PHarm Comp Review

A nurse is preparing to administer haloperidol or Haldol 5 mg intramuscularly to a client patient. Available is haloperidol 20 mg per ML. How many ML sure the nurse administered? Round to the answer round the answer to the nearest hundredth.

0.25mL

A nurse is caring for a client who is to receive 2000 units of heparin via IV bolus. Available is five units per milliliter of heparin. How many milliliters should the nurse administered? Round to the nearest 10th.

0.4mL

A nurse is preparing to administer 250 mg of an antibiotic intramuscularly. Available is 3 g per 5 mL. How many milliliters should the nurse administer to this particular client? Round to the nearest 10th.

0.4mL

A client is to receive 500 mg of an antibiotic via IV bolus every six hours. Available is 2 g per5 mL after reconstitution with sterile water. How many milliliters should the nurse withdraw from the vile for each does and add to the secondary infusion bag? Round to the nearest hundredth

1.25mL

A nurse is preparing to administer hydrocodone/acetaminophen or Lortab 5 mg. Is it it is available in 7.5 mg 500 mg 15 ML elixir. How many milliliters should the nurse administer?

10 mL

A provider prescribes dextrose 5% and water IV to infuse at 100 mL per hour. The drop factor on the manual IV tubing is 60 drops per ML. The nurse should set the IV flow rate to deliver how many drops per minute? Round to the nearest whole number.

100 drops per min

A nurse is teaching a class about safe medication administration. The nurse should include in the teaching that which of the following references are acceptable for safe medication administration? Select all that apply. A website that ends in.com. Publish journals. Pharmacist. Physicians desk reference. Pharmaceutical sales rep.

2,3,4

Aquinas to receive 1200 ML's of 0.9% sodium chloride IV over the next 24 hours. The nurse plans to use IV tubing with the drop factor of 15 drops per ML. How many drops per minute of IV fluid should this client receives

12.5 drops per min

A provider prescribes lactated ringer solution IV to infuse at 120 ML's per hour for a client who has a respiratory disorder. The drop factor on the manual IV tubing is 60 drops per ML. The nurse should set the IV fluid rate to deliver how many drops per minute? Round to the nearest whole number.

120 drops per min

A provider prescribes 40 MEQ of potassium chloride to be infused in 500 mL of dextrose 5% in water at the rate of 10 M eat use per hour. The nurse should set the IV pump to deliver how many milliliters per hour to this particular client? Round to the nearest whole number.

125 mL/hr

A client with a severe infection is prescribed IV Vanco myosin 1 g in 250 mL D5W over two hours. The nurse should said that IV pump to infuse how many milliliters per hour.

125 ml/hr

A nurse is caring for a client who has a prescription for DIGOXIN 0.25 mg by mouth daily. The amount available is DIGOXIN 0.125 mg tablets. How many tablets should the nurse administered to this client? Round to the nearest whole number.

2 taba

A nurse has received a new order. The order reads amoxicillin 250 mg by mouth every eight hours the pharmacy has 125 mg chewable tablets in stock. How many tablets will the nurse administer?

2 tabs

A nurse is caring for a client who has an IV fluid prescription for 1000 mL of lactated ringer's followed by 1000 mL of dexterous 5% in 0.9% sodium chloride, then followed by 1000 mL of dexterous 5% and water. The three solutions are to infuse over a 24 hour. The drop factor on the manual IV tubing is 10 drops per milliliter. The nurse should adjust IV flow rate to deliver how many drops per minute?

21 drops per min

The client is prescribed an IV infusion of D5 1/4 Ennis at 150 mL per hour. There are no IV pumps available so the nurse must hang the solution on gravity flow to be. The tubing does have a drop factor of eight drops per milliliter. The nurse should adjust the IV to run at how many drops per minute?

25 drops per min

A provider prescribes 2 g of the medication to give to a client in eight divided doses over the next 24 hours how many milligram should the nurse administer for each dose?

250 mg

A Klein is prescribed 50 mg of chlorpromazine or Thorazine intramuscularly. The medication is just been by the pharmacy and vials labeled 25 mg/mL. How many milliliters should the nurse administer?

2ml

A nurse is preparing to administer Jackson or Lanik STON10 MCG per KG to a client who weighs 209 pounds. The medication is available as 0.5 MG per ML. How many ML's should the nurse administer? Round to the nearest whole number

2ml

A nurse is preparing to administer potassium chloride. The provider prescribes potassium chloride 20 MEQ suspension by mouth daily. The bottle is labeled potassium chloride elixir at 10 Amy Kuiper ML. How many milliliters should the nurse administer.

2ml

A nurse is preparing to administer aspirin 10 g by mouth. Available is aspirin 325 milligram tablets. How many tablets should the nurse administer question mount round to the nearest whole number

31?

A nurse is preparing to administer Ancef 1 g in dextrose 5% water zero 100 mL over 30 minutes that IV tubing drop factor is 10 drops per milliliter. The nurse should administer the medication at how many drops per minute? Round your answer to the nearest whole number.

33 (or 34) drops per min

A postoperative patient is prescribed an IV infusion of the five ringers lactate at 120 ML's per hour. The tubing has a drug factor of 20 drops per ML. The nurse should set the IV flow rate or how many drops per minute.

40 drops per min

A client is prescribed an IV drip medication to infuse at four MCG per minute to maintain the diastolic blood pressure of less than 80. The solution strength is 6 mg in 1000 mL 5% dextrose in water. Calculate the rate of infusion in milliliters per hour.

40ml/hr

A nurse received a new prescription from the provider which reads give 14 units of regular insulin and 28 units of long acting insulin to be given subcutaneously at breakfast hour. What is the total number of units of insulin that the nurse will prepare in the insulin syringe.

42 units

A nurse receives a new prescription from the provider which reads give 14 units of regular insulin and 28 units of long acting insulin to be given subcutaneously at breakfast hour. What is the total number of units of insulin that the nurse will prepare in the insulin syringe

42 units

A nurse is caring for a client who is 6 feet tall and weighs 190 pounds and has a body surface area of 2.1. The client is prescribed Platinol or cisplatin. The appropriate dose for this medication is 20 mg/m². How many milligrams is an appropriate dose to administer to this particular patient?

42mg

Calculate the drops per minute of an IV bolus of have 500 mL of lactated ringer's to be infused over three hours using IV tubing that has a 20 drop per ML rate

55.5 drops per min (56)

A nurse is preparing to administer amoxicillin 300 mg by mouth. What is available is amoxicillin 250 mg per 5 mL dose. How many milliliters should this nurse administered to the patient use whole numbers.

