pharm

A nurse is providing discharge teaching to a client who has a new prescription for furosemide twice daily. the nurse should include which of the following instructions in the teaching?

"Increase intake of potassium-rich foods" is correct." Monitor for muscle weakness" is correct." Dangle your legs from the side of the bed before standing" is correct

A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understating of the teaching?

"I will take the patch off right after my evening meal" Clients should remove the patch each evening for a medication free time of 12 to 14 hours before applying a new patch to avoid developing a tolerance to the medication's effects.

A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates a prescriptions for ciprofloxacin. The nurse should identify that which of the following client statements indicates a contraindication for administering this medication?

"I have tendonitis, so I haven't been able to exercise" The nurse should identify tendonitis as a contraindication for taking ciprofloxacin due to the risk of tendon rupture.

Teaching for the use of risedronate for tx of osteoporosis

"I should sit up for 30 mins after taking risedronate"

A nurse is providing teaching to a client who has depression and a new prescription for fluoxentine. Which of the following statments by the client indicates an understanding of the teaching?

"I should take acetaminophen instead of ibuprofen for my headaches while taking this medication." Fluoxetine suppresses platelet aggregation, which increases the risk of bleeding when used concurrently with NSAIDs and anticoagulants. Therefore, clients who are taking fluoxetine should take acetaminophen for headaches or pain, since acetaminophen does not suppress platelet aggregation.

A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructions should the nurse include in the teaching?

"Rinse your mouth after inhaling the beclomethasone" The client should rinse their mouth after using beclomethasone, a glucocorticoid inhaler, to prevent oropharyngeal candidiasis and hoarseness.

ergotamine

- Medication that should be taken on onset of a migraine - It should be taken upon aura of headache and a max of 3 tablets should be taken in a 24 hour period.

Acetazolamide

- This is a med used for open angle glaucoma - Adverse effect of this med is tingling of fingers and hyperglycemia

creatine levels

0.6-1.2 mg/dL

A nurse is caring for a client who received 0.9% NaCl 1 L over 4 hrs. instead of over 8 hrs. as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident?

0.9% NaCl 1 liter infused over 4 hr, vitals stable, provider notified The nurse should document the type and mount of fluid, how long it took to infuse, provider notification, and the clients physical status.

A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report?

0830 The nurse should identify that an antibiotic can be administered 30 min before or after the scheduled time to maintain therapeutic blood levels without requiring an incident report.

Mag levels

1.3-2.1

mag level

1.5-2.5

A nurse is caring for the mother of a newborn. The mother asks the nurse when her newborn should receive his first diphtheria, tetanus, and pertussis vaccine (DTaP). The nurse should instruct the mother that her newborn should receive the immunization at which of the following ages?

2 months The CDC recommends that newborns receive the first dose of the five-dose series of the DTAP immunization at 2 months of age.

Potassium levels

3.5-5

calcium levels

8.5-10.5

A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medication?

Acetylcysteine Acetylcysteine is a specific antidote for acetaminophen toxicity. it can prevent severe injury when given orally or by IV infusion within 8 to 10 hr.

nurse is caring for a client who is receiving haloperidol. the nurse should id which of the following findings as an adverse effect of the medication?

Akathisia An adverse effect associated with haloperidol is the development of extrapyramidal manifestations such as dystonia, pseudoparkinsonism, and akathisia.

Bupropion

Antidepressant, aids too quit smoking Bupropion, an atypical antidepressant, has stimulant properties, which can result in agitation, tremors, mania, and insomnia.

Metoclopramide

Antiemetic a/e sedation

Midazolam (Versed)

Benzodiazepine capnography has returned to baseline The term capnography refers to the noninvasive measurement of the partial pressure of carbon dioxide (CO2) in exhaled breath expressed as the CO2 concentration over time.

A nurse is planning care for a clienct who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects?

Bibasilar crackles mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary edema. therefore, the nurse should recognize lung crackles as an indicator of a potential complication and stop the infusion.

A nurse is caring for a client who has sickle cell anemia and is taking hydroxyurea. which of the following findings should the nrse report to a provider?

Hemoglobin 7.0 g/dL is correct.Platelets 75,000/mm3 is correct.Potassium 5.2 mEq/L is correct.

a nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives?

Carbamazepine (bipolar and epilepsy) carbamazepine causes an accelerated inactivation of oral contraceptives because of its action on hepatic medication-metabolizing enzymes.

methylprednisolone

Corticosteroid blood glucose levels will be monitored during therapy, avoid contact w people who have known infections, grapefruit juice can increase effects of medication

A nurse is administering baclofen for a client who has a spinal cord injurt. which of the following findings should the nurse document as a therapuic outcome?

