc, n pump settings checked by a second nurse
which hep spreads thru contaminated food n water
hep A
which MOA explains how hydrochlorothiazide increases urine output
increases the excretion of sodium
which action would the nurse take to avoid red man syndrome when preparing to admin a vancomycin infusion
infuse slowly
which MOA is specifically resp for the action of med ranitidine
inhibiting histamine at H2 receptors
which mechanism is specifically responsible for the action of the med ranitidine
inhibiting the histamine at H2 receptors
which info would the nurse provide to a pt w hyperthyroidism receiving methimazole
initial improvement will take several wks
which topic will nurse include in discharge teaching of pt who had a total gastrectomy
injections of vit B12 for life - needed to maintain hemoglobin lvl n prevent pernicious anemia
which response would a nurse give to a pt who asks "why can't i take the insulin in pills instead of taking shots?" during a teaching session abt insulin injections
insulin is destroyed by gastric juices, rendering it ineffective
which type of insulin would the nurse recognize as compatible w IV solutions when caring for a pt w diabetes mellitus who is scheduled to receive an IV admin of 25 units of insulin in 250mL normal saline
insulin lispro
which benefit is provided by intraarterial chemotherapy for cancer of the liver
it reduces systemic toxicity
which med will the nurse expect to find int he recent med hx of a pt who is receiving med for an eye disorder n reports bleeding in the eye
ketorolac
which med should b avoided for pt w acute pancreatitis
meperidine - can cause CNS irritability n even TC seizures
which effect of sodium bicarbonate is the nurse trying to prevent when teaching a pt abt the dangers of using sodium bicarbonate regularly
metabolic alkalosis - retention of NA n H2O
which med used to treat postpartum hemorrhage
methlyergonovine
which med is admin to women after delivery to prevent postpartum uterine atony and hemorrhage
methylergonovine
which potential side effect of docusate sodium would a nurse include in discharge teaching of a pt who had repair of an inguinal hernia
mild abdominal cramping - this emollient laxative permits water n fatty substances to penetrate n mix w fecal material
which nursing action is important when a HCP prescribes enalapril for a pt
monitor BP during therapy
which med is used to inhibit preterm contractions
nifedipine *oxytocin*: induce labor *raloxifene*: prevent postmenopausal osteoporosis *clomiphene*: cause ovulation
which info will nurse share abt alopecia characteristics to a pt who is to receive chemotherapy after surgery for cancer
not permanent
which action will the nurse take in a pt hospitalized for uncontrolled HTN n chest pain on a daily diuretic for 2 days whose potassium lvl this morning is 2.7 mEq/L
notify HCP potassium lvl below normal normal: 3.5-5.3
how will the nurse evaluate the effectiveness of training after teaching a family member how to admin SUBQ enoxaparin sodium
observing the family member admin enoxaparin sodium to client
which condition is characterized by infection of a client's bone or bone marrow
osteomyelitis
when teaching a pt abt their disease process, which term would the nurse use to describe bone loss greater than normal but less than that caused by osteoporosis
osteopenia osteomyelitis: infex of bone or bone marrow osteomalacia: softening of bone due to calcium or vit D deficiency osteoarthritis: cartilage deterioration in the joints
which hypothalamic hormones would the nurse identify as helping treat postpartum uterine atony n hemorrhage
oxytocin indomethacin: maintain pregnancy in preterm labor dinoprostone: ripening of cervix during labor methlyergonovine: ergot alkaloid that helps treat postpartum uterine atony n hemorrhage
which response indicates that sublingual nitroglycerin prescribed for a pt w unstable angina is effective
pain subsides as a result of arteriole n venous dilation
which type of response is being demonstrated in pt w insomnia who takes new med to promote sleep n 2 hrs later is wide awake n feeling more energized than before
paradoxical
which substance is released in response to low serum lvls of calcium
parathyroid hormone
which clinical manifestation will alert the nurse to the fact that a pt who has type 1 diabetes n chronic bronchitis n is prescribed atenolol for the management of angina pectoris may b developing a life-threatening response to the med
paroxysmal nocturnal dyspnea
pt injures the amphiarthrodial joint, which joint did they injure
pelvic joint knee n elbow: diarthrodial cranial: synarthrodial
which therapy is indicated for a pt admitted to the hospital after general paresis develops as a complication of syphilis
penicillin therapy - may limit CNS damage if treatment is started before deterioration from syphilis
