CH,11-28
The client asks the nurse what the medical term for a slow heart rate is. Which response by the nurse is the most appropriate?
"Bradycardia."
The Centers for Disease Control and Prevention (CDC) recommends that travelers to malaria-infested areas receive prophylactic antimalarial drugs prior to and during their visit, and for 1 week after leaving. The client asks the nurse which medication will be prescribed for this. What is the best reply by the nurse?
"Chloroquine (Aralen)."
The nurse is providing instructions to a client being discharged on ciprofloxacin (Cipro). What should be included in the teaching?(Select all that apply.)
"Do not take with antacids.", "You might have some dizziness.", "Do not take with mineral supplements.", "Take the medication with non-caffeine beverages."
The nurse is discharging a client to home with a prescription for clarithromycin (Biaxin). Which statement by the client indicates understanding of the discharge teaching?
"I need to take the medication until it is gone."
Which of the following statements made by the client taking naproxen sodium (Aleve) indicates the need for further instruction?
"I should take this medication on an empty stomach."
The client is being discharged with nitroglycerin (Nitrostat). What should the nurse include in the client education?
"If your chest pain doesn't go away after three tablets, call 911; you might be havinga heart attack."
A client asks the nurse why an antidysrhythmic drug is not prescribed for prophylaxis. Which statement should the nurse include in the response?(Select all that apply.)
"Research studies have found that the use of antidysrhythmic medications for prophylaxis can actually increase patient mortality.", "Antidysrhythmics have the ability not only to correct dysrhythmias but also to worsen or even create new dysrhythmias."
The nurse is preparing to administer adenosine (Adenocard) to a client. What is the correct half-life for the medication?
10 seconds.
The nurse is providing care for a group of clients on a medical-surgical unit. Which client does the nurse anticipate as being at greatest risk for a serious fungal infection?
12-year-old client with a renal transplant
A client has been given an IM dose of an antibiotic at an outpatient clinic. How long will the nurse observe this client after medication administration?
20-60 minutes.
The nurse is preparing to administer Alteplase (Activase). In order for this medication to be effective in treating a thrombolytic stroke, when must the medication be administered?
3 hours
Prednisone has been prescribed for a client with inflammation. How long does the nurse anticipate the client will be taking this medication?
4-10 days
A client has been diagnosed with tuberculosis. How long does the nurse anticipate this client will require treatment?
6-12 months
The nurse is caring for a client who is experiencing cardiogenic shock after an MI. What is the rate of mortality for this client?
70-80 percent
The nurse is caring for a client who is experiencing acute inflammation. How many days should the nurse educate the client to expect symptoms to persist?
8 to 10 days
The nurse is caring for a client who is experiencing acute inflammation. How many days should the nurse educate the client to expect symptoms to persist?
: 8 to 10 days
A client has been taking high-dose aspirin (ASA) for pain. Which side effects would the nurse expect the client to experience?(Select all that apply.)
: Bleeding, Heartburn
A client has been prescribed propranolol (Inderal) for a dysrhythmia. Which side effects noted in the nursing assessment might be related to propranolol (Inderal)?(Select all that apply.)
: Bradycardia, Hypotension
A client has ordered a thrombolytic for treatment of CVA. The nurse knows that which type of stroke should NOT be treated with a thrombolytic?
: Hemorrhagic stroke
The nurse is caring for a client who is experiencing mild inflammation. Which treatment options does the nurse anticipate?(Select all that apply.)
: Ice packs, Rest, NSAIDs
What is the medical term for a defense mechanism that occurs in response to many different stimuli, including physical injury, exposure to toxic chemicals, extreme heat, invading microorganisms, or death of cells?
: Inflammation
The nurse is admitting a client to the floor with a protozoan infection. Which medication would the nurse expect the physician to order?
: Metronidazole (Flagyl)
The nurse is caring for a client receiving an aminoglycoside antibiotic, gentamicin, IV. Which adverse effect would the nurse report to the physician immediately?
: Ototoxicity
What is the earliest sign of shock that the nurse would monitor for during a routine assessment?
: Restlessness
A client has been prescribed diltiazem (Cardizem). The nurse should instruct the client to notify the physician if which side effects occur?(Select all that apply.)
: Systolic blood pressure is less than 90 mm Hg., Dizziness occurs when standing up quickly., Heart rate is less than 60 beats per minute.
A client has a heart rate of 130 beats per minute. How does the nurse plan to document this heart rate in the medical record?
: Tachycardia.