Decrease in flexor and extensor spasticity A client who has a spinal cord injury and takes baclofen can experience a decrease in the frequency and severity of muscle spasms and in flexor and extensor spasticity.

A nurse is reviewing the medication administration record of a client who has hypecalcemia and a new prescription for IV calcium gluconate. the nurse should identify that which of the following medication can interact with calcium gluconate

DioxinThe nurse should identify that calcium gluconate can cause hypercalcemia, which increases the risk of digoxin toxicty.

hypomagnesium

Disorientation The nurse should monitor the client for disorientation and confusion as manifestations of hypomagnesemia. The nurse should also assess the client for a positive Chvostek's and Trousseau's signs.

Clordiazepoxide (Librium)

GAD, Alcohol Withdrawal, longest acting used for the prevention of DT

Graves disease

Graves disease is an autoimmune disorder that involves overactivity of the thyroid (hyperthyroidism). Hallmarks of the condition are bulging eyes (exophthalmos), heat intolerance, increased energy, difficulty sleeping, diarrhea and anxiety.

A nurse is assessing a client's vital signs prior to the administration of PO digoxin. The clients BP is 144/86, heart Rate is 55 and RR is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings

Heart Rate Digoxin slows the conduction rate through the SA and AV nodes, thereby decreasing the heart rate. the nurse should withhold the medication and notify the provider for a heart rate of 55/min because this is an early indication of dig toxicity.

A nurse is caring for a client who has heart failure and a prescription for enalapril. The nurse should monitor the client for which of the following findings as an adverse effect of the medication?

Hyperkalemia Enalapril improves cardiac functioning in clients who have heart failure and can cause hyperkalemia due to potassium retention by the kidneys.

A nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching?

I should tell my provider if I develop a sore throatThe client should report a sore throat to the provider because this can indicate neutropenia, a serious adverse effect of captopril. Neutropenia can be reversed if it is identified early and the medication is promptly discontinued.

A nurse is assessing a client who is taking tamoxifen to treat breast cancer. Which of the following findings is the priority fir the nurse to report to the provider

Leg tenderness The greatest risk to this client is the development of a thromboembolism, which is an adverse effect of tamoxifen. The nurse should also monitor the client for other manifestations of a thromboembolism, including leg tenderness, redness, swelling, and shortness of breath.

Cyclobenzaprine (Flexeril)

Muscle Relaxant It helps relieve pain, stiffness, and discomfort caused by strains, sprains, or injuries to your muscles.

heroin toxicity

Naloxone

A nurse is administered dogoxin immune fab to a client who received the incorrect dose of digoxin over a period of 3 days the nurse should id that which of the following findings indicates the antidote was effective?

Normal sinus rhythm Dysrhythmias are a life-threatening adverse effect of digoxin toxicity. The return of the heart to normal sinus rhythm indicates a therapeutic response to the antidote. Digoxin immune Fab is administered to a client who is experiencing severe digoxin toxicity. It binds with digoxin and works to reduce the client's blood digoxin level.

A nurse is monitoring for adverse effects of hydrochlorothiazide after administering the medication to an older adult client who has heart failure. Which of the following findings should the nurse id as an adverse effect of the med?

Orthostatic hypotension The nurse should identify that hydrochlorothiazide is an antihypertensive thiazide diuretic medication, which can cause orthostatic hypotension and light headedness. Therefore, the nurse should instruct the client to rise slowly when moving from a recumbent to a standing position.

A nurse is caring for a 20 year old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgarism. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required?

Pregnancy Test The nurse should instruct the client that isotretinoin has teratogenic effects; therefore, pregnancy must be ruled out before the client can obtain a refill. the client must provide two negative pregnancy tests for the initial prescription and one negative test before monthly refills.

A nurse is reviewing the ECG of a client who is receiving IV furosemide for HF. The nurse should identify which of the following as an indication of hypokalemia?

Presence of U waves The nurse should identify the presence of U-waves as a manifestation of hypokalemia, an adverse effect of furosemide

A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. which of the following instructions should the nurse include?

Report yellowing of the skin Famotidine can be hepatotoxic and cause jaundice. the nurse should instruct the client to monitor for and report yellowing of the skin or eyes to the provider.

A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication?

Sexual Dysfunction Sexual dysfunction, including a decreased libido, impotence, and delayed orgasm, or anorgasmia, is a common adverse effect of fluoxetine and occurs in about 70% of clients who take this SSRI antidepressant.

A nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry flavored lozenges on a stick. Which of the following information should the nurse include in the teaching?

