Pharm final
nurse administers filfrastim to a client who is also prescribed chemo. nurse monitors the pt's absolute neutrophil count and anticipates stopping the drug when ANC reaches
10000
nurse preparing to admin an antiasthmatic to pt. nurse determines drug should be held after which resp assessment
10breaths/min
pt c asthma received 2 doses of theophylline. pt has achieved therapeutic lvls with which result
13mcg/L
nurse admin iron dextran 0.5mL IM. nurse would wait at least how long before admin the remainder of the dose
1hour
prescribes diazepam 10mg IV to control seizures. admin over what time frame
2min
instructor determines class illustrating the various reactions to antivenins is successful when the students point out pt may react within which time period if sensitive to antivenin
30min
nurse is monitoring a pt for the effectiveness of prescribed decongestant. which factors should nurse prioritize in ongoing assessment
BP LOC therapeutic effect
nursing instructor is explaining the drugs used to treat UTIs. instructor determines session is successful when students point out which body system is most often adversely affected by these drugs?
GI
nurse would question order for spironolactone if which disorder is noted in pt hx
HYPERKALEMIA
pt diagnosed c gout prescribed colchicine and allopurinol. perform which assessments
I&Os development of red rash assess pain during acute gout attack assess every hour
prescribed phenytoin parenterally for pt experiencing seizures. via which route
IM
a nurse is preparing a teaching session for a client prescribed an anti-bacterial for a UTI. which instruction should the nurse point out?
INCREASE FLUID INTAKE TO ATLEAST 2000 ML/DAY
pt admitted c acute renal failure and prescribe mannitol. nurse admin which route
IV
nursing instructor teaching students comparing the different classes of diuretics. session is successful when the students choose which drug as affecting arbonic anhydrase
acetazolamide torsemide
nurse is assessing pt who is to receive multiple vaccinations. which diagnosis should nurse prioritize?
acute pain
nurse is teaching pt about acarbose. successful when pt states which instruction to follow when admin at home
admin c first bite of meal
which teaching should nurse prioritize for pt c edema prescribed diuretic
admin early in day
reporting GI disturbances after receiving 1st dose of carbidopa/levodopa for parkinsons. which action shout nurse prioritize
admin next dose with meals
instructor determines teaching about immunity was successful when students choose which situation as example of passive immunity
admin of botulism immune globulin to an infant admin of crotalidae polyvalent immune fab for rattlesnake bite
ab surgery at 0730. pt is to receive preop med of meperidine and scopolamine. pt also has antibiotic prior to surgery. first action should be
admin preop IM as ordered
nurse is preparing to admin ferrous. which advers reaction should the nurse point out to report if noted
allergic reaction
ordered an iodine procedure for pt c thyroid dysfunction. what should nurse prioritize in the preadmin assessment for pt
allergy hx weight pulse temp
pt in ER c an apparent reaction to thyroid therapy. which finding would lead nurse to ? that this client is experiencing thyroid storm
altered mental status
differentiating various classifications of drugs used to treat parkinsons. session successful when students choose which drugs as belonging to the dopaminergic class
amantadine bromocriptine carbidopa
after admin antiepileptic pt has risk of increased CNS depression after noting pt is also admin which med
analgesics alcohol
providing care to pt receiving therapy for chronic kidney disease. client will be diagnosed with hematologic failure based on which finding
anemia bleeding infection
preparing to admin epoetin alfa. expects to see which diagnosis for the basis of this treatment
anemia of chronic kidney disease anemia caused by cancer chemotherapy anemia caused bu zidovudine therapy
which signs or symptoms would document on preadmin assessment of pt taking levothyroxine
anorexia coarse hair cold intolerance
a nurse is developing a teaching plan for a client diagnosed with a uti and prescribed nitrofurantoin. the nurse would prioritize which potential advers reactions to caution the client about
anorexia nausea diarrhea
monitor for increased CNS depression when skeletal muscle relaxant is used c
antihistamines alcohol opiates
nurse in emergency department is assessing pt who has been bitten by a coral snake. which drug does the nurse predict the pt will recieve
antivenin
pt receiving gonadotropin therapy comes to clinic reports not feeling well, which findings would nurse immediately report
ascites ab distention ab pain
preparing to admin statin. nurse will ? a high dose of statins if which factors are noted in preadmin
asian severe renal insufficiency active peptic ulcer
presentation about diabetes and insulin session was successful when group chooses which insulins as rapid acting
aspart glulisine