which statement explains lower leg numbness in a pt w leukemia who is receiving vincristine
peripheral neuropathies can result from vincristine chemotherapy
which toxic effect would a nurse monitor for in a pt who's prescribed vincristine
peripheral paresthesia
which effect has resulted in the avoidance of tetracycline use in children under 8yro
perm teeth discoloration
which med action would the nurse identify as the purpose azathioprine, cyclosporine, and prednisone given before receiving kidney transplant
reduce antibody production - these drugs suppress the immune system, decreasing body's production of antibodies in response to the new organ, which acts as an antigen
which physiological response is resp for the therapeutic effect of dexamethasone prescribed for a pt after a craniotomy for a brain tumor
reduced cerebral edema
which reason would the nurse include in a response to a pt w RA who asks the nurse why it's necessary to inject hydrocortisone into the knee joint
reduces inflammation
which rationale would the nurse give to explain the purpose of admin an opioid analgesic via epidural catheter when providing postoperative teaching
relieves abd pain
which instruction would the nurse include in a teaching plan for nitroglycerin patches
remove a previous patch before applying the next one
which teaching would nurse give to a pt w prescription for potassium supplements
report any abd pain
which action will nurse take for a pt scheduled to receive phenytoin extended release 100mg PO at 6pm who's having difficulty swallowing capsules when working in a unit that has phenytoin suspension, suppositories, n injectable solution in stock
request a prescription for phenytoin suspension
which AE of morphine indicates the need for naloxone admin
resp depression
which adverse effect will the nurse assess for when caring for a pt taking morphine sulfate for severe metastatic bone pain
resp depression
pt w COPD had blood pH of 7.25 n PCO2 of 60 mmHg. which complication would the nurse suspect the pt is experiencing
respiratory acidosis
which action would nurse perform first when assessing if an IV infusion of a vesicant has extravasated
stop the infusion
which action will a nurse take first when caring for a pt reporting chest pain, difficulty breathing n feeling cold 20 mins after an infusion of packed red blood cells begins
stop the transfusion
which form of nitroglycerin would nurse anticipate giving to pt w midsternal pain who presents to ER w stable vital signs
sublingual spray
which criterion is an indicator that the nitroglycerin sublingual tabs have lost their potency
tabs more than 3 months old
which admin guidelines would nurse follow when admin midazolam to an older pt
the increments should b smaller n rate of injex should b slower
how would the nurse respond to a female pt receiving cortisone therapy for adrenal insufficiency who express concern that she is developing facial hair
the med contains a hormone that causes male characteristics
which symp in a pt is probably caused by phenobarbital sodium started 2 wks ago
cognitive impairment - can cause lethargy n depression too
when developing the plan of care for a client w RA, which client consideration would the nurse include
comfort
which treatment measure would the nurse reinforce as the highest priority when providing discharge teaching to a pt w TB
consistently taking prescribed medication
which info would nurse include in teaching plan for pt who's prescribed sumatriptan for migraine headache
contraindicated in ppl w CAD - sumatriptan = coronary artery vasoconstriction
which clinical findings leads the nurse to conclude that an IV has infiltrated rather than caused inflammation
coolness
pt has superficial tumor involving only 1 vocal cord, which surgery would nurse anticipate
cordectomy
which advantage does aluminum n magnesium hydroxide have over baking soda (sodium bicarb) for treatment of heartburn
there is no direct effect on the systemic acid-base balance when taken as directed
which MOA explains how diuretics reduce blood pressure
they reduce the circulating blood volume
left lobe ostomy called
thoracentesis
for which purpose would a nurse advise a pt w chloroquine-resistant malaria to take oral quinine immediately after meals
to minimize gastric irritation
for which purpose would enoxaparin 40 mg SUBQ daily be prescribed for a client who had abdominal surgery
to provide prophylaxis against postoperative thrombus formation
which organism causes syphilis
treponema pallidum
which additional supplement will b needed by a pt w chronic liver disease who reports "my gums have been bleeding spontaneously" n has small hemorrhagic lesions on the face
vit K
which time for med scheduling would nurse teach to pt prescribed oral pancreatic enzymes pancrelipase
w meals