6mL

A nurse is administering a unit of rbc which is 350 ML's to a client who has low hemoglobin. You fusion rate of the unit of blood is started at 42 drops per minute and a drop factor of the IV tubing is 10 drops per milliliter. Calculate the number of minutes to infuse this blood. Round to the nearest whole number.

83 min (84 to get it all)

A nurse is preparing to infuse 10,000 units of heparin to infuse in 100 mL of dextrose 5% in water at a rate of 800 units per hour for a client who has deep vein thrombosis. The nurse should set the IV pump to deliver how many milliliters per hour to this client? Round to the nearest 10th.

8mLs per hour

A nurse is teaching a client who has a new prescription for alprazolam to treat insomnia. Which of the following instruction should the nurse include? Take this medication every night before sleep. Take this medication with a high-fat meal. Avoid activities that require alertness such as driving. Monitor for urinary retention.

A client should avoid activities that require alertness as diazepam is a benzodiazepine that causes sedation and dizziness. Note that fatty foods reduce the absorption of this medication. This medication does not typically cause urinary retention. This medication should only be taken intermittently such as three or four nights a week in order to prevent physical dependence.

A nurse is caring for a client who has E. coli infection in a prescription for gentle myosin at 5 mg per kilogram per day by intermittent IV bolus every eight hours. Which of the following manifestations indicate the client is experiencing a gentle myosin toxicity issue? Select all that apply. Insomnia. Tinnitus. Dizziness. Restlessness. Xerostomia

A client with a gentamycin toxicity is at risk for neurotoxicity in clinical manifestations include ringing of the ears and complains of dizziness.

A nurse is caring for a client who has a bacterial infection and is receiving gentle myosin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication? Limit the clients fluid intake. Instructed client to report agitation. Monitor the medication levels. Administer the medication with food.

A disadvantage of this medication which is in aminoglycoside is the association with nephro and otoxicity both of which are a result of elevated trough levels. Monitoring the Sarah medication levels is an important action to minimize the risk of an adverse effect.

A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication? Tinnitus. Muscle pain. Hyperglycemia. Jaundice.

Acetaminophen can cause hepatotoxicity. The client should monitor and report jaundice, abdominal pain, clay colored stools, and or a fever.

A nurse is caring for a client who is in her third trimester of pregnancy. The client asked the nurse about over-the-counter medications. The nurse should recognize which of the following medications is a pregnancy risk category B? Naproxen. Acetaminophen. Aspirin. Ibuprofen.

Acetaminophen is a pregnancy category risk be. However the client who is pregnant should not take over-the-counter medications without consulting the provider. Note that naproxen is a category C and should not be used by clients who are pregnant. Aspirin and ibuprofen are both pregnancy risk category D patients and should be avoided by patients in the third trimester of pregnancy

Understand it to limit your unit is caring for a client who has unstable angina and his reporting chest pain with the severity of six on a 1 to 10 scale. The nurse administers one sub lingual nitroglycerin tablet. After five minutes the client states that his chest pain is now the severity level of two. Which action should the nurse take? Administer another nitroglycerin tablet. Initiate a peripheral IV. Call the rapid response team. Obtain an ECG.

Administration guidelines for sub lingual nitroglycerin indicate that it is appropriate to administer another tablet five minutes after the first one and even after the second one if the client is still reporting pain.

A nurse is preparing to administer NALBUPHINE to the postoperative client was experiencing pain. The nurse should monitor the claim for which of the following potential adverse effects of this medication? Miosis. Joint pain. Diarrhea. Oligoria.

Adverse effects of this medication include visual disturbances such as meiosis, blurred vision, and diplopia. it can also cause headaches and abdominal cramps. It can also cause headaches, urinary urgency, constipation, cramps, and abdominal pain.

A nurse is caring for a client who has developed agranulocytosis as a result of taking pro pillow thiouracil to treat hyperthyroidism. The nurse should understand that his client is at increased risk for which of the following conditions? Excessive bleeding. Ecchymosis. Infection. Hyperglycemia.

Agranulocytosis is a failure of the bone marrow to make a Knouff white blood cells, causing neutropenia and lowering the body's defenses against infection.

A nurse is teaching a client who has a new diagnosis of asthma. Which of the following medication should the nurse instruct the client to use to abort in acute asthma attack? Beclomethasone. Salmeterol. Formoterol. Albuterol.

Albuterol is an inhaled short acting beta two agonist used as a rescue medication to relieve an acute asthma attack. albuterol dilates the airways decrease his wheezing and improves oxygenation. Beclomethasone is used on a fix schedule in order to reduce inflammation and prevent acute asthma tax but are not appropriate in this particular case. The other two medications or inhaled long term or long acting beta two agonist there also used on a fix schedule in order to reduce inflammation and prevent an acute asthma attack

A nurse is caring for a client who has developed go out. Which of the following medication should the nurse prepared to administer? Zolpidem. Alprazolam. Spironolactone. Allopurinol.

Allopurinol is it xanthene oxidase inhibitor that reduces uric acid synthesis. The medication is prescribed to treat gout. Sparano lactone is an aldosterone antagonist that works as a potassium sparing diuretics. It is used to treat Edema and hypertension. Alprazolam is a benzodiazepine that is prescribed to treat anxiety. Zolpidem is a sedative hypnotic that is used to treat insomnia.

A home health nurse is assessing an older client who reports falling a couple times over the past week. Which of the following findings should the nurse expect is contributing to the clients Falls? This patient takes alprazolam. The client has a nonslip bathmat and his shower. The client uses a raise toilet seat. The client where is fitted slippers.

Alprazolam is a CNS depressant that can cause dizziness and orthostatic hypotension a side effects this obviously can cause a client to lose balance and fall. All of the other indicators actually reduce the risk of a client falling in the home.

Under the TV a client who has a new prescription for aluminum hydroxide to treat heartburn. The nurse should instruct the client to monitor for any report which of the following adverse reactions? Constipation. Flatulence. Palpitations. Headache.

Aluminum hydroxide can cause constipation. The nurse should tell the client to increase her fluid and fiber intake in order to reduce the risk for constipation. Please note that flatulence is typically caused by calcium containing antacid. Dysrhythmias are caused by a cement to Dihn. Headaches are typically caused by proton pump inhibitor's.