pt prescribed niacin reports significant skin flushing and itching. doc will prescribe which drug to address the issue
aspirin
admin methotrexate to pt. close monitoring warranted if pt also admin which
aspirin sulfamethoxazole/trimethoprin ibuprofen diclofenac
pt prescribed diuretic twice a day. teaching session is successful when pt chooses which time to take drugs
at breakfast and midafternoon
teaching pt about phenytoin was successful when pt choose which adverse reaction to report immediately
ataxia slurred speech lethargy
teach pt c renal insufficiency about recently prescribed bumetanide for hypertension. which instruction should nurse prioritize
avoid OTC drugs for cold symptoms
teaching drugs used for muscle spasms and cramping is successful when students choose which instruction as relevant to skeletal muscle relaxants
avoid alcohol and CNS depressants
what precaution should nurse take when admin glargine
avoid mixing c other insulins
pt prescribed antihistamine for vasomotor rhinitis is concerned about the potential increased sedation effects. which antihistamine can nurse point out as the best option to help avoid these
azelastine
nurse is caring for a hospitalized pt c a UTI, preparing to admin nitrofurantoin. which statement best differentiates bacteriostatic and bacteriocidal meds?
bacteriostatic slows or retards the multiplication of bacteria
thyroid hormone replacement therapy been prescribed. session is successful when pt indicates which time to take drug
before breakfast
teaching about med prescribed for parkinsons was successful when students choose which meds
benztropine mesylate diphenhydramine trihexyphenidyl
nurse is preparing to admin antivenin to pt. nurse will explain to pt that antivenin will provide passive, transient protection against bites from which organisms
black widow rattlesnake copper head
the instructor determines the session on UTI drugs is successful when the students correctly choose which organ as most often affected by infections
bladder
plan of care fo pt receiving anticonvulsant therapy and diagnosis risk for injury. which assessment findings support this
blurred vision dizziness photosensitivity
teaching about various drugs to treat musculoskeletal conditions was successful when students choose which drug as being used to treat osteoporosis
bone resorption inhibitors
assessing records of pt in prep to admin an antiepileptic and notes new order for periodic CBC. which new med does nurse prepare to admin
carbamazepine felbamate
after teaching xanthine derivatives. instructor determines it was successful when students correctly state which result of using these
cause flushing stimulate cns to promote bronchodilation
admin glargine to pt. which actions will nurse prioritize when preparing insulin
check exp. date check orders for type and dosage remove air bubbles from syringe
pt preparing for ab surgery. which product will nurse use to cleanse the proposed surgical site
chlorhexidine hexaachlorophene
carbidopa/levodopa. which findings should the nurse prioritize on the ongoing assessment
choreiform movements dry mouth anorexia
which med will doc prescribe to help increase chances of the woman becoming preggers
clomiphene cetrorelix gonadotropin
nurse is preparing care plan for pt c megaloblastic anemia. when discussing nutritional recommendations, which foods should the nurse prioritize
collard greens wheat bread salmon chicken
pt c iron deficiency anemia c iron supplements. what info should nurse point out in teaching plan for pt
color of stools will become darker
after admin detemir nurse suspects developing hypoglycemia based on which finding
confusion diaphoresis
nurse is teaching a pt about ferrous which has been prescribed for anemia. the nurse determines the session is successful when the client chooses which potential adverse reaction to watch for
constipation nausea dark stools
nursing diagnosis of constipation is apprpriate for pt receiving iron supplements. which suggestion would nurse recomment to pt to promote resolution
consume diet high in fiber
admin desiccated thyroid USP to pt who is also prescribed citalopram. nurse predicts which assessment finding may occur in this pt
decreasded effectiveness of thyroids drug
teaching on the action of statin drugs. instructor determines class is successful after students choose which actions
decrease cholesterol absorption in GI tract promote cholesterol breakdown inhibit cholesterol production
prescribed cholinergic blocker for pt with parkinsons. which finding in health record alerts nurse to need for cautious admin
decreased liver function
nurse admin amiloride to several pts. nurse should prioritize monitoring serum potassium lvls for pts with which disorder
diabetes renal disease
notes pt is developing a hypersensitivity to pegfilgrastim. which additional med does the nurse predict the client will be prescribed in response to this reaction
diphenhydramine albuterol
a client who is prescribed phenazopyridine is distressed seeing reddishorange urine. which response would be best?