The nurse is discussing treatment for a superinfection with a client and family members. The family asks the nurse what a superinfection is. What is the best response by the nurse?
A secondary infection that occurs when microorganisms normally present in the body are killed by the drug, A drug-resistant infection
The client asks the nurse why an ACE inhibitor has been prescribed following a MI. What is the best response by the nurse?
ACE inhibitors have been found to reduce mortality following MI."
The nurse is caring for a client with a fever. Which medications are appropriate for the nurse to administer to this client?(Select all that apply.)
Acetaminophen (Tylenol), Ibuprofen (Advil), Aspirin (ASA)
The nurse is caring for a client with herpes simplex virus. Which medication would the nurse expect the physician to order for this client?
Acyclovir (Zovirax)
The nurse caring for a client who is prescribed biologic response modifiers to boost the immune response. Which medication does the nurse expect to find on the medication administration record (MAR)?
Aldesleukin (Proleukin)
Which of the statement is NOT correct regarding cephalosporins?
All cephalosporins are absorbed well from the GI tract.
The nurse caring for a client with a dysrhythmia understands the effects of which drug can last 4-8 weeks after the drug is discontinued because it has an extended half-life that can exceed 100 days?
Amiodarone (Cardarone)
A client has been prescribed penicillin (Penicillin G). Which serious adverse effect will the nurse monitor for upon assessment?
Anaphylaxis
The nurse is caring for a client who is experiencing a rapid release of histamine on a large scale throughout the body. What is the client experiencing?
Anaphylaxis
A client arrives in the Emergency Department with severe chest pain. What is the best explanation by the nurse to differentiate angina from a myocardial infarction?
Angina usually goes away with rest, and is rarely fatal, but a myocardial infarction requires immediate treatment, and can be life-threatening."
A client has been prescribed candesartan (Atacand) daily. What classification does this medication belong to?
Angiotensin-receptor blocker
The nurse is preparing to teach a client how to prevent influenza. What is the best approach for individuals to take to prevent influenza?
Annual vaccination
The nurse is caring for a client who has been prescribed an interferon. What effect does the nurse anticipate this medication will have on the client?(Select all that apply.)
Anti-inflammatory action, Slow the spread of viral infections
A client has been prescribed clopidogrel (Plavix). The nurse instructs the client that which types of drugs when taken in combination with Plavix can increase the risk for bleeding?(Select all that apply.)
Anticoagulants, Ibuprofen, Thrombolytic agents, Aspirin
The client is ordered to receive a cardiac glycoside. Which vital signs finding would make the nurse question administering this medication?
Apical pulse 55 beats per minute
The nurse is preparing to administer ketoconazole (Nizoral) to a client. What liquid can safely be administered with this medication?
Apple juice
The nurse is caring for a pediatric client who is experiencing a fever. Which medication is NOT appropriate for the nurse to choose when treating this condition?
Aspirin
A client presents in the Emergency Department with a suspected MI. Which medication should be given as soon as possible?
Aspirin (ASA)
What are the primary subclasses of antiplatelet agents?(Select all that apply.)
Aspirin (ASA), Adenosine diphosphate (ADP) receptor blockers, Glycoprotein IIb/IIIa receptor blockers
The client asks the nurse which OTC pain medications are used to treat inflammation. Which responses by the nurse are most appropriate?(Select all that apply.)
Aspirin (ASA), Ibuprofen (Advil), Naproxen sodium (Aleve)
The nurse is preparing to discharge a client on an antiretroviral agent. The client's spouse asks the nurse how she can best practice infection-control techniques. What techniques should the nurse discuss with the client's spouse?(Select all that app
Avoid the affected area., Practice good handwashing.
The nurse is caring for a client who is prescribed a bacteriostatic medication rather than a bacteriocidal medication. Which explanation by the nurse about these medications is most appropriate?
Bacteriocidal medications kill bacteria, and bacteriostatic medications slow the growth of bacteria.
A client has been prescribed a loop diuretic and instructed to eat foods rich in potassium. Which foods are rich in potassium?(Select all that apply.)
Bananas, Milk, Salmon
The nurse is treating a client who has been diagnosed with shock. What is the first step in treating this client?
Basic life support
A client has been prescribed a drug to prevent angina pain. What is the first type of medication prescribed to prevent angina?
Beta blockers
Which drug class has been found to decrease mortality if given within 8 hours of a MI due to a decrease in cardiac workload?
Beta-adrenergic blockers
A client has been taking high-dose aspirin (ASA) for pain. Which side effects would the nurse expect the client to experience?(Select all that apply.)