A nurse is assessing a client who is taking oxacillin to treat an infection. The nurse should recognize which of the following findings is a manifestation of an allergic reaction? PRURITUS. Diarrhea. Dark urine. Fever.

An allergic reaction is an immune response I can manifest as itching or hives and can progress to anaphylaxis.

A nurse is assessing a client who is receiving a parental lipid infusion. Which of the following findings is a manifestation of fat overload syndrome? Elevated temperature. Hypertension. Peripheral Edema. Errhythmia at the insertion site.

An elevated temperature is an early manifestation of fat overload syndrome. The client is at risk for coagulopathy and multi organ system failure due to fat overload syndrome.

A nurse is assessing a client who is receiving Leo thyronine for treatment of hypothyroidism. The nurse should recognize which of the following findings is a therapeutic response to this medication.? Decrease in appetite. Increase in weight. Increase in energy. Decrease in body temperature.

An increase in energy is a therapeutic response to this medication. Depression lethargy and fatigue are all manifestations of hypothyroidism and effective treatment will improve any of these manifestations.

A nurse is teaching to client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions? Reduces inflammation. Suppresses the urge to cough. Dries mucous membranes. It stimulates secretion.

And expectorant asked by increasing secretions in order toimprove a coughs productivity. Anti-cholinergic medications typically dry mucous membranes and reduce secretions. Antitussives suppressed cop stimulus. Glucocorticoids reduce inflammation.

A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis which of the following statements by the client requires further discussion by the nurse? I signed up for swimming class. I've been taking an antacid to help with indigestion. I've lost 2 pounds since my tooth appointment two weeks ago. The naproxen is easier to take when I crush it and put it in applesauce.

And say it's like naproxen can cause serious adverse gas or intentional reactions such as ulceration, bleeding, and perforation. Warning manifestation such as nausea or vomiting gastrointestinal burning and blood in the stool reported by the client often require further investigation by the nurse. The client might be taking an antacid because he experiences one or more of these manifestations.

A nurse is assessing an older adult client who is receiving DIG0XIN. The nurse should recognize that which of the following findings is a manifestation of toxicity of this medication? Anorexia. Ataxia. Photosensitivity. Jaundice.

Anorexia vomiting confusion headache and vision changes are all manifestation of digoxin toxicity

A nurse is caring for a client who has heart failure in a prescription for Digoxin. Which of the following statements by the client indicates an adverse effect of this medication? I can walk a mile a day. I've had a backache for several days. I'm urinating more frequently. I feel nauseated and have no appetite.

Anorexia, nausea, vomiting, and abdominal discomfort are early signs of the digoxin toxicity.

A nurse is preparing to use as the track technique to administer medication to a client which of the following is an appropriate action during this procedure? Pull the skin half an inch to the side. Insert the needle slowly and gently. Use a 45° angle of insertion. Aspirate for 5 to 10 seconds.

Aspirating for 5 to 10 seconds allows blood in a small vessel to appear an indication that the nurse should withdraw the needle and prepare a fresh injection The nurse should pull the skin 1 inch to 1 1/4 inch down or to the side to make it easier to insert the needle. The nurse should insert the needle quickly and smoothly to minimize client discomfort. The needles should be inserted at a 90° angle.

A nurse at the thing a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should monitor for which of the following adverse effects of this medication? Constipation. Bleeding. Blurred vision. Insomnia.

Aspirin can cause bleeding, tinnitus, gastric ulcer ration, nausea, and heartburn. The client should monitor and report any manifestations of bleeding such as black tar is the old immediately.

The nurse is caring for a female client who has rheumatoid arthritis and asked the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the client history as a contraindication to this medication? Report of recent migraine headaches. History of gastric ulcers. Current diagnoses of glaucoma. Prior reports of amenorrhea.

Aspirin is contra indicated for clients who have a history of gastrointestinal bleeding and peptic ulcer disease because it impedes platelet aggregation. And adverse affect of aspirin is gastric bleeding therefore any history of ulcers would be contra indicated

A nurse is teaching about medications to a group of clients. Which of the following statements by a client indicates a need for further teaching? Iwill take ibuprofen for arthritis. I will take morphine during sickle cell crisis. I will take propranolol to manage high blood pressure. I will take aspirin to reduce pain from my peptic ulcer.

Aspirin is contra indicated in clients who have bleeding disorders and peptic ulcer disease. All other answers were correct.

A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of the following statements by the client indicates an understanding of this teaching? It's OK to have a couple of glasses of wine with dinner each evening. I'll be sure to eat more foods with vitamin K. I'll take aspirin for my headache's. I'll use my electric razor for shaving.

Because this medication for long is clotting times, the client should avoid situations that put him at a higher risk for bleeding, such as shaving with a straight razor or a razor blade. The patient should not increase but remain consistent with their vitamin K intake. Aspirin could compound the effects of warfarin and put the risk of hire bleeding. Alcohol can also alter the medications affect excessive intake can cause increase in this affects while chronic intake and decrease its effects.

A nurse is reviewing the health history for a client who has angina pectoris and a prescription for a propranolol hydrochloride by mouth 40 mg twice daily. Which of the following findings in the history should the nurse report to the provider? The client has a history of hypothyroidism. The client has a history of bronchial asthma. The client has a history of hypertension. The client has a history of migraine headaches.

Beta adrenergic blockers can cause bronchospasm inclined to a bronchial asthma, therefore this is a contraindication for its use and should be reported to the provider immediately.

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. The nurse should plan to administer the clients PRN bent a call when the client reports which of the following manifestations? Bladder spasms. Severe pain. Inability to void. Or frequent episodes of painful urination.

Bethanechol is a cholinergic medication that stimulates the parasympathetic nervous system those improving the tone and motility of the smooth muscles in the urinary tract enough to initiate urination therefore this medication should be given when the client reports an inability to void.

A nurse is caring for a client who has tuberculosis in a new prescription for rifampin in pie Rosanna made. Which of the following lab test should the nurse instruct the client will be required while on this medication regimen? Liver function test. Gallbladder studies. Thyroid function test. Blood glucose levels.

Both of these medications can cause hepatotoxicity, does the provider will be monitoring liver function regularly. These two medications do not interfere with gallbladder function, thyroid function, or glucose metabolism.

A nurse is teaching a client who has a new prescription for bunetadine. Which of the following instruction should the nurse include in the teaching? Report changes and hearing. Avoid foods high in potassium. Take the prescribe second dose at night time. Limit your fluid intake to no more than 1.5 L a day.