discoloration is normal c medication
admin lidocaine ciscous to pt scheduled for minor surgery. which instruction regarding intake of food should the nurse give the pt
dont eat for 1 hr after use
assessing pt receiving desmopressin therapy and suspects pt is experiencing water intox. which findings support theory
drowsiness HA confusion
teach about darbepoetin alfa which provider prescribed. which facts about this drug should the nurse incorporate in the teaching
drug is glycoprotein used to stimulate the production of erythrocytes
admin glycopyrrolate to pt with peptic ulcer. which finding should prioritize
dry mouth constipation nausea dysphagia
nurse is conduction a preadmin assessment of client prescribed MMR and varicella vaccine. nurse will question this order if which allergic reaction is noted in history
eggs gelatin neomycin
which assessment findings will nurse prioritize during ongoing assessment c levothyroxine therapy
elevated body temp weight loss tachycardia insomnia
teaching on bile acids. session is successful when students choose which facts are true about bile
emulsifies fat and lipids secreted by the liver
parkinson disease teaching was successful when students choose which factors as potential causes of parkinsonism
encephalitis drugs
nurse determines the appropriate nursing diagnosis for a client is ineffective airway clearance. which instructions will the nurse prioritize for this client
encouraging increased fluid intake assisting pt in taking deep breaths encouraging client to change positions
teaching for pt to provide info related to nursing diagnosis of constipation due to daily cholinergic blocking drug. which teaching points will nurse point out
encouraging the intake of a diet high in fiber increasing fluids encourage ambulation
which drug if included in pts record as being classified as a COMT inhibito
entacapone tolcapone
class on dif type of blood cells. point out which actions as functions of the various blood cells
erythrocytes supply cells with O2 from lungs leukocytes protect body from organisms megakaryocytes control bleeding from tears in tissue
evaluating students understanding of topical anti-infectives. group understands the info when they pair which drug with the infection treated correctly
erythromycin--- acne vulgaris ciclopirox--- tinea pedis acyclovir--- HSV
a nurse is assessing a pts medical record and determines that the client has naturally acquired active immunity. which example would most likely apply?
experiencing chickenpox results in immunity after recovering from perussis the pt demonstrates immunity aginst repeat exposures
parkinsons possible adverse reactions teaching was successful when family states they will withhold drug if pt experiences
facial grimacing chewing motions protruding tongue
pt receiving a colony-stimulating factor and experiences dilutional anemia. nurse would determine which nursing diagnosis for this pt
fatigue
scopolamine during the summer. session is successful when client chooses which sign to report immediately that may indicate heat prostration
fever
pt prescribed a cholinergic blocking drug arrives on hot july afternoon. which findings should nurse prioritize
flushing mental confusion
pt is prescribed an inhaled corticosteroid. nuurse would instruct pt about which adverse reaction
fungal infection pharyngeal irritation
developed hypoglycemic reaction. which interventions should nurse preform if pt can adequately demonstrate swallowing and gag reflexes
give oral fluids or candy
admin long acting insulin. which insulin might that be
glargine detemir
a health care provider has prescribed growth hormone for a pt. which periodic tests would nurse monitor at different intervals during the treatment
glucose tolerance
teaching class on pituitary gland hormones. class is successful when students choose which hormones as being secreted by the anterior pituitary gland
growth adrenocorticotropic prolactin
pt newly prescribed anthralin. session successful when pt chooses which adverse reactions can occur with the use of this topical drug
hair discoloration fingernail discoloration pruritus burning
client admin topical triamcinolone. nurse will monitor pt for which potential systemic reaction
hyperglycemia cushing syndrome
benztropine. nurse admin drug cautiously and monitor pt closely if pt also had a diagnosis of which disorder
hyperthyroidism hepatic disease renal disease hypertension
nurse admin diuretic to pt. nurse should ? order if which disorder is noted in hx
hyponatremia hypokalemia anuria
after teaching pt about prescribed anti-infective therapy for UTI, nurse determines that teaching was successful when pt states what?
