Pharmacology

A client with DM asks, "What do I do if I miss my breakfast dose of insulin?" Which recommendation does the nurse make?

-Contact your HCP if you're ever unsure -Take the usual dose if the missed dose is caught within 2 hrs -If it's been longer than 2 hrs, check your BGL to determine the insulin dose needed

The nurse recognizes which symptom is an early sign of lithium toxicity?

-Fine motor tremors -N/V -diarrhea

The RN provides care for a client dx with atherosclerosis. Which client statement about clopidogrel requires follow-up by the RN?

-This medication may cause my BP to be low -I play racquetball 3x each week for exercise -I need to go back to the HCP next year

The RN provides care for a client receiving haloperidol. The RN anticipates which adverse effects?

Blood dyscrasias and EPS

A client develops an infection and receives ceftriaxone sodium IV every day. It is most important for the nurse to monitor for what change?

Bloody, loose stools

The nurse provides care for a client 24 hrs after admission. The client's spouse reports that the client drinks a fifth of vodka a day. The RN notifies the HCP that the pt. is restless, agitated and irritable. The HCP prescribes chlorpromazine 25 mg IM. Which action does the nurse take first?

Contact the HCP

The nurse provides care for a client receiving chlorpromazine. The client is restless and unable to sit still, reports insomnia, and has fine tremors of the hands. Which does the nurse identify as the best explanation of these symptoms?

Extrapyramidal adverse effects resulting from the med

The HCP prescribes naproxen sodium to an older adult client. The nurse assesses the client for which symptoms?

Fluid retention and dizziness

The HCP prescribes hydromorphone hydrochloride 1.5 mg IM for the client. The RN observes for which adverse effects?

Hypotension and resp distress

A client evaluated for infertility is prescribed clomiphene citrate 50 mg daily for 5 days. The client asks the nurse how the med works. Which response by the nurse is best?

It induces ovulation by changing hormonal effects on the ovary

The nurse reviews D/C instructions for a client who was prescribed oral hydrocortisone as a replacement for cortisol. The nurse recognizes teaching was successful if the client makes which statement about the action of this medication?

It manages how my body uses proteins and fats for energy

The RN provides care for a client dx with recurrent UTI. The client is given a prescription for ciprofloxacin. The RN instructs the client to avoid the consumption of what fluid?

Milk

The nurse knows which mild altering drugs are most often associated with increased risk of HIV infection related to IV drug use?

Opiates

The nurse provides care to a school-aged child diagnosed with pediculosis capitis (head lice) treated with permethrin 1% cream rinse. The nurse includes which info when instructing the child's parents?

Repeat the application of the cream rinse in 7 days if the nits are still present

The HCP prescribes lithium carbonate 300 mg PO 4x daily for an adult client. The nurse instructs the client to maintain an adequate intake of what substance?

Sodium

A client dx with angle-closure glaucoma has a Hx of HTN. Which medication prescription does the nurse question?

Tetrahydrozoline 2 drops in each eye 3x day

Promethazine hydrochloride 25 mg IV push has been prescribed for a client. Before administering this medication, the nurse makes which assessment?

The patency of the client's vein and IV line

The HCP prescribes estrogen 0.625 mg daily for an adult. The nurse questions the prescription due to a Hx of which client condition?

Thromboembolism

The HCP prescribes mannitol IV for the client with a closed head injury. Which response does the nurse recognize as the desired outcome?

Urinary output increased to 175 ml/hr

The nurse is to administer oral verapamil to the client. Which data does the nurse assess before administering the med?

Weight