Bleeding, Heartburn
A client asks the nurse what the most common side effect of anticoagulant therapy is. What is the best response by the nurse?
Bleeding."
The client asks the nurse how most medications for dysrhythmias work. What is the best response by the nurse?
Blocking potassium, sodium, or calcium ion channels is the primary way to prevent or terminate dysrhythmias."
A client received the hepatitis B vaccine per job policy. The nurse teaches the client that the vaccine provides prophylaxis against exposure to the hepatitis B virus. How is the virus transmitted?
Blood
The client with digoxin (Lanoxin) toxicity might exhibit which symptoms?(Select all that apply.)
Blurred vision, Loss of appetite, Confusion, Bradycardia
The nurse is caring for a client who is experiencing anaphylaxis. The family asks the nurse why the client is having difficulty breathing. The nurse responds based on what knowledge?
Bronchoconstriction in response to the allergen
The nurse is caring for a client who is taking an antiviral medication. Which assessment might alert the nurse to possible bone marrow suppression?(Select all that apply.)
Bruising, Hematuria, Temperature of 102°F
A client is prescribed metronidazole (Flagyl). The nurse educates the client that this medication is prescribed to treat which disorders?(Select all that apply.)
CNS infections, Rosacea, Trichomoniasis, Amebiasis
The nurse is caring for a client who has been diagnosed with angina. Which drug classes are used to treat angina?(Select all that apply.)
Calcium channel blockers, Organic nitrates, Beta blockers
The physician has ordered a nonpharmacologic therapy for a client diagnosed with bradycardia. The nurse anticipates what to be ordered for this client?
Cardiac pacemakers
The client has been prescribed cefotaxime (Claforan). Which infections does the nurse anticipate this client to have?(Select all that apply.)
Central nervous system infection, Joint infection, Lower respiratory tract infection
Which of the following statements are true with regards to positive lifestyle changes?
Checking weight gain /loss., Practice a regular exercise plan., Attend a smoking cessation class., Exercise to reduce job stress. NOTE: could be either one"all are correct"
The nurse is describing angina to a family member of a client recently diagnosed with the condition. Which characterization of angina is the most appropriate?
Chest pain on physical exertion or emotional stress
A client enters the Emergency Department with suspected exposure to anthrax. The physician confirms this suspicion and orders the client an antibiotic. Which medication would the nurse expect the physician to order?
Ciprofloxacin (Cipro)
What is the correct medical term used to describe impaired blood flow in the coronary arteries?
Coronary heart disease
What side effect should the nurse include in the teaching session as the most common side effect of ACE inhibitor therapy?
Cough
The nurse is administering IV fluid to a client. Which fluid will require the nurse to monitor electrolyte values?
Crystalloids
The nurse is caring for a client who is experiencing shock. Which fluid replacement agents does the nurse anticipate will be used when providing care?(Select all that apply.)
Crystalloids, Colloids, Blood products
A client with Hodgkin's disease has been on long-term prednisone therapy. The nurse will assess this client for symptoms of which disorder?
Cushing's syndrome
A client complains of mild inflammation. Which medication would NOT be an appropriate choice to treat mild inflammation?
Cyclosporine (Neoral)
A client has been prescribed an immunosuppressant. The client asks the nurse, "Which of my medications is an immunosuppressant?" What is the most appropriate response by the nurse?
Cyclosporine (Neoral)
The nurse is caring for a client who underwent a kidney transplant. What medication does the nurse expect to administer?
Cyclosporine (Sandimmune)
A client has been prescribed a subcutaneous anticoagulant. Which anticoagulant can the nurse administer subcutaneously?(Select all that apply.)
Dalteparin (Fragmin), Enoxaparin (Lovenox)
The client with angina is being discharged to home. The nurse is instructing the client on dietary changes. What should be included in this teaching?
Decrease salt and fat intake and limit alcohol intake.
The nurse is caring for a client who was recently placed on anti-inflammatory drugs. What is the goal of treatment for this client?
Decrease the intensity of the inflammatory response.
Which disorders are associated with an increased risk for heart failure?(Select all that apply.)
Diabetes, Coronary artery disease, Chronic hypertension, Myocardial infarction
The nurse is caring for a client with tuberculosis. What does the nurse anticipate regarding this client's treatment?
Different combinations of two or more antibiotics
After assessing a client with allergic rhinitis, what medication does the nurse anticipate to administer?