i can take med c food or meals ill call provider if i dont feel better in about 3 days i should avoid drinking alcohol
newly diagnosed type 2 diabetes on the importance of monitoring blood glucose. additional teaching is needed after client makes which statement
i should prick the tip of my finger for blood
teaching about managing parkinsons and important aspects about the prescribed med. which statement indicates need for further teaching
i will have family journal about facial grimacing ect.
nurse needs to evaluate effectiveness of teaching pt diagnosed c peptic ulcer disease about taking mepenzolate. which statement indication for further teaching
if my BM is black it is because of drug i should drink 2liters of my choice
assessing pt for risk factors associated with type 2. which findings would nurse prioritize
impaired glucose tolerance obesity history of gestational diabetes
nurse is evaluating pt reaponse to colestipol. which suggestions should nurse prioritize after pt reports constipation
increase fluids increase fiber exercise daily
pt receiving alendronate for osteoporosis. pt also taking aspirin. which interaction should monitor for
increase risk of GI bleeding
nurse is conducting the preadmin assessment on pt prescribed ferrous and notes the pt is also currently on ascorbic acid. which potential reaction of these 2 drugs should nurse monitor
increased absorption of iron
levothyroxine to pt c hypothyroidism. pt responding appropriately based on which finding
increased appetite
prescribed loop diuretic for hypertension in pt c diabetes. which assessment should nurse prioritize
increased blood glucose lvls
administering darbepoetin alfa to a client. the nurse assewss an elevated hemoglobin lvl and prepares to take necessary steps to avoid which potential complications
increased mortality tumor progression thromboembolic events cardiovasular events
admin solifenacin to pt c overactibe bladder. which potential reaction should nurse prioritize after noting also prescribed digoxin
increased serum lvls of digoxin
nurse is conducting ongoing assessment and notes the client is experiencing difficulty bringing uup mucus. which nursing diagnosis should the nurse prioritize
ineffective airway clearance
pt who was admin metformin and notes hyperventilation, nausea, and somnolence. which nursing diagnosis should be prioritized
ineffective breathing pattern
nurse is teaching pt about albuterol which has been prescribed. nurse determines successful teaching when pt chooses which adverse reacction to report immediately
insomnia
nurse is providing care for pt diagnosed with thyroid cancer. which drug would be prescribed
iodine-131
various functions of immunomodulating drugs. chart is successful after noting which function are correlated c filgrastim
is a glycoprotein promotes proliferation of leukocytes used to treat chemotherapy induced neutropenia
advantages for administering second gen antihistamines
less sedation fewer anticholinergic effects
pt recently diagnosed exercise-induced bronchospasms is to be prescribed an inhalant. nurse anticipates pt will be prescribed what med
levalbuterol terbutaline
euthyroid goiter. would expect to admin which drug?
levothyroxine
admin allopurinol. which instruction is most important for nurse to include
liberal fluid intake
presentation c various topical drugs. which drugs act by temporarily blocking the action of sensory nerve fibers
lidocaine dibucaine
teaching about prescribed ACTH. session is successful when pt points out they will need to avoid which med
live vaccines
nurse admin colesevelam to pt c hyperlipidemia. nurse determine cautious admin is warranted after noting which condition in pt hx
liver disease
pt asks nurse if garlic can help improve cardiovascular health. nurse can point out that garlic is recognized to produce which effects
lower serum triglyceride lower BP prevention of atherosclerosis
pt has been prescribed an antitussive. nurse prepares to assess which factors on the ongoing assessment
lung sounds freq of cough therapeutic effect pain assessment
receiving metformin for several months reporting vague symptoms. which assessment findings should the nurse prioritize
malaise tachypnea ab pain muscular pain
a nurse conducts a daily urine pH as part of the ongoing assessment of a client with a UTI. the nurse will utilize this test to establish the effectiveness of which drugs?