Bumetadine is a high ceiling loop diuretic. It promotes diuresis by inhibiting sodium and chloride reabsorption in the thick of sending length of the loop of Henley. These medications can be autotoxic. Concurrent use of aminoglycosides such as gentle myosin, increase the risk of this autotoxicity. Inform clients about possible hearing loss and instruct them to notify the prescriber if I hearing deficit or tinnitus develops

A nurse is performing the church teaching for a client who has seizures in a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching? I will notify my doctor before taking any other medications. I have made an appointment to see my dentist next week. I know that I cannot switch brands of this medication. I'll be glad when I can stop making taking this medication.

But I 20 is an anticonvulsant used to treat various types of seizures. Clients on anticonvulsant medications, only require them for a lifetime and should not be stopped without the advice of the patients provider.

A nurse is providing teaching for a client who has breast cancer about adverse effects of chemotherapy. Which of the following clients statement indicates an understanding of the teaching? I will take the anti-emetic as soon as the chemotherapy infusion is complete. I will run my toothbrush in the dishwasher every month. I'll call my doctor if I notice any unusual menstrual bleeding. I will avoid crowds to keep from infecting others.

Client should be taught bleeding precautions and to report bruising or excessive bleeding. The toothbrush can be run through the dishwasher every week in order to help prevent infection and neutropenic patience. Anti-emetic should be taken before chemo therapy not after.

A nurse is completing a medication history for a client who reports using an over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication? Decrease bulk in the diet to counteract the inverse of backs of diarrhea. Take the medication with dairy products to increase absorption. Reduce sodium intake. Drink a glass of water after taking the medication.

Calcium carbonate is a dietary supplement used when the amount of calcium taken in the diet is not sufficient. Calcium carbonate may also be used as an antacid in order to relieve heartburn, acid indigestion, and stomach upset. The client should drink a full glass of water after taking an antacid to enhance effectiveness. Please note that taking this medication with milk predisposes a client to milk alkali syndrome which is characterized by headache, confusion, nausea, vomiting, alkalosis, and hypercalcemia. Note that a major adverse effect of calcium carbonate is constipation and therefore the nurse should recommend that the client increase bold in the diet not decrease it. Client to take aluminum hydroxide antacids Should be advised against excessive sodium intake in the diet but this does not apply to calcium carbonate.

A nurse is caring for a client who has poison ivy and is prescribed diphenhydramine. Which of the following instruction should the nurse give regarding the inverse affective dream out associated with diphenhydramine.? Administer the medication with food. Do you on sugarless gum or suck on hard candy sour candies. Place a humidifier at your bedside every evening. Discontinue the medication and notify your provider.

Client to report dry mouth can get the most effective relieved by sucking on hard candies especially the sour varieties that stimulates elevation, chewing gum, or rinsing them out frequently. It is a local affect of these actions that provides comfort to this client.

A nurse is providing teaching to a client who has a new prescription for transdermal nitroglycerin paste. Which of the following statements by the client indicates a need for further teaching? I should measure the dosage on the supplied paper. I should leave the patch in place until it is time for the next dose. I should get up slowly when I stand. I might have a headache when I first start taking this medication.

Clients should have a period of 10 to 12 hours without the patch on to reduce the risk for nitrate tolerance.

A nurse is providing discharge teaching to client who has a new prescription for lithium. Which of the following information should the nurse include in the teaching.? Follow a low sodium diet. Limit your daily fluid intake. Obtain a daily weight. Avoid foods that are high in tyramine content.

Clients were taking lithium should monitor their daily weight due to the risk of fluid in balance. Client to take lithium should drink plenty of fluids and should avoid a low sodium diet due to the risk of hyponatremia. Clients were taking an MA away rather than lithium should avoid foods that are high in tyramine content.

A nurse and a providers clinic is caring for a client who reports erectile dysfunction and request a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking this ED medication? Isosorbide. Phenytoin. Metronidazole. Prednisone

Clients who are on nitrates including isosorbide and nitroglycerin preparations cannot take sildenafil, because of the serious medication interactions. There is a possibility of sudden death due to hypotension.

A nurse is providing teaching to a client who has gout in a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching? If I get a rash from this medication I will take my usual anti-histamine. I need to increase my fluid intake while taking this medication. I should take this medication on an empty stomach. If I get a fever while taking this medication I will take some aspirin.

Clients who have gout should increase her fluid intake to two or 3 L per day to prevent toxicity of alloPurinol and decrease uric acid levels in the system.

A nurse is reviewing the medical record for a client who reports taking pseudo ephedrine for sinus congestion as needed. The nurse should identify that pseudoephedrine is contra indicated for which of the following client conditions? Eczema. Migraines. Hypertension. Diverticulitis.

Clients who have hypertension or acute coronary syndrome should speak with their provider prior to taking decongestions, because of the potential for vasoconstriction which could aggravate their current chronic condition.

A nurse is providing teaching to a client who has renal failure and an elevated phosphorus level. The provider instructed the client to take aluminum hydroxide 300 mg by mouth three times a day. For which of the following adverse effects should the nurse informed the client? Constipation. Metallic taste. Headache. Muscle spasms.

Constipation is a common side effect of any aluminum based antacid. The nurse should instruct the client to increase fiber intake in that a stool softener or laxative may be needed. Please note that antacids typically have a chalky rather than metallic taste. Headache and muscle spasms are not adverse effects of this medication.

A nurse is reviewing the medication list for a client who has a new diagnosis of type two diabetes. The nurse should recognize which of the following medications can cause glucose intolerance? Ranitidine. Mucinex. Prednisones. Atorvastatin.

Corticosteroid such as prednisone can cause glucose intolerance and hyperglycemia. The client might require increasing the dosage of hypoglycemic medications such as insulin. Ranitidine can alter serum creatinine levels but does not affect blood glucose. Mucinex can cause drowsiness and dizziness but does not alter blood glucose. Atorvastatin can interfere with thyroid function test

A nurse is caring for a client who is experiencing Cushing's Triad of following a sub dermal hematoma. Which of the following medication should the nurse plan to administer? Albumin 25%. Dextran 70. Hydroxyethyl glucose. Mannitol 25%.

Cushing's Triad is an indication that the client is experiencing increased intracranial pressure. The nurse should administer mannitol 25% as it is an osmotic diuretic that promotes diuresis in order to treat cerebral edema.

