Pharm CMS study guide
what are the adverse effects of clopidogrel?
G.I. bleeding coffee ground emesis black tarry stool ecchymosis
A nurse is assessing a child who has acute lymphocytic leukemia and is receiving vincristine sulfate. which of the following findings is the nurse's priority?
Paresthesia- sign of neurotoxicity
A nurse is teaching a client who has a prescription for chenodiol for treatment of gallstones. which of the following client statements indicates an understanding of the teaching?
chenodiol- can cause liver injury and hepatoxicity, so the client needs to have periodic LFTs done during treatment and Don't give to preexisting liver conditions.
A nurse is providing teaching for a client who has hypertension and a new prescription for oral clonidine. which of the following instructions should the nurse include in the teaching?
clonidine- causes drowsiness so avoid alertness types of activities
A nurse is monitoring a client who is receiving lactulose for cirrhosis. What lab value related to this medication should indicate to the nurse that the treatment is effective?
decreased serum ammonia
A nurse reviewing a patients lab results and labs show elevated ALTs and ASTs the nurse should recognize this as what condition?
hepatic toxicity
A nurse in a providers office is reviewing a client's medication HX. The client ask the nurse if she should begin taking high dose vitamins as she is ages. which of the following pieces of information should the nurse provide about high doses of vitamin supplements?
high doses of water-soluble vitamins can have an adverse effect
what is the difference between estradiol cream and oral estradiol regarding adverse effects?
oral estrogen can cause serious systemic effects
a nurse should instruct a patient to apply the estradiol patch?
place on abdomen never on breast
therapeutic effects of estradiol cream?
should be used 1-3 times a week relief of vaginal atrophy can decrease the risk of osteoporosis and bone loss
A nurse is reviewing the medication hx of a client who has asthma . which of the following medication combinations should the nurse identify as incompatible?
theophylline and zileuton- combination of these two can lead to toxicity
how should low-dose Furosemide (40mg) IV bolus be given?
undiluted over 2mins= 20mg/min
Which measurement do we use to calculate a pediatrics medication dosing?
weight