methenamine nitrofurantoin
hyperthyroidism. which treatment modalities would nurse anticipate being used
methimazole radioactive iodine propylthiouracil subtotal thyroidectomy
client has arrived to clinic and requesting an update on immunizations. nurse will point out the pt may not be abl;e to have any vaccines due to which current med
methylprednisolone prednisolone paclitaxel vincristine
applying topical collagenase. assess pt for which sx as possible adverse reactions
mild pain numbness dermatitis
topical drugs for skin disorders. teaching was successful when students choose which drug is used to prevent institutional outbreaks of methicillin-resistant staphylococcus aureus
mupirocin
pt c hypertension and anemia. which action would nurse include in plan of care when admin epoetin alfa to pt
note the hematocrit value before each dose
lamotrigine needs admin. pt developed red scaly rash c blisters all over body. which actions taken
notify doc VS document assessment
teaching abpout type 2. session is successful when the students choose which as a risk factor for individuals developing type 2 diabetes
obesity
prescribed vasopressin to pt. which assessment should nurse perform on the ongoing assessment
observe the pt for blanching of the skin, ab cramps, and nausea
presentation about diabetes. which facts should nurse include when explaining type 1
occurs before age 20 insulin supplementationrequired for survival
session exploring leukotriene modifiers. session is successful when students choose which route of admin
orally
receiving insulin glulisine. pt has become confused, diaphoretic, and nauseated and has blood glucose of 60mg/dL which emergent treatment would the nurse give
orange or other fruit juice glucose tab hard candy
when teaching a client about using a decongestant in a nasal spray, which instruction would nurse include?
overuse can make symptoms return know that nasal burning or stinging may occur
nurse is admin lorazepam to pt c status epilepticus. nurse will be prepared to admin which additional drug
phenytoin
examining pt mouth for potential adverse effects to long term use of which meds
phenytoin ethotoin
teach a client about HMG-CoA reductase inhibitors. nurse should prepare to point out which instructions
photosensitivity may occur drug cont. even if pt feels better juices other than grapefruit is okay statins should be admin in the evening
nurse conducting presentation on heart diseaswe, cholesterol, and risk factors. successful when class chooses which point as true
physical activity raises HDL lvls
nurse is preparing to admin codeine-containing antitussive to pt. the nurse will exercise caution if which additional situation is noted in pt medical hx
pregnancy convulsive disorder prostatic hypertrophy
pt suffers from motion sickness. which drug would nurse anticipate the doc to prescribe?
promethazine diphenhydramine
teaching of thyroid drugs available is successful when students choose which drugs as an antithyroid
propylthiouracil
after using azelaic acid reports various concerns. nurse suspects a hypersensitivity reaction based on which signs
pruritus urticaria erythema
preadmin on pt prescribed topical corticosteroid. notes which disorder in the medical record
psoriasis insect bits eczema
client c cerebral edema prescribed mannitol. which assessment should the nurse prioritize during ongoing assessment
pupils response to light
client with motion sickness prescribed transdermal scopolamine. nurse insturct to applu at which freq.
q72hrs
pt in PACU admin scopolamine in surgery prep. which action is most appropriate to complete after admin
raise side rails
nurse is preparing to teach a child with asthma about corticosteroid. which factor should nurse point out will require monitoring
rate of growth
teaching discharge instructions to pt c antihyperlipidemic med. which info about drug should nurse prioritize in teaching
reason for taking drug drug name correct does
teaching pt prescribed phenytoin daily for seizure is successful after pt chooses which potential adverse reaction that can occur if pt misses a dose
recurrence of seizures
nurse would expect to assess which finding as indicating therapeutic effect of cyclobenzaprine
reduction of muscle spasm
pt developed hepatic injury related to admin of tolcapone. which activity does nurse anticipate will be added to plan of care
regular blood tests
pt prescribed entacapone. caution is warranted after discovering which disorders listed in pt hx
renal and hepatic dysfunction
admin carbamazepine to pt. nurse should ? provider about this order if which disorder is noted in the pts hx
renal impairment
prescribed lamotrigine for seizures. which findings are prioritized
reports muscle pain lesions blisters
older pt experiencing seizures prescribed diazepam. which assessment should prioritize
resp rate and depth
nurse suspects pt receiving scopolamine is experiencing an idiosyncratic reaction to the drug based on which finding
restlessness excitement
pt who is right handed is to receive booster for previous injection. nurse admin at which site?