A nurse is preparing an injection using a single those glass ampul which of the following techniques should the nurse use one opening the glass ampule? Where is there a gloves and break off the neck of the glass and deal with the single snap to the right side. Where is sterile gloves and break off the nick of the glass and deal with the single snap downward motion. Tap the bottom of the ampul place a gods pad or alcohol swab around the ampul neck and break off the bottom with a forward motion away from your hands. Tap the bottom of the top the top of the ampul place a gas pump at or unwrapped alcohol swab around the ampul neck and break off the top with a forward motion away from the hands

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A nurse is preparing to administer potassium chloride

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A nurse is teaching a client who has a new prescription for diazepam which of the following information should the nurse include in the teaching? Diazepam can cause drowsiness. this medication must be swallowed whole. It is important to avoid foods that contain tyramine. Grapefruit juice in activate this medication.

Diazepam has sedative properties, so the client should not engage and potential he hazardous activities while receiving this medication as it can cause drowsiness.

A nurse is caring for a client who is exhibiting signs of alcohol withdrawal. Which of the following medication should the nurse plan to administer? Methadone. Disulfiram. Diazepam. Buprenorohine

Diazepam is prescribed to treat the symptoms and prevent complications of alcohol withdrawal. Methadone as prescribed for the detox of opiates rather than the treatment of alcohol withdrawal. Disulfiram is prescribed a deterrent alcohol consumption rather than to treat any type of alcohol with drawl. The last medication as prescribed to block heroin cravings for detox of opiates rather than the treatment of alcohol is Joel.

A nurse is assessing a client who is receiving a continuous IV infusion of dopamine. Which of the following findings should the nurse recognized as a therapeutic effect? Increased pulse rate. Increased urine output. Decrease blood pressure. Decrease dysrhythmias.

Dopamine is used for the treatment of shock and heart failure. It increases cardiac output by increasing Mario cardio contractility. This medication also dilates Reno blood vessels which increases renal perfusion and leads to an increase in the clients urinary output. This finding should indicate to the nurse a therapeutic affect has been achieved.

A nurse is caring for a client who has diabetes in a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily what is the total number of units of insulin that this nurse should prepare in the insulin syringe. 14 units. 28 units. 32 units. 42 units.

Each order of regular and NPh units of insulin is combined in the same syringe. The nurse should withdraw the regular insulin into the syringe first.

A nurse is receiving a client who is immediately post operative following hip arthroplasty. Which of the following medication should the nurse plan to administer for DVT prophylaxis? Aspirin by mouth. Enoxaparin subcutaneous. Heparin infusion. Warfarin by mouth.

Enoxaparin a low molecular weight of heparin that inhibits thrombus and clot formation. Preventative dose of this medication or low in the client does not require monitoring of prothrombin time or activated partial thromboplastin time, making at the preferred treatment for DVT prophylaxis following any other orthopedic surgery

A nurse is reviewing a clients admission record. The nurse notes that they were prescriptions for several medications. Which of the following factors should the nurse recognizes a primary consideration when determining the schedule of administration? Institutional policies regarding routine medication administration times. Specific characteristics of the medications. Schedule of administration that the client files at home. It time at which the medication can be available from the pharmacy.

Evidence-based practice indicates that the specific characteristics of the medications be the primary consideration of scheduling in ministration times. The characteristics of each medication including indication on set durations of action and potential adverse effects and interactions primarily determine the schedule of administration. Although an institutional policy may require that all once daily medications be administered by 0800 the nurse should be aware that some classifications of medication should only be given at bedtime or should only be given with food. Likewise the clients preferences as well as the availability of each medication from pharmacy play in important but smaller role.

A nurse is teaching a client who has a new prescription for Farah sulfate. Which of the following statements by the client indicates an understanding of the teaching? I will expect the color of my urine to be Amber. I should expect dark and tarry stool's. I should expect increased bruising. I will not get as many infections.

Ferrius sulfate is an iron supplement used to treat clients who have an iron deficiency anemia. An expected adverse affect of this medication is black and tarry stool's. This medication does not cause you're in color to change it also does not impact clotting factors or platelets therefore shouldn't not expected to increase bruising. And does also not impact white blood cells therefore does not have any added protection against infection.

A nurse is caring for a client who has a new prescription of Ferrous sulfate tablets twice daily for iron deficiency anemia. The client asked the nurse why the provider instructed that she take the fair is Sophie between meals which of the following responses should the nurse make? Taking the medication between meals will help you avoid becoming constipated. Taking the medication with food increases the risk of esophagitis. Taking the medication between meals will help you absorb the medication more efficiently. The medication can cause nausea if taken with food.

Ferrous sulfate provides the iron needed by the body to produce red blood cells. Taking iron supplements between meals helps to increase the bioavailability of that iron.

A nurse is obtaining a medical history from a client who is to start warfarin therapy and currently uses herbal supplements at home. The nurse should inform the client that which of the following herbal supplements can interact inversely with warfarin? Feverfew black cohosh echinacea flaxseed

Feverfew while taking warfarin will increase it anticoagulant get infected and therefore should be avoided.

A nurse is perfect to transfuse one unit of packed RBCs to a client who experienced a mild allergic reaction during a previous transfusion. The nurse should administer diphenhydramine prior to the transfusion for which of the following allergic responses? Hives. Fever. Fluid overload. Hemolysis

For clients who have previously had an allergic reaction to a blood transfusion administering an anti-histamine such as diphenhydramine prior to the transfusion might prevent for the reaction's. Allergic reactions typically include hives. Please note that the anti-histamine will not prevent fever fluid overload or hemolysis.

A nurse is providing discharge teaching for a client who has pulmonary Adema and is about to start taking furosemide. Which of the following instruction should the nurse include? Take aspirin if headache develops. Eat foods that contain plenty of potassium. Expect some swelling of the hands and feet. Take the medication at bedtime

Furosemide is a high ceiling loop diuretic that can cause potassium loss there for this client should add potassium rich foods to his diet such as nuts, dried fruit, bananas, and citrus fruit.

A nurse is caring for a client who has heart failure in a new prescription for furosemide. Which of the following a lab value should the nurse review prior to administering this medication? Bicarbonate. Carbon dioxide. Potassium. Phosphate.

Furosemide is a loop diuretic and therefore promote excretion of potassium. The nurse should monitor the clients serum potassium levels prior to administering this medication in order to prevent hypokalemia

A nurse on a medical unit is planning care for an older adult client who takes several medications which of the following prescribe medications places a client at a risk for orthostatic hypotension? Select all that apply. Furosemide. Tell my Startin. Do you like the team. Clipit a grill. Atorvastatin.