which med increases the risk of hematuria
warfarin
which med interaction complicates seizure therapy in a pt who is prescribed warfarin n takes phenytoin for a seizure disorder
warfarin inhibits the metabolism of phenytoin
in which time frame would the nurse advise a pt w a long leg cast for a fractured bone to take the prescribed as-needed oxycodone
when the discomfort begins
which item will nurse teach pt who had an excision of thrombosed external hemorrhoid to use when cleaning the booty after pooping
witch hazel-moistened pads
which joint is an ex of a condyloid
wrist
which symptoms will the nurse include as a reason to withhold the med when teaching a pt abt digoxin therapy
yellow vision
which assessment will the nurse conduct before admin digoxin to a pt
apical HR
which instruction would b appropriate for the nurse to include when teaching a pt who is being prepared to be discharged w PICC for admin of peripheral parenteral nutrition
arranging for professional help to monitor the alt nutrition
which med would nurse suspect is the cause of new onset tinnitus
aspirin
which action will nurse take after stopping antibiotic infusion of pt who becomes restless n flushed n begins to wheeze during admin of antibiotic
assess pt resp status
which response would the nurse provide to a pt who develops a seizure disorder as a result of a traumatic fall n states "i haven't had a seizure in 2 yrs. when can i stop taking my meds"
"a gradual reduction in seizure med may b considered"
which instruction abt phenytoin will nurse provide during discharge teaching to a client w epilepsy who is prescribed phenytoin for seizure control
"antiseizure meds will probably be continued for life"
home health nurse provides education for a pt w cancer of the tongue who will begin gastrostomy feedings at home. which pt indicates effective teaching
"before i start the procedure, i will measure the residual volume"
HCP prescribed enoxaparin 1mg/kg for pt who had total knee replacement. pt weighs 187lb. this med is available in concentration of 30mg/0.3mL. which dose will the nurse admin in mL
0.85mL
what length of time is max nurse will allow IV bag to infuse
24 hrs
when would the nurse have the lab obtain a blood sample to determine the peak lvl of an antibiotic admin by IV piggyback
30-60 mins after dose
which time interval would the nurse provide to a pt w TB who asks the nurse how long med therapy will b continued
6-12 months
which blood glucose lvls would the nurse identify as hypoglycemia
68 mg/dL normal: 72-108
which blood type is universal recipient
AB
which B vit deficiency will result in wenicke encephalopathy
B1 (thiamine)
which pt response indicates to the nurse that a vasodilator med is effective
BP changes from 154/90 to 126/72 mmHg
which lab values are important for the nurse to monitor in the pt who takes zidovudine
CBC
which lab report is most important for the nurse to monitor when considering the effects of chemotherapy when caring for a pt w laryngeal cancer
WBC
which client problem would the nurse expect to decrease in response to the admin of serum albumin IV to client w ascites
abdominal girth
which med is often contraindicated when taking warfarin
acetylsalicylic acid - can cause decreased platelet aggregation, increasing risk for bleeding that may occur w admin of anticoagulants
which action would be taken by the nurse caring for a pt w type 1 diabetes mellitus who has a finger-stick glucose lvl of 258 mg/dL at bedtime n a prescription for sliding scale regular insulin
admin insulin as prescribed
what action would nurse expect in plan of care for pt scheduled for an adrenalectomy
admin parenteral corticosteroids
which action would the nurse take when admin tetracycline
admin the med at least an hr before ingestion of milk products
which action will the nurse take when caring for a pt whose phenytoin lvl is 16 mcg/L
admin the next dose of med as prescribed - therapeutic range 10-20 mcg/L
how can the nurse prevent vomiting in a pt who reports feeling nauseated after cataract surgery
admin the prescribed antiemetic med
which element, if missing from a newly admitted pts MAR makes the record incomplete
allergies
which prescribed med will the nurse admin to ensure a bowel movement before discharge for a pt who has not had a bowel movement since before surgery, which was 4 days ago
bisacodyl suppository -- takes abt 15-60 mins to take effect
which action is accurate in explaining how neuroleptic meds act in the body to promote mental health for pt diagnosed w schizophrenia
block access to dopamine receptors at the postsynaptic receptor site - neuroleptics block access to dopamine receptors, rather than inhibiting enzymes at postsynaptic sites, they increase serotonin at postsynaptic sites