right arm
pt receiving diuretic states their mouth is often dry and they are urinating like there is no tomorrow. revealing dry mucous membranes and decreased skin turgor. which nursing diagnosis
risk for deficient fluid volume
assessment of pt on anticonvulsant therapy shows: sore throat, chills, fever, gingival bleeding, and bruising. which diagnosis
risk for infection
topical med to pt c skin disorder. which assessments whould nurse prioritize
size of area affected appearance of lesions report of pain or burning
conducting assessment on pt who is admitted c parkinsons. which potential findings will nurse anticipate on physical assessment
slurred speech tremors
reviewing lab results of pt receiving diuretic. nurse determines pt is at risk for electrolyte imbalance based on which results
sodium 124mEq/L potassium 2.9mEq/L
nurse is admin methenamine to pt c UTI. which drug would the nurse instruct pt to avoid
sodium bicarbonate
apply topical corticosteroid. session is successful when pt applie med in which manner
sparingly
nurse is teaching pt how to use a peak flow meter. session is successful when pt explains which steps
stands upright indicator is at lowest lvl on scale lips are sealed tightly around mouthpiece
nurse teaches pt receiving corticosteroid about possibility of developing oral thrush. which actions would the nurse include in teaching plan to reduce risk
strict oral hygiene cleaning inhaler using proper technique
doc ordered epinephrine for pt admitted emergently c bronchospasms. nurse will prepare this drug via which route
subq
various uses of a topical germicide. session is successful when the students correctly point out which uses
surgical scrub preoperative skin cleaner washing hands minor cuts and abrasions prevent infection
nurse is teaching inhaled corticosteroid and brochodilator therapy. what will nurse emphasize
take bronchodilator first
teaching pt prescribed alendronate. which instructions will nurse include
take med with 6-8oz water remain upright 30 min wait 30 min before eating/drinking
pt for surgery. which point should nurse prioritize when teaaching pt about the cholinergic blocking drug
tell pt that his mouth will be dry have pt remain in bed after admin
nurse is preparing to admin antitussive to pt. which assessments will nurse prioritize in preadmin assessment
temp sputum presence type of cough
which instructions should nurse prioritize c levothyroxine
therapy is lifelong dont skip doses changing drug brands is okay
pt reports mild stinging sensation after using a nasal spray decongestant. which respose by nurse would be appropriate
this sensation is common
session on thyroid and its hormones. session is successful when students choose which hormones as originating in the thyroidf gland
thyroxine tri-iodothyronine
admin hydroxychloroquine to pt, which finding should notify doc immediately
tinnitus fever visual changes
nurse is analyzing the chemistry profile of pt c hyperlipidemia. which measurements will the nurse prioritize on lipid profile
total cholesterol triglycerides LDL
nurse refers to a substance that is weakened but still capable of stimulating the formation of antitoxins. this agent is which substance?
toxoids
pt c systemic lupus erythematosus prescribed prednisone presents to clinic. which instruction shoudl nurse prioritize after noting pt now has acne
use water based cosmetics and creams
instructor determines group is ready to vaccinate the public after noting they are prepared to document what after each admin
vaccine lot number vaccine expiration date route and site of vaccine admin
nurse preparing to admin an immunologic drug that produces active immunity. which drug might that be?
vaccines toxoids
nurse caring for pt at clinic performs preadmin assessments on all pts. nurse will prioritize evaluating for pregnancy status befor admin which vaccines
varicella measles mumps rubella
presentation depicting the various hormones necessary for proper functioning of human body. should point out which hormones are secreted by the posterior pituitary gland
vasopressin oxytocin
keratolytic. nurse notes which new diagnosis in the pt record
warts seborrheic keratoses corns
teaching about vasopressin for treatment of diabetes insipidus. session is successful when client choose which instructions to ensure safe use of vassopressin
wearing med alert bracelet monitor daily fluid intake carrying extra doses carrying liquids
nurse is admin furosemide to pt. which factors should nurse prioritize on preadmin assessment
weight pulse
nurse suspects hypothyroidism based on which findings
weight gain bradycardia sleepiness
pt experiencing therapeutic response c levothyroxine based in which findings
weight loss mild diuresis increased appetite increased mental activity
students are well prepared when they point out which assessment findings could indicate hyperthyroidism
weight loss tachycardia
during stable chronic phases of asthma, nurse should advise pt to monitor with sx
wheezing coughing peak flow changes
nurse is teaching pt about lovastatin prescribed for hypercholesterolemia. teaching is successful when pt chooses to take med in which manner
with evening meal
a nurse has admin nitrofurantoin to pt who is now reporting dyspnea, chest pain, and is coughing. which action should the nurse prioritize?
withhold drug and contact provider
which action should nurse prioritize after noting rising BUN in pt taking chlorothiazide c renal compromise
withhold next dose of drug