Furosemide is correct as this medication is used to reduce edema and hypertension but an adverse side effects orthostatic hypotension. Telmisartan is correct as his medication is used to control hypertension and has an adverse effect of orthostatic hypertension. Duloxetine is correct this medication is used to treat depression and Exide he but side effect of orthostatic hypotension.

A nurse is caring for a client who receives Rosa might in order to treat heart failure. Which of the following lab value should the nurse monitor for this client due to this medication? Potassium. Albumin. Cortisol. Bicarbonate.

Furosemide to the loop diuretic that promotes the excretion of potassium therefore the nurse should monitor this clients levels for hypokalemia.

A nurse is teaching a client who takes warfarin daily. Which of the following statements by the client indicates a need for further teaching? I've started taking ginger root to treat my joints deafness. I take this medication at the same time each day. I need a green salad every night with dinner. I had my INR checked three weeks ago.

Gingerroot can interfere with blood clotting affects of warfarin and place the client at risk for bleeding. The statement indicates the client needs further teaching. While green leafy vegetables are a good source of vitamin K and can interfere with the clotting affects of this medication clients who are currently on warfarin therapy do not need to restrict dietary vitamin K intake but rather should just maintain a consistent and take a vitamin K in order to control the therapeutic effect of the medication.

A nurse is providing teaching for a client who is newly diagnosed with type two diabetes and has a prescription for glipizide. Which of the following statements by the nurse best describe the action of glipizide? Glipizide absorb excess carbs in your system. Glipizide stimulates your pancreas to release insulin. Glipizide replace his insulin that is not being produced in your pancreas. Glipizide prevent your liver from destroying insulin.

Glipizide is an oral antidiabetic medication in the pharmacological classification of sulfonylurea agents. This medication helps lower blood glucose levels inclined to have type two diabetes using several different methods including reducing glucose output by the liver, increasing peripheral sensitivity to insulin, and stimulating the release of insulin from the function in beta cells of the pancreas.

Under supervising teaching to a client who has hypertension in a new prescription for verapamil. Which of the following beverages search should the nurse tell the client to avoid while taking this medication? Milk. Orange juice. Coffee. Grapefruit juice.

Grape fruit juice increases blood levels of wrapping mail a calcium channel blocker by inhibiting his metabolism. The excess amount of the medication can therefore intensify the medications hypotensive a fax, putting the client at risk for syncope and dizziness.

Understood teaching a client who has a new prescription for simvastatin. Which of the following instruction should the nurse include? You should expect brown colored urine. You should avoid grapefruit juice. You should monitor for ringing in your ears. You should take the medication in the morning.

Grapefruit inhibits the drug metabolizing enzyme CYP3A4 which slows the metabolism of Simba Staten. This can cause an increase in the Staten levels. Potential adverse effects include elevated liver enzymes and rhabdomyolysis.

A nurse in a club in clinic is planning a health fair for older adult client in the community. In teaching medication safety which of the following foods should the nurse advice of clients to avoid one taking their prescriptions? Carbonated beverages. Milk. Orange juice. Or grapefruit juice.

Grapefruit juice has a high rate of food and drug interactions as many medications frequently taken by older adults especially lipid lowering agents alter the activity of specific enzymes in the intestinal tract. These enzymes decrease the rate at which medications enter the systemic circulation. This could allow for larger amount of the drug to reach the bloodstream resulting in increased drug levels and possible toxicity issues.

A nurse is caring for a client who has cancer in a new prescription for ondansetron to treat chemotherapy induced nausea. For which of the following adverse effects should the nurse monitor? Headache. Dependent edema. Polyuria. Photosensitivity.

Headache is a common adverse effect of this medication and analgesic relief is often required.

A nurse is caring for a client who has a deep vein thrombosis and has been on heparin continuous infusion for five days. The provider prescribes warfarin by mouth without discontinuing the heparin. The client asked the nurse why both anticoagulants are necessary. Which of the following statements should the nurse make? Or friend takes several days to work so that IV heparin will be used until the warfarin reaches a therapeutic level. I will call the provider and get a prescription for discontinuing the IV heparin today. Both heparin and warfarin work together to dissolve clots. The IV heparin increases effects of the warfarin and decreases the length of your hospital stay.

Heparin and warfarin are both anticoagulants that decrease the clotting ability of the blood and help prevent thrombosis formation in blood vessels. However these medications work in different ways to achieve a therapeutic anticoagulation levels And must be given together until therapeutic levels of anticoagulant can be a chief by warfarin alone which is usually within 1 to 5 days when the patients PT and INR are within therapeutic range the heparin IV can be discontinued.

A nurse is reviewing the lab data on a client who has a new prescription for heparin for treatment of a pulmonary embolism. Which of the following data should the nurse report to the provider? Hematocrit 45%. PTT of 65 seconds. White blood cell count of 8000. Platelets of 74,000.

Heparin induced thrombocytopenia is a disorder characterized by low platelet count. It is an adverse effect of heparin that causes the Activision of platelets, resulting in widespread cloud formation and depletion of platelets. Expected reference range for platelets is 150k to 400k This hematocrit is within the expected reference range. The desired therapeutic range for anticoagulation is between one and a half to two times he expected reference range or 60 to 80 seconds. Therefore the PTT of 65 seconds is within the expected reference range for anticoagulation. This data white blood cell count is within the expected range.

A nurse is caring for a client who is receiving a continuous IV infusion of heparin. Which of the following actions should the nurse take? Administer 50,000 units of heparin by IV bolus every 12 hours. Check the activated partial thromboplastin time APTT every four hours. Have a vitamin K available on the nursing unit. Use IV to being specific for heparin sodium when administering the infusion.

Heparin is an anticoagulant. The activated a partial thromboplastin time or APTT should be monitored every four hours in the infusion rate should be adjusted accordingly until the effect of those has been determined. Note that IV heparin administration does not require any special tubing. A few medications such as nitroglycerin, adhere to the IV tubing commonly used in those do require use of specific to Bean.

A nurse is taking a healthy history of a Klein her reports occasionally taking several over the counter medications, including an H2 receptor antagonist. Which of the following outcomes indicates that this medication has been therapeutic? The relief of heartburn. The cessation of diarrhea. Passing of flatus. Absence of constipation.

Histamine two receptor antagonist are used to treat do you want an altar is and to prevent their return. In over the counter strength, these medications, such as submitted in and ranitidine, are used to relieve or prevent heartburn, acid indigestion, or sour stomach.