which tissue affected by chemotherapy will the nurse consider when formulating a response to a pt receiving cancer chemotherapy who asks the nurse why an antibiotic was prescribed
bone marrow
which response to morphine would need to b reported immediately to the HCP
bradycardia
which mineral deficiency would a nurse suspect in a client who reports tingling in the fingers n around the mouth n exhibits carpopedal spasm n tremors after a surgical thyroidectomy
calcium
which med will nurse expect HCP to prescribe to pt who had a thyroidectomy n is pale w spasms of the hand when taking BP
calcium hypomagnesemia: tremor, neuromuscular irritability n confusion metabolic acidosis: deep, rapid breathing, weakness n disorientation hypokalemia: muscle weakness n dysrhythmias
which complication would a nurse try to avoid by slowly admin a parenteral preparation of potassium
cardiac arrest
which system toxicity will the nurse assess for in a pt receiving doxorubicin as part of a chemotherapy protocol
cardiotoxicity
which action will the nurse take when caring for a pt whose IV site is tender w erythema, warmth, n mild edema
change the IV site
which action would nurse take after contacting HCP of post-surgical pt complaining of nausea, fatigue, HA during 4th hr of infusion of total parenteral nutrition instituted via central venous infusion who has an hrly urine output that is twice the amt of the previous hr
check the serum glucose lvl
which explanation would the nurse give to explain the delay after surgery for a pt scheduled to begin chemotherapy 2 wks after surgery for colon cancer
chemotherapy interferes w cell growth n delays wound healing
for which purpose is IV infusion of mannitol instituted in a pt being prepared for a supratentorial craniotomy w burr holes
decrease fluid in brain
which assessment finding indicates that sodium polystyrene sulfonate has been effective
decrease in serum potassium lvl - used to treat hyperkalemia
which statement would the nurse identify as the purpose of the nitroglycerin patch
decreased cardiac preload reduces cardiac workload
which response indicates that a beta blocker prescribed for persistent ventricular tachycardia is working effectively
decreased heart rate
which clinical findings indicates that doxorubicin toxicity may have occurred
alteration in cardiac rhythm
which instruction would the nurse include when teaching a female pt w a new infant who is prescribed amoxicillin for a UTI
"report signs of allergic reax such as skin rash or itching"
which life-threatening complication may occur in pts taking high-dose or long-term ibuprofen
GI bleeding
which decrease in funx would nurse expect in a pt w myasthenia gravis who is prescribed anticholinesterase med pyridostigmine
HR
which assessment after admin of diltiazem to a client w supraventricular tachycardia n a heart rate of 170 BPM indicates the med was effective
HR 98 BPM
client receiving haloperidol for agitation, which side effect response is unrelated to an extrapyramidal tract effect
HTN crisis
which action will the nurse take after stopping the antibiotic infusion of a pt who becomes restless n flushed n begins to wheeze during the admin of an antibiotic
assess resp status
which AE of metformin will a nurse teach a pt w type 2 diabetes to monitor for when used at monotherapy
lactic acidosis
why would the nurse advise the pt who takes furosemide n digoxin for heart failure to drink a glass of orange juice q day
maintaining potassium lvls
which info would nurse include when teaching a pt w parkinson disease abt carbidopa-levodopa
med should b taken w meals
which med for treatment of gastroesophageal reflux disease would b contraindicated int he pregnant pt
misoprostol - can cause uterine contractions
which response would a nurse give to a pt who expresses fear that AIDS may be acquired as a result of a blood transfusion
"screening for HIV antibodies has minimized this risk"
which info would the nurse provide to a pt who would like to take the herbal supplement pt saw palemtto instead of the finasteride prescribed for BPH
"research has shown that saw palmetto is no better than a placebo"
which action would nurse teach pt w pulmonary TB who is prescribed a combo of rifampin and isoniazid
"continue taking the med even after i feel better"
which response will the nurse provide to a pt w type 2 diabetes taking one glyburide tab daily wo asks whether an extra tab should b taken before exercise
"do not take an extra pill bc u may become hypoglycemic when exercising"
which statement is important for nurse to include when teaching pt w IBS who is taking psyllium for constipation
"each dose should b taken w a full glass of water or juice"
which statement is important for the nurse to teach a pt prescribed psyllium 3.5g twice a day for constipation
"each dose should b taken w a full glass of water"
which pt statement abt ampicillin indicates that additional teaching is needed