Store unused medication sticks in a storage containerthe nurse should instruct the client to store unused, used, or partially used medication sticks in the safe storage container that comes in the kit when the medication is initially prescribed.

A nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse should report which of the following to the provider as a manifestation of neuroleptic malignant syndrome (NMS)?

Temperature of 39.7 (103.5) the nurse should report fever to the provider as an indication of NMS, an acute life-threatening emergency. Other manifestations can include respiratory distress, diaphoresis, and either hyper- or hypotension.

A nurse is caring for a client who repors lethargy and myalgia after taking clozapine for 6 months. Which of the followong actions should the nurse plan to take?

The client who takes clozapine can develop lethargy and myalgia caused by the adverse effect of agranulocytosis. Therefore, monitoring the WBC with absolute neutrophil count weekly for the first 6 months of treatment is recommended. After 6 months, monitoring can occur every 2 weeks up to 1 year.

A nurse is reviewing the medical record of a client who has schizophrenia and a prescription for clozapine. Which of the following laboratory tests should the nurse review before administering the medication?

Total Cholesterol The nurse should review the client's total cholesterol before administering clozapine, because this medication can cause hyperlipidemia

A nurse is teaching a client who is starting amtiriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the med?

Urinary retention The nurse should instruct the client that amitriptyline causes the anticholinergic effect of urinary retention.

Filgrastim

Used with neutropenia to increase production of neutrophils and decreases risk of infection. Usually for those on chemo Stimulates bone marrow to increase production of neutrophils Side effects: bone pain, leukocytosis, enlarged spleen Do not agitate vial Monitor CBC twice a week

A nurse is reviewing the laboratory results of a client who is taking carbamazepide for a seizure disorder. Which if the following findings should the nurse report to the provider?

WBC 3,500/mm3 MY ANSWERA WBC count of 3,500/mm3 is below the expected reference range of 5,000 to 10,000/mm3. Leukopenia is an adverse effect of carbamazepine. The nurse should report this finding to the provider and monitor the client for manifestations of infection.

Neostigmine

a drug that inhibits the activity of acetylcholinesterase treats myasthenia gravis a/e miosis, or constricted pupils,

gentamicin

a/e tinnitus

Cefazolin

antibiotic

Sulfamethoxazole and trimethoprim

antibiotic -drink lots of water

Ethinyl estradiol and norethindrone

birth control

Diltiazem

calcium channel blocker

beta-blocker

check HR and BP before administration

A nurse is caring for a client who has hypoclcemia and is receiving calcium citrate. the nurse should id that which of the following findings indicates a theraputic response to the meds?

client report of decreased paresthesia Paresthesia is a manifestation of hypocalcemia. A client report of a decrease in paresthesia is an indication of a therapeutic response to calcium citrate. The nurse should also monitor for a decrease in other manifestations of hypocalcemia, including muscle twitching and cardiac dysrhythmias

A nurse is caring for a client who has cancer and is taking morphine and docusate sodium. The nurse should instruct the client that taking the dosusate sodium daily can minimize which of the following adverse effects of morphine?

constipation

Report what to provider in AZ pt taking donepezil?

dyspnea

Nurse in ED is caring for pt whose family reported pt has taken large amounts of diazepam. What medication should nurse anticipate administering?

flumazenil benzodiazepine antagonist

Lithium...nurse should identify that the client should discontinue what over-the-counter medication?

ibuprofen no NSAIDS

Indication that propylthiouracil for Grave's disease is effective?

increase in the ability to focus

dopamine

increases cardiac output

stop heparin

low platelets

tamoxifen

monitor for hot flashes

Oxybutynin

muscle relaxant/ anticholergenic s/e dry mouth, blurred vision, dry eyes

Cholinergic Crisis

overdose of Pyridostigmine *TOO MUCH ACH* (skeletal muscle neurotransmitter) s/s: *hypotension* Cholinergic Toxicity: S-salvation L-lacrimation U-urinary stasis D-dizzy/diaphoresis/defication G-gi upset E-emesis Rx: *atropine* (increases HR) may need vent. Nursing: rest periods, avoid extreme temps, people with resp infections

Teaching plan for simvastatin should include:

report muscle pain to provider, avoid grapefruit juice, expect therapy with this medication to be lifelong

sodium polystyrene sulfonate

treatment for hyperkalemia monitor for constipation

Sucralfate

treats and prevent duodenal ulcers and other conditions as determined by your doctor. It works by forming a barrier or coat over the ulcer. This protects the ulcer from the acid of the stomach, allowing it to heal

Pt in labor...receiving oxytocin by continuous IV infusion w maintenance IV solution. The external FHR monitor indicates late decelerations. What action should nurses take first?

turn client to a side-lying position