Diphenhydramine (Benadryl)
A client with herpes lesions on the face asks the nurse which medication has been prescribed. Because a topical OTC cream has been ordered, what is the best response by the nurse?
Docosanol (Abreva), Acyclovir (Zovirax)
At low doses, which medication selectively increases blood flow to the kidneys?
Dopamine (Dopastat)
The nurse is preparing to administer dopamine (Dopastat) for a client who is experiencing cardiogenic and hypovolemic shock. Which effects does the nurse anticipate will occur?(Select all that apply.)
Effects depend on the dose., An increase of renal blood flow, An increase of cardiac output
The nurse is providing care to a client who is experiencing symptoms of life-threatening shock. Which drug does the nurse anticipate to administer to this client?
Epinephrine
Which vasoconstrictor drug is typically used for the treatment of anaphylaxis or severe allergic reactions?
Epinephrine
The nurse is admitting a client to the acute care floor. While obtaining the history, the client tells the nurse she is allergic to penicillin. Which medication, if ordered by the physician, would be safe for this client?
Erythromycin (E-Mycin)
The client is receiving digoxin for a dysrhythmia. Why does the nurse expect medication levels in the blood to be monitored closely?
Excessive levels can produce serious dysrhythmias.
A client is taking glucocorticoids for an extended period of time. The nurse would anticipate the client to display which physical signs upon assessment?(Select all that apply.)
Fat deposits on the shoulders, Moon face, Buffalo hump
A client asks the nurse to explain how a normal heart works. Which statement by the nurse should be included in client teaching?
For the heart to function properly, the atria must contract simultaneously, sending their blood into the ventricles.
A client is prescribed multiple medications for hypertension. The client asks the nurse which of the medications prescribed is a loop diuretic. Which response by the nurse is appropriate?
Furosemide (Lasix)
Which term is used to describe the stain of bacteria?
Gram-positive
The client has a dysrhythmia, and is started on a calcium channel blocker. What is the rationale for why this client is being treated with this type of medication?
Has a supraventricular dysrhythmia.
The client asks the nurse what common side effects of calcium channel blockers are. What should the nurse include in client teaching?(Select all that apply.)
Headache, Edema of lower extremities
A client is receiving a blood product. What should the nurse monitor for while the client is receiving this treatment?(Select all that apply.)
Hematuria, Dyspnea, Pruritus
What is the medical term for stopping of blood flow, an essential mechanism protecting the body from both external and internal injury?
Hemostasis
What is the medical term for immunity that is initiated when an antigen encounters a type of lymphocyte known as a B cell?
Humoral
A client is receiving norepinephrine (Levophed). The nurse knows vital signs must be continually monitored to watch for which effect?
Hypertension
The nurse is caring for a client who has a consistent elevation of arterial blood pressure. Which diagnosis does the nurse expect for this client?
Hypertension
The nurse teaches the client that which diseases are associated with dysrhythmias?(Select all that apply.)
Hypertension, Hyperkalemia, Myocardial infarction
A client has been prescribed a beta blocker for a dysrhythmia. Which side effects could be related to the beta blocker therapy?(Select all that apply.)
Hypotension, Bradycardia
Which statement indicates understanding of hypertensive therapy by the client?
I should take all medications as prescribed to control my high blood pressure."
The client with asthma has just been placed on a beta blocker for a dysrhythmia. What symptom should the nurse assessment this client for due to the beta blocker?
Increased asthma attacks.
The nurse is caring for a client who has been diagnosed with a virus. The client states that the healthcare provider referred to the illness by a different name. What term does the nurse anticipate that the healthcare provider used?
Intracellular parasites
A client is admitted with a systemic fungal infection. How does the nurse anticipate this infection will affect the client?
It affects internal organs.
The nurse is teaching a client recently prescribed digoxin (Lanoxin). Which teaching point indicates the correct primary action of this medication?
It increases the force of contraction.
A client has been prescribed furosemide (Lasix) for heart failure. What does the nurse know about furosemide (Lasix) in regards to its choice of treatment?
It is a first-choice pharmacotherapy.
A nurse is teaching her client about cyclosporine therapy following a recent liver transplant. Which of the following statements about cyclosporine is TRUE?
It may cause kidney damage and reduced urinary output., I can stop taking cyclosporine when I start feeling better.
The nurse is providing care to a client who is experiencing an allergic reaction. What initial, usual responses of the body to an antigen does the nurse anticipate?(Select all that apply.)
Itching with development of hives, Release of histamine and mast cells, Inflammation production, Antibody production
An inpatient client with COPD has been diagnosed with allergic rhinitis and is given an antihistamine. What is a priority for the nurse when providing care to this client?
