pharm test 3

further teaching for lithium carbonate (Eskalith) is needed when...

"i will be sure to remain on low sodium diet)

indication pt needs further teaching about alprazolam

"i will stop taking the med when i feel less anxious"

pt who is on Fluoxetine (prozac) understands when they say...

"it may take up to one month for full effectiveness"

A client with a peptic ulcer is diagnosed with H. Pylori infection. The nurse is teaching the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement made by the client indicates the best understanding of the medication regimen?

"the medications will kill the bacteria and stop the acid production"

further teaching of Chlorpromazine is needed when....

"there is no problem if i want to drink alc on weekends"

The nurse has given instructions to a client who has been prescribed cholestyramine. Which statement by the client indicates a need for further instruction?

"this medication should only be taken w water"

The nurse determines the client needs further instruction on cimetidine if which statements were made? Select all that apply.

- "i will take the cimetidine with my meals" - "ill know the medication is working if my diarrhea stops" - "i will notify my health care provider if i become depressed or anxious"

A hospitalized patient is started on phenelzine for the treatment of depression. The nurse should instruct the client that which foods are acceptable to consume while taking this medication?

-crackers -tossed salad

pt is on vincristine (oncovin) as one of their chemotherapy regimens, what does nurse need to monitor

-numbness of hands or feet -diminished reflexes -constipation

Meperidine has been prescribed for a client to treat pain. Which side and adverse effects should the nurse monitor for?

-tremors -drowsiness -hypotension

adverse effect for Lorazepam

Ataxia

A client with schizophrenia has been started on medication therapy with clozapine. The nurse should assess the results of which laboratory study to monitor for adverse effects form this medication?

WBC count

nurse is administering cyclophosphamide (cytoxan) and knows the pt will experience a nadir in 9-14 days, what lab values will indicate the nadir

WBC count and absolute neutrophil count

The prescriber orders sucralfate (Carafate) for a client with peptic ulcer disease. The nurse should question the order if the client is concurrently taking:

aluminum salt antacids

A client has an as needed prescription for loperamide hydrochloride. For which condition should the nurse administer this medication?

an episode of diarrhea

The nurse who is caring for a client with gastroesophageal reflux disease should question the order for which drug?

antibiotics

A client's medication sheet contains a prescription for sertraline. To ensure safe administration of the medication, how should the nurse administer the dose

at the same time everyday

A client is scheduled for discharge and will be taking phenobarbital for an extended period. The nurse would place highest priority on teaching the client which point that directly relates to client safety?

avoid drinking alcohol while taking medication

An older client has recently been taking cimetidine. The nurse monitors the client for which most frequent central nervous system side effect of this medication?

confusion

The nurse is performing a follow-up teaching session with a client discharged 1 month ago. The client is taking fluoxetine (Prozac). Which information would be important for the nurse to obtain during this client visit regarding the side and adverse effects of the medication?

gastrointestinal dysfunctions

Carbidopa-levodopa is prescribed for a client with Parkinson's disease. The nurse monitors the client for side and adverse effects of the medication. Which findings indicates that the client is experiencing an adverse effect?

impaired voluntary movements

nursing care for pt who is several days after bowel surgery and taking hydromorphone (diludid) for pain

increase dietary fibers and fluids and add stool softener

The nurse is describing the medication side and adverse effects to a client who is taking oxazepam. Which information should the nurse incorporate in the discussion?

increase fluids and bulk in diet

priority activity for chemotherapeutic agent that is known vesicant

iv site for swelling and pain

what lab values would alarm and prompt nurse to implement protective isolation measures of a pt who is reaching chemotherapy

low neutrophil count

nurse needs to monitor for what when pt is taking dantrolene sodium (dantrium)

muscle weakness

subsequent rounds of chemo may be delayed due to what

myelosuppression

A client has an as needed prescription for ondansetron. For which condition(s) should the nurse administer this medication?