"i can stop this med after i am symptom free for 48 hrs"
which assessment would nurse perform before admin a dose of vancomycin to pt
- creatinine - trough lvl - hearing ability - IV site - blood urea nitrogen 2 AE = nephrotoxicity n otoxicity
which benefit would b provided by admin PCA to pt after surgery
- pt able to self-admin pain relieving medications as necessary - decreases pt dependency - increases pt sense of autonomy
which description is associated w fissures
linear cracks in epidermis that extend into the dermis ulcers: deep erosions extending beneath the epidermis atrophy: thinning of surface of skin w loss of skin markings lichenifications: thick areas of epidermis w accentuated skin markings
which route would nurse admin morphine sulfate in pt admitted to ER w burns to anterior trunk, entire R arm, n anterior L arm
IV
which action will the nurse take when caring for a terminally ill pt receiving a morphine drip that exceeds the typical recc dosage whose spouse tells the nurse that the pt is again uncomfortable n needs the morphine increased
assess the pt's pain before increasing the dose of morphine
which advice will the nurse provide abt doxorubicin to a pt w hodgkin's disease
expect urine to turn red for a few days after taking this medication
which action would the nurse take in a client who takes rifampin who tells the nurse "my urine looks orange"
explain that it's expected
which action will the nurse take when caring for a pt w chronic arterial insufficiency of the legs who refuses the prescribed dose of aspirin n states "my legs are not painful"
explain the reason for med n encourage pt to take it
which rationale will prompt the nurse to ask the provider for a diff form of metformin when an older adult asks that extended-release metformin be crushed bc it's difficult to swallow
extended-release formulations are designed to be released slowly n crushing the tablet will prevent this from occurring
which factor would the nurse recognize as the cause when a pt's IV infusion infiltrates
failure to secure the catheter adequately
which purpose is served by an evening snack of milk, crackers n cheese for a pt who's receiving NPH insulin
food to counteract late insulin activity
what IV solution is 0.45% sodium chloride
hypotonic
which sign of hypokalemia will nurse monitor for in a pt receiving furosemide
muscle weakness
which fact abt medication therapy will the nurse emphasize when teaching a pt diagnosed w gonorrhea
cures the infex
which electrolyte abnormality will the nurse expect in a pt who is experiencing both tingling of the extremities n tetany
hypocalcemia
pt prescribed zolpidem for 5 days returns to clinic for follow-up. which statement by client indicates the medication has been effective
"i have been sleeping better"
which pt statement indicates understanding of the side effects of nitroglycerin ointment
"i may experience a headache"
which statement by pt prescribed ampicillin indicates the teaching was effective
"i must increase my fluid intake"
which pt statement provides evidence that the pt understands med teaching for high-dose penicillin
"i must increase my intake of fluids while taking this med" - high doses = nephrotoxic
which statement by the pt receiving corticosteroids after a bilateral adrenalectomy indicates to the nurse that additional education is needed
"im glad i only have to take the med once a day"
which med is used to treat a pt whose cardiac monitor reveals several runs of ventricular tachycardia
amiodarone
which advice will the nurse include when discussing postoperative med therapy w a pt admitted to hospital for a subtotal thyroidectomy
"if u develop palpitations, nervousness, or tremors, the dose of thyroid hormone may need to be decreased"
which response would the nurse provide to a pt w colon cancer prescribed neomycin preoperatively who asks y this is necessary
"it kills intestinal bacteria to decrease the risk for infection"
how would a nurse respond to the spouse of a pt w an intracranial hemorrhage who asks the nurse "why arent they administering an anticoagulant"
"it's not advisable bc bleeding will increase"
which info would nurse provide to pt w type 1 diabetes who requests info abt the difference btwn penlike insulin delivery devices n syringes
"penlike devices provide a more accurate dose delivery"
which info would nurse provide when admin first dose of prednisone prescribed to pt w an exacerbation of colitis
"prednisone is not curative but does cause a suppression of the inflammatory process"
after surgery, a pt has PCA pump set to allow morphine delivery q6 mins. which statement indicates that the family understands PCA pump
"she needs to push the PCA button whenever she needs pain med"
which statement by a pt who has gastric ulcer n asks what to do if epigastric pain occurs that teaching was effective