Keeping resuscitative equipment accessible
The client asks the nurse why the nitrate patch needs to be off for 8 hours per day. What is the best response by the nurse?
Leaving the patch off for 8 hours per day helps to delay the development oftolerance."
A client who has a history of angina and hypertension now complains of fatigue, shortness of breath, and cough. Based on this assessment finding, what does the nurse suspect that the client might be developing?
Left-sided heart failure
The client has been started on propranolol (Inderal). What finding does the nurse expect?
Lowered heart rate
If the client is entering hypovolemic shock, the nurse anticipates which item to be a priority?
Maintenance of volume
What are the therapeutic goals for the pharmacotherapy of HIV/AIDS?(Select all that apply.)
Maximum suppression of viral load, Improve the quality of life., Prevent the transmission from mother to child in HIV-infected pregnant patients.
The nurse is caring for a client who is scheduled to receive several vaccinations. Which vaccine is an example of a live attenuated vaccine?
Measles, mumps and rubella vaccine
A client is prescribed multiple medications for hypertension. The client asks the nurse which of the medications prescribed is a beta blocker. Which response by the nurse is correct?
Metoprolol (Lopressor)
The nurse is admitting a client to the acute care unit with trichomonas vaginalis. What medication does the nurse anticipate will be prescribed for this client?
Metronidazole (Flagyl)
The anthrax vaccination has been licensed by the FDA for more than 30 years. The nurse knows that the Centers for Disease Control and Prevention recommends this vaccination for which populations?(Select all that apply.)
Military personnel, Laboratory personnel, Those who deal with imported animal products
A client has been prescribed several medications. Which medication is a beta blocker?
Nadolol (Corgard)
The nurse is caring for a client who is experiencing a hypertensive crisis. Which medication does the nurse anticipate, as it is the drug of choice for this condition?
Nitroprusside (Nitropress)
The nurse is admitting a client with a diagnosis of urinary tract infection. The physician has ordered an IV antibiotic. What is the priority prior to administering this medication?
Obtain a urine specimen for culture and sensitivity.
Vasodilators have limited use due to which side effects?(Select all that apply.)
Orthostatic hypotension, Reflex tachycardia
The client asks the nurse what are possible treatments for influenza. Which treatments should the nurse include in client teaching?(Select all that apply.)
Oseltamivir (Tamiflu), Amantadine (Symmetrel), Zanamivir (Relenza), Nystatin (Fungicidin)
A client presents with anaphylaxis. What treatment options are likely to be administered to this client?(Select all that apply.)
Oxygen, Albuterol (Ventolin), Diphenhydramine (Benadryl)
The client is receiving warfarin (Coumadin). Which laboratory result will the nurse monitor to evaluate the therapeutic response?
PT and INR
A client has been diagnosed with right-sided heart failure. What does the nurse expect to observe when assessing this client?
Peripheral edema
The nurse is caring for a client who has not responded well to other treatments for heart failure. Which drug class is used for 2-3 days when other drugs have failed?
Phosphodiesterase inhibitors
Which of the following IV fluids is not a crystalloid?
Plasma protein fraction (Plasmanate)
The client is caring for a client who is prescribed a thrombolytic drug. Which item is the client's history does not support the use of this medication?
Postoperative bleeding
Which disorders can cause an extra beat that often originates from a source other than the SA node?(Select all that apply.)
Premature ventricular contraction, Premature atrial contraction
Teaching parents the importance of maintaining up-to-date vaccinations is a dynamic responsibility for the nurse. What should the nurse stress the importance of when teaching about vaccinations?
Preventing illness
A client is receiving heparin (Heplock) therapy, and serious hemorrhage occurs. Which medication should the nurse administer to reverse the effects of heparin (Heplock)?
Protamine sulfate
The physician ordered a beta blocker for a client. The nurse checks vital signs for this client. Which vital sign would cause the nurse to question administering the medication?
Pulse 48 beats per minute
The nurse is caring for a client who has chronic angina. Treatment for the condition has been unsuccessful. Which medication does the nurse anticipate will be prescribed?
Ranolazine (Ranexa)
The nurse is preparing to discharge a client who will be taking an antiretroviral agent. Which symptoms will the nurse educate the client to discontinue the medication and inform the health care provider?(Select all that apply.)
Rash, Shortness of breath, Wheezing
The nurse is caring for a client who is experiencing inflammation. Which symptoms would the nurse expect to find upon assessment?(Select all that apply.)