A nurse is talking to a client who is taking a calcium supplement for osteoporosis. The clientele is a nurse that she is experiencing flank pain. Which of the following adverse effects should the nurse expect.? Hepatitis. Peptic ulcer fracture. Renal stones. Pancreatitis.

Hyper Kelsey Mia due to calcium supplements can cause renal stones. Client should increase her water intake while taking calcium supplements in order to hydrate the kidneys and should report any blood in the urine or flank pain.

A nurse is providing teaching to a client who has angina pick Taurus in a new prescription for nitroglycerin sublingual tablets. Which of the following statements by the client indicates an understanding of the teaching? I'll dial 911 if I still have pain after taking three nitro tablets five minutes apart. I'll dial 911 if I'm still having pain after taking for nitro tablets over a 20 minute period. I'll dial 911 if I have pain when I take a nitroglycerin tablets. I'll dial 911 if one nitro tablet does not relieve my pain and then take up to two more tablets five minutes apart while waiting for the ambulance.

If one nitroglycerin tablet does not relieve the clients pain, he should ask his emergency services and then take two more tablets at five minute intervals if he is still having pain while waiting.

A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to the client. What is the sequence of events the nurse should follow?

Inspect the vile for contaminants. Roll the NPH file between the palms of the hands. Inject air into the NPH insulin vials. Inject air into the regular insulin vials. With drawl the short acting insulin into the syringe. Add the intermediate insulin into the syringe. This mixture is now stable for up to 28 days.

A nurse is caring for a client who has congestive heart failure and is taking DIG 0XIN daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first? Check the check the clients vital signs. Request a dietitian consult. Suggest that the client rest before eating the meal. Request an order for an anti-emetic.

It is possible that the clients nausea is secondary to digoxin toxicity. By obtaining vital signs the nurse can assess for bradycardia, which is a symptom of digoxin toxicity as well. The nurse should withhold the medication and call the provider of the clients heart rate is less than 60 bpm.

A nurse is providing teaching to a client who has hypertension in a new prescription for captopril. Which of the following indications should the nurse provide? Do not use salt substitutes while taking this medication. Take the medication with food. Count your pulse rate before taking this medication. Expect to gain weight while taking this medication.

Kept approval is an ace in Hibbett her that can cause hyperkalemia due to potassium retention by the kidneys. The client should avoid salt substitute as most of them are high in potassium as well. It is not necessary to count to post before taking this medication, weight gain is not an adverse effect of this medication, and this medication should be taken on an empty stomach either one hour before or two hours after a meal.

A nurse is preparing to administer a dose of lactulose to a client who has the roses. The client states, I don't need this medication I'm not constipated. The nurse should explain that in clients who have cirrhosis, lactulose is used to decreased levels of which of the following components in the blood stream? Glucose. Ammonia. Potassium. Bicarbonate.

Lactulose, a disaccharide, is a sugar that works doesn't it osmotic diuretic. It prevents absorption of ammonia in the colon. Accumulation of ammonia in the bloodstream which occurs in pathological conditions of the liver such as the roses may affect the central nervous system and cause hepatic and cephalopathy or even coma

A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client? Leuprolide Cyclophsphamide Finasteride Tamoxifen

Leuoprolide - This medication to treat cancer of the prostate hormonally. It antagonizes the androgens that androgen dependent neoplasms require. Cyclophosphamide treat leukemia, multiple myeloma, lymph Oma's, and head over at breast and lung cancer's. Finn is dried treats benign prostate hypertrophy and helps reduce the risk of prostate cancer. Tamoxifen treats breast cancer.

A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease. On which of the following medication should the nurse prepare to instruct the client? Piperacillin/tazobactam. Levothyroxine. Levodopa/carbidopa. Carbamazapine

Levodopa and carbidopa is the cornerstone of Parkinson's treatment. The nurse should prepare to instruct the client on how to use this medication.

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. And which of the following medication should the nurse prepared to instruct the client? Radioactive iodine. Levothyroxine. Sumatriptan. Levofloxacin.

Levothyroxine is a synthetic thyroid hormone that is chemically identical to thyroxine T4. It is used in the treatment of hypothyroidism. The nurse should prepare the client on the use of this particular medication. Radio active iodine is an anti-thyroid medication that is used to treat thyroid cancer, hyperthyroidism, and as a diagnostic aid for thyroid function tests. Sumatriptan is an antimigraine agent use for acute treatment of migraine and cluster headaches. Levofloxacin is a broad-spectrum anti-infective of the quinolone class that is used to treat infections of the sinuses, skin, lungs, ears, airways, bones, joints, and UTI.

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose? Insomnia. Constipation. Drowsiness. Hypo active deep tendon reflexes

Levothyroxine overdose will result in manifestations of hypothyroidism which include insomnia tachycardia and hyperthermia. Please note constipation, drowsiness, and hypo active deep tendon reflex is our all manifestations of hypothyroidism and represents an in adequate dose of the hormone.

A nurse is providing discharge instructions to a client who has asthma and a new prescription for Montelukast. The nurse should instruct the client to report which of the following adverse effects of this provider? Blurred vision. Palpitations. Constipation. Depression.

Montelukast can be a cause for neuropsychiatric effects such as depression, behavioral changes, hallucinations, and suicidal suicidal ideation. The nurse should instruct the client to report such adverse affects immediately and a change in medication may be prescribed.

A nurse and a coronary care unit is admitting a client who has had CPR following a cardiac arrest. The client is receiving lidocaine IV at 2 mg per minute. When the client asked why the nurse why he is receiving the medication, the nurse should explain that it has which of the following actions? It prevents dysrhythmias. It's Lowers intestinal motility. It dissolve the blood clot. It relieves pain.

Lidocaine is an antidysrhythmic medication that delays the conduction in the heart and reduces the automaticity of hearts tissue. This particular antidysrhythmic does not have anti-cholinergic properties (such as procainamide and quinidine.) Topical lidocaine is a local anesthetic that produces numbness or loss of feeling before surgery or other painful procedures, however this is not the reason for administering it to this particular client.

A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of this medication? Decrease blood pressure. Increase HDL cholesterol. Prevention of bipolar manic episodes. Improve sexual function.

Listen up rail is an ace in Hibbett her and maybe used alone or in combination with other antihypertensive medication to manage HTN & CHF. A therapeutic effect of this medication is a decrease in blood pressure

A nurse is preparing to administer digoxin into a client who has heart failure. Which of the following actions is appropriate? Withhold the medication of the heart rate is above 100 bpm. Instruct the client to eat foods that are low in potassium. Measuring the apical pulse rate for 30 seconds before administration. Evaluating the client for nausea vomiting and anorexia.