"taking an antacid preparation will decrease pain due to gastric acid"
which response would the nurse provide to a client receiving digoxin who calls the clinic and complains of "yellow vision"
"the med may need to be discontinued. come to the clinic this afternoon"
which explanation would the nurse include when teaching a pt scheduled for a bowel resection abt the purpose of preoperative antibiotics
"they are given to eliminate bacteria from the GI tract"
which technique would the nurse reinforce when teaching a pt how to self-admin eyedrops after cataract surgery
holding the dropper tip above the conjunctival sac
which explanation would nurse provide for admin prednisone to pt w exacerbation of colitis
although med decreases intestinal inflammation, it will not cure the colitis
which statement would nurse provide to a pt scheduled for an endoscopic sphincterotomy to remove a gallstone lodged in the common bile duct who asks the nurse abt pain during the procedure
an IV sedative usually is administered
which treatment would the nurse b referring to when explaining to a pt w trigeminal neuralgia that treatment is effective on a temp (6-18 month) basis
an alc injex at the peripheral branch of the 5th cranial nerve
which property of acetylsalicylic acid would a nurse recall when administering to a client
analgesic
which info would the nurse reinforce when teaching a pt w gastroesophageal reflux disease abt antacid therapy
antacids commonly interfere w the absorption of other meds
which condition would nurse identify as the likely cause of profound weakness n nervousness in a client that became confused shortly after self-admin the morning dose of 10 units of reg insulin n 25 units of NPH insulin after a light breakfast w no additional intake in 3 hrs since that time
hypoglycemia
with which condition would the nurse associate the response of diaphoresis, weakness, n palor at 3:30 PM in a pt w type 1 diabetes who receives 30 units of neutral protamine hagedorn insulin at 7 AM
hypoglycemia reaction
which adverse effect would a nurse monitor for when caring for a pt receiving furosemide to relieve edema
hypokalemia
which complication would the nurse suspect when cardiac monitor shows appearance of U wave in pt being treated w IV fluids n insulin for diabetic ketoacidosis when pt develops peripheral paresthesias n SOB
hypokalemia
which condition would b prevented by the addition of spironolactone to the med regimen of a pt w cirrhosis of the liver who has been taking chlorothiazide
hypokalemia
which info will the nurse provide to minimize the risk for complications of pancytopenia as a result of chemotherapy
avoid activities that risk traumatic injuries n exposure to infex
who info would the nurse consider when formulating a response to a pt w myasthenia gravis who asks abt the action of neostigmine
blocks the action of cholinesterase
which med would the nurse expect to b prescribed for a pt who is scheduled for a bilateral adrenalectomy
hydrocortisone
how will the nurse respond to a client w cancer experiencing severe N/V from chemotherapy who wants to know if it's true smoking week will help
some THC based meds that contain weed control chemotherapy-induced N/V in some ppl
which clinical manifestations indicate a pt who sustained head n chest injuries from a motor vehicle accident, responded to medical treatments n is ready for transfer to a critical care unit
stabilized vital signs n complaints of pain
which stage of HIV is present in client w lab report revealing a CD4+ T-cell count of 520 cells/mm^3 according to CDC
stage 1
which instruction would nurse include when preparing discharge instructions for pt who'll take enalapril for HTN
"change to a standing position slowly"
which instruction would the nurse include when teaching the pt abt sublingual nitroglycerin
"common side effect include HA n low BP"
which explanation would the nurse provide to a pt w burns n crushing injuries caused by an accident prescribed oral antacids n intravenous ranitidine who asks how these meds work
"they limit acidity int he GI tract"
which effect of atenolol is responsible for frequent dizziness in a pt w HTN
blocking the adrenergic response
which priority action will the nurse take after stopping an IV piggyback antibiotic of a pt who became restless, flushed n began to wheeze shortly after initiation
assess the pt respiratory status
which info is important for the nurse to include in the discharge teaching plan for a pt prescribed atenolol 20mg by mouth 4 times a day
avoid abruptly discontinuing the med
which contraindication would a nurse assess for when preparing to admin eardrops to a pt who has impacted cerum
allergy to the med
admin of which med in relation to which changes in fluid intake can help prevent complications related to uric acid nephropathy in a pt w lymphosarcoma is receiving allopurinol n methotrexate