Redness, Pain, Swelling
A client with HIV has been prescribed HAART. What is the best description that the nurse can provide to the client regarding the goal of this therapy?
Reduce the amount of HIV in the plasma to its lowest possible level.
Zidovudine (Retrovir) has been prescribed to a client with HIV. The client asks why blood needs to be drawn on a regular basis. What is the most appropriate response by the nurse?
Reduced numbers of red and white blood cells are common, and need to be monitored."
A client taking nitroglycerin (Nitrostat) for angina asks the nurse to explain possible side effects. What should be included in client teaching?(Select all that apply.)
Reflex tachycardia, Dizziness, Hypotension
A client presents with shock in the hospital, and has a history of a recent infection. What does the nurse suspect that this client is experiencing?
Septic shock
Nystatin (Mycostatin) has been prescribed for a client topically. What is the most common side effect the nurse will monitor for when administering this medication?
Skin irritation
The nurse is caring for a client with a dysrhythmia. The nurse anticipates this client may be placed on which classes of medications to treat dysrhythmias?(Select all that apply.)
Sodium channel blockers, Potassium channel blockers
A client asks the nurse to explain the difference between stable and unstable angina. What is the best response by the nurse?
Stable angina is predictable in its frequency, intensity, and duration. Unstable angina is when angina episodes become more frequent or severe, and occur during periods of rest."
The nurse is instructing a client who has been prescribed tetracycline (Sumycin). What should the nurse advise this client to avoid while taking this medication?
Sunlight
What is the correct medical term for dysrhythmias that originate in the atria?
Supraventricular
The client asks the nurse how bacteria become resistant to antibiotics. What should the nurse include in the response?(Select all that apply.)
The longer an antibiotic is used in the population and the more often it is prescribed, the higher will be the percentage of resistant strains., Prematurely stopping antibiotic therapy allows some pathogens to survive and become resistant to antibiotics.
A client taking nitroglycerin (Nitrostat) complains of a headache. Which conclusion is most appropriate by the nurse?
The most common side effect of nitroglycerin is headache.
The nurse is caring for a client who is diagnosed with a highly virulent organism. The client's family asks you what this means. What is the best response by the nurse?
The organism produces disease when present in small numbers.
A client with cardiac rhythm disturbance is hospitalized during the initial stage of antidysrhythmic therapy. What is the best explanation to the client about the need for hospitalization?
The safety margin of dosing is very narrow.
The nurse is teaching a client about body defenses. Which defenses should the nurse include in the teaching when referring to innate defenses?
The skin
What is the appropriate definition of cardiac output?
The volume of blood pumped per minute
A client is diagnosed with leukemia. What should the nurse teach this client regarding vaccinations?
They are contraindicated because of a weak immune system.
An adult client is receiving hepatitis B (Engerix-B) injections. The nurse anticipates that the client will receive these injections on which schedule?
Three doses, with the second dose 30 days after the first and the final dose 6 months after the first
During the latent phase of HIV infection, why are antiviral medications prescribed?
To delay onset of acute symptoms and the development of AIDS
The nurse is administering norepinephrine (Levophed) to a client in shock. What is the most appropriate rationale for administering this medication?
To produce vasoconstriction
Following a stroke, a client has been started on clopidogrel (Plavix). Why is this medication being administered?
To provide antiplatelet activity in patients who cannot tolerate aspirin
A sputum culture has been collected and sent for culture and sensitivity. The physician orders a broad-spectrum antibiotic. What is the reason this medication is being ordered?
Treatment for severe infections is started on broad-spectrum antibiotics while the culture is pending and then changed to a narrow-spectrum antibiotic.
The nurse is admitting a client to the acute care floor with methicillin-resistant S. aureus. The nurse would expect the physician to order which medication for this client?
Vancomycin (Vancocin)
A client has not responded to IV fluids to raise blood pressure. Which medication does the nurse anticipate will be ordered?
Vasopressors
The client is receiving milrinone (Primacor). Which side effect is potentially life-threatening for this drug?
Ventricular dysrhythmia
A client receiving warfarin (Coumadin) therapy has an INR of 5.6. Which medication would the nurse expect the physician to order to reverse the warfarin (Coumadin)?
Vitamin K
The nurse is preparing discharge instructions for a client who will be taking penicillin G. The client tells the nurse she is also taking birth control pills. What is the nurse's best response?
You will need to use another form of contraception while taking the antibiotic and for at least one month after you finish treatment."
