Pharmacology - CH 3

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A client who regularly takes antihistamines for severe allergies is planning a tropical vacation. What health education related to drug therapy should the nurse provide?

"Avoid sightseeing during the hottest part of the day."

A nurse is providing teaching to a group of clients who are beginning drug therapy for human immunodeficiency syndrome (HIV). What should the nurse teach the group?

"Make sure not to take more than prescribed, because poisoning can cause damage to more than one body system."

The nurse should consider teratogenic effects when caring for what clients? Select all that apply

-A 29-year-old client receiving prenatal care in her first trimester of pregnancy -A 37-year-old female client who is taking fertility drugs

A client with seasonal allergies is taking an OTC antihistamine to relieve itchy, watery eyes, and a runny nose. When planning teaching for this client, the nurse would include what teaching point?

Avoid driving or operating machinery.

The nurse is caring for a client receiving an antineoplastic medication who reports fever, chills, sore throat, weakness, and back pain. The nurse should recognize the possibility of what adverse effect?

Blood dyscrasia

A client in distress is brought to the emergency department by ambulance. Emergency medical technicians state that an anaphylactic reaction from oral penicillin is suspected. Which of the nurse's assessment findings best supports this diagnosis?

Blood pressure: 186/100 mm Hg, shortness of breath

The nurse is assessing a client new to the clinic. The client says she is allergic to penicillin. What action should the nurse do next?

Continue to assess the client for other allergies

A client presents at the clinic reporting vaginal itching and a clear discharge. The client reports to the nurse that she has been taking an oral antibiotic for 10 days. What is the nurse's best action?

Educate the client about the likelihood of a superinfection caused by destruction of normal flora

The nurse is caring for a client who has been taking potassium-sparing diuretic. What assessment finding would suggest an adverse reaction?

Heart rate of 47 beats/minute

A nurse is planning client teaching about a newly prescribed drug. What teaching point should the nurse provide to best improve adherence and safety?

Measures to alleviate any discomfort associated with adverse effects

An older adult who has been taking a macrolide antibiotic has developed auditory nerve damage. What instructions should the nurse provide for the family regarding home care?

Provide protective measures to prevent falling or injury.

The caregiver of an older adult client with ischemic heart disease tells the nurse that the client is only taking around half of the prescribed dosage of several medications. What possible effect should the nurse explain when providing health education?

Reduced therapeutic effect

The nurse is assessing a client whose asthma is being treated with ephedrine. What assessment finding should the nurse attribute to a possible adverse reaction?

The client feels cold despite the room being warm

A client with Parkinson's disease has been prescribed an anticholinergic medication. The client reports that he is having difficulty voiding. The nurse should recognize that this client is experiencing

a secondary action of the drug.


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