allopurinol n encouraging increased fluid intake
which property would the nurse understand that the medication being used primarily for when aspirin is prescribed on a regular schedule for a pt w RA
anti-inflammatory
which NI assists in decreasing potential occurrence of pressure ulcers when providing care for a client w quadriplegia
frequently reposition the client on a scheduled basis
which nursing assessment finding would indicate that a pt receiving total parenteral nutrition has hyperglycemia
fruity odor to the breath
which condition is likely being experienced by a pt receiving NPH insulin every morning who reports feeling nervous at 4:30 PM n has moist n cool skin
hypoglycemia
which condition would nurse monitor for in a pt who's prescribed bumetanide
hypokalemia - bumetanide = loop diuretic = excretes sodium, chloride, potassium = risk for hypokalemia, hyponatremia, hypochloremia
which complication will a nurse monitor for before replacement steroid therapy is regulated fully in a client who has had an adrenalectomy
hypotension
how would the nurse describe heart failure to pt
inability of heart to pump blood in proportion to metabolic needs
which description describes a coalesced type of skin lesion configuration
lesion merge together n appear confluent
which is the etiological factor of nephrogenic diabetes insipidus
lithium therapy
which component of nephron does furosemide decrease fluid reabsorption
loop of henle, distal tubules, proximal tubules
which rationale explains y insulin is prescribed for pts in acute renal failure
promotes transfer of potassium into cells to lower serum potassium lvls
which complication would the nurse conclude is being experienced by a pt who takes 4 325-mg tabs of buffered aspirin 4 times a day for severe arthritis n complains of dizziness n ringing int he ears
salicylate toxicity
which antidepressant med is a selective monoamine oxidase B inhibitor
selegiline
which statement regarding vit B12 injections by a pt w pernicious anemia indicates that teaching was understood
"i must take this med for the rest of my life"
which statement by a pt w metastatic melanoma who's being treated w interferon gamma 1b indicates that teaching was understood
"i will increase my fluid intake to several liters qday"
which indicator of pt status is important for nurse to assess in a pt receiving TPN
blood glucose
by which process would total parenteral nutrition on an outpatient basis help a pt w crohn's disease prepare for surgery
decreasing fecal bulk
for which reason would pt who receive IV fluids rather than total parental nutrition for gastrointestinal probs lose weight
deficient carb intake
which condition is contraindicated for st. johns wort herbal therapy
dementia, schiz, alz, bipolar - herbal: used to treat anxiety - bupropion: seizures - valerian: cardiac disease
which short-term goal is the priority for a pt w a new insulin pump who is receiving discharge instructions
demonstrate correct use of the insulin pump
which goal is the priority for a client w asthma who has a prescription for an inhaled bronchodilator
demonstrates use of a metered-dose inhaler
which test would the nurse identify as specific for the diagnosis of myasthenia gravis
edrophonium chloride test
how would the nurse response to a pt admitted for dehydration who has an IV infusion of normal saline is started at 125 mL/h n one hr later begins screaming "i can't breathe"
elevate the head of the pt's bed n obtain vital signs
which effect of povidone-iodine would the nurse consider when using it on the client's skin before obtaining a specimen for a blood culture
eliminate surface bacteria that may contaminate the culture
which action would nurse perform when beginning pyridostigmine bromide therapy for a pt w myasthenia gravis
evaluate the pt's muscle strength qhr after the medication is given
which action is important for nurse to take after a long-term corticosteroid therapy has been initiated for pt w myasthenia gravis who experiences inadequate symptomatic control w pyridostigmine bromide
monitor pt for an exacerbation of symptoms
pt w jaundice receives diagnosis of pancreatic cancer. which rational explains cause of pt jaundice
obstruction of common bile duct by the pancreatic neoplasm
which statement abt admin of IV potassium would a nurse make to a pt w diagnosis of hypokalemia
oliguria is an indication for withholding IV potassium
which lobe of brain would nurse conclude is affected in a client unable to differentiate btwn heat or cold n sharp or dull sensory stimulation after cerebrovascular accident
parietal
which effect explains the purpose for gradual dosage reduction of glucocorticoids such as dexamethasone
promotes return of cortisone production by the adrenal glands