n/v

A client who has been taking buspirone for 1 month returns to the clinic for a follow-up assessment. The nurse determines that the medication is effective if the absence of which manifestation has occurred?

rapid heartbeat or anxiety

A client has begun medication therapy with pancrelipase. The nurse evaluates that the medication is having optimal intended benefit if which effect is observed?

reduction of steatorrhea

A client who uses NSAIDs has been taking misoprostol. The nurse determines that the misoprostol is having the intended therapeutic effect if which finding is noted?

relief of epigastric pain

adverse effect that is highest priority when taking sedative-hypnotic

risk for falls

pt is receiving carboplatin (paraplatin) and filgrastim (neupogen), what will the nurse teach pt filgrastim is used for

shortens duration of neutropenia and associated infection risk related to the carboplatin

A client is taking the prescribed dose of phenytoin to control seizures. Results of a phenytoin blood level study reveal a level of 3 mcg/mL (140 mcmol/L). Which finding would be expected as a result of this laboratory result?

slurred speech

taking antipsychotic as prescribed is important bc

symptoms of psychosis are likely to return if med is withdrawn

The nurse notes that a client with schizophrenia and receiving and antipsychotic medication is moving her mouth, protruding her tongue, and grimacing as she watches television. The nurse determines that the client is experiencing which medication complication?

tardive dyskinesia

pt understands important principle of chemo when they say

the use of multiple chemotherapy drugs affects different stage of the cancer cells life cycle

The home health nurse visits a client who is taking phenytoin for control of seizures. During the assessment, the nurse notes that the client is taking birth control pills. Which information should the nurse include in the teaching plan?

there is the potential of decreased effectiveness of birth control pills while taking phenytoin

A client taking lithium reports vomiting, abdominal pain, diarrhea, blurred vision, tinnitus, and tremors. The lithium level is 2.5 mEq/L. The nurse plans care based on which representation of this level?

toxic

pt started on doxorubicin (adriamycin) for chemo, what does nurse need to make sure happens

use daily mouth rinses as prescribed

what drug will help w tremors a pt who is on levodopa is experiencing

Benzotropine (cogentin)

how to know the antiparkinson med is working

"i can shower by myself"

what pt on opioids is at highest risk for hypotension, respiratory depression ,and confusion

86 male post op femur fracture

A client with myasthenia gravis has become increasingly weaker. The health care provider prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or an increasing severity of the disease. An injection of edrophonium is administered. Which finding would indicate that the client is in cholinergic crisis?

a temporary worsening of the condition

The nurse is scheduling the client's daily medication. When would be the most appropriate time for the client to receive proton pump inhibitors?

about 1/2 hour before a meal

most appropriate teaching for pt who has prostate cancer and is experiencing mucositis

bland diet and soft toothbrush

The client has developed severe diarrhea following 4 days of self-administered antacid preparation. The nurse suspects that the diarrhea may be caused by which type of antacid?

magnesium compounds

A client with Chron's disease is scheduled to receive an infusion of infliximab. What intervention by the nurse will determine the effectiveness of treatment?

checking the frequency and consistency of bowel movements

A client has been taking omeprazole for 4 weeks. The ambulatory care nurse evaluates that the client is receiving the optimal intended effect of the medication of the client reports the absence of which symptom?

heart burn

purpose of combining Lidocaine (Xylocaine) w epinephrine is

decrease bleeding at site of trauma

The client is taking diphenoxylate with atropine (Lomotil). The nurse monitors for which of the following to determine whether the client is having a therapeutic effect from this medication?

decrease in loose, watery stool

administer what to abort pt migraine attack

dihydroergotamine (migranal)

pt receiving phenytoin (dilantin) is experiencing nystagmus, confusion, and ataxia, what should happen

drug be reduced

question order of Phenobarbital (luminal) if client has ....

panic disorder

A client has a new prescription for metoclopramide. On review of the chart, the nurse identifies that this medication can be safely administered with which condition?

vomiting following cancer chemotherapy