Loss of appetite, nausea, vomiting, and blurred or yellow vision maybe signs of digoxin toxicity.

Under the green for a client who is receiving magnesium sulfate to treat severe preeclampsia and asked the nurse is the medication working? Which of the following response and should the nurse make? The medication is working because there are no contractions. The medication is working because there is no seizure activity. The medication is working because all of your long fields are clear. The medication is working because your blood pressure is back to normal.

Magnesium sulfate can be used for various reasons including antacid, anti-arrhythmic, anticonvulsant, or electrolyte replacement as well as a laxative. The primary indication for the client was being treated for preeclampsia is the anticonvulsant properties. It is the preferred drug to prevent seizures and preeclampsia and treat seizures associated with the clients here. Please note magnesium sulfate is administered the client to a pre-clamp Sia fourth anticonvulsant properties the nurse should not measure it's affective Ness by measuring the clients blood pressure.

A nurse is assessing a client who is receiving a unit of packed red blood cells. Which of the following findings is a manifestation of a cute hemolytic reaction? Client reports low back pain. Client reports tonight us. A productive cough. Distended neck means.

Manifestations of an acute hemolytic reaction include apprehension tachypnea keep hypotension chest pain and lower back pain

A nurse is caring for a client who has a traumatic head injury and is exhibiting signs of increasing intercranial pressure. Which of the following medication should the nurse plan to administer next? Albumin 25%. Dextran 70. Hydroxyethyl glucose. Mannitol 25%.

Mannitol 25% should be administered because it is an osmotic diuretic that typically lowers intracranial pressure by promoting diuresis.

A nurse is caring for a client who is experiencing severe nausea and vomiting after a course of chemotherapy. The nurse should monitor the claim for which of the following clinical manifestations? Metabolic acidosis. Metabolic alkalosis. Respiratory acidosis. Respiratory alkalosis.

Metabolic alkalosis can occur and clients who have excessive vomiting because of the loss of hydrochloric acid.

A nurse is teaching a client who has rheumatoid arthritis of our taking methotrexate. Which of the following information should the nurse include? Take an anti-emetic one hour following administration. Drink 2 to 3 L of water per day. Take the medication with an NSAID. Rinse mouth two times per day with an alcohol-based mouthwash.

Methotrexate can cause renal toxicity. Therefore the client should drink 2 to 3 L of water per day in order to promote adequate excretion of the medication. NSAIDs should be avoided as they can increase methotrexate toxicity. The client should take an anti-emetic anywhere from 30 to 60 minutes prior to administration of methotrexate in order to reduce the risk of nausea and vomiting. Methotrexate can also cause stomatitis, rinse mouth with water or club soda 2 to 4 times per day and avoid commercial mouthwashes

A nurse is evaluating teaching on a client who has a new prescription for Montelukast to treat asthma. Which of the following statements by the client indicates an understanding of the teaching? I'll rinse my mouth after taking this medication. I'll take this medication when I get in asthma attack I'll take this medication once a day in the evening. I'll use a spacer device when I inhaled his medication.

Montelukast is a Leukotriene modifier which is used to prevent asthma exacerbations. The client should take this medication on a daily basis once a day in the evening. This medication is not a rescue and healer and should not be use for acute asthma tax. This medication is also available as a tablet, a chewable tablet, or gate granules for oral administration But is not available for in elation.

A nurse is caring for a client who is taking mom to Luke asked. Which of the following outcomes indicates a therapeutic effect of this medication? The client experiences less muscle pain. The client seizure threshold is reduced. The client experiences an increase ease of breathing. The clients platelet count is increased.

Montelukast is a bronchodilator that is prescribed for clients who have chronic asthma or seasonal right Nightes. Therapeutics effects of this medication or an increase ease of reading.

A nurse is preparing a medication and is converting 0.8 g to milligrams. The nurse should do which of the following?

Move decimal point three spaces to the right

A nurse is caring for a client who is receiving mydriatic eyedrops. Which of the following manifestations indicate that the nurse to the nurse that the client has developed a systemic anti-cholinergic effects? Seizures. Bradycardia. Constipation. Hypothermia.

Mydriatic eyedrops can cause a systemic anti-cholinergic effect such as constipation, dry mouth, Tachycardia and fever. Making all the bras central nervous system effects such as delirium and coma.

A nurse is assessing a client who has hypercholesteremia and is receiving simvastatin. Which of the following findings should the nurse recognized as a potential adverse effect? Urinary retention. Muscle weakness. Orthostatic hypotension. Blurred vision.

Myopathy is an adverse effect of this medication signs of this development include muscle aches, tenderness, and muscle weakness. None of the other three are typical adverse effects of this medication.

I nurses teaching a client who has diabetes Molite us and receive 25 units of NPH insulin every morning if her blood glucose levels are above 200 mg/dL. Which of the following information should the nurse include? Discard the NPH solution if it appears cloudy. Shake the insulin vigorously before loading the syringe. Expect the NPH insulin to peak six between 6 to 14 hours. Freeze on opened insulin vials.

NPH insulin is an intermediate acting insulin. It's onset of action is in 1 to 2 hours, peaks between six and 14 hours. It's duration of action is anywhere from 16 to 24 hours long. The client is at risk for hypoglycemia during the peak.

A nurse is teaching a client who has a new prescription for an peaches insulin. Which of the following instruction should the nurse include? Discard the medication of it is cloudy. Briskly shake the medication before filling the syringe. Taking take this medication 15 minutes before meals. Eat a snack eight hours after taking this medication.

NPH insulin peaks 6 to 14 hours after dosing. The client is at risk for hypoglycemia and may require a snack sometime during this window. Client should check blood glucose 8 to 10 hours after administration of NPH insulin and of hypoglycemia consume a small snack of 15 g of carbs followed by rechecking the blood glucose in about 15 minutes time.

A nurse is preparing to administer morphine IV to a client. Which of the following medication should the nurse plan to have available? Flumazenil. Naloxone. Protamine. Neostigmine.

Naloxone is given to reverse the effects of morphine. The nurse should monitor the client for respiratory depression bradycardia and hypotension. Flumazenil is used to reverse the effects of benzodiazepines. Protamine is used to reverse the effects of heparin. And neostigmine is used to reverse the effects of nondepolarizing neuromuscular blockers.

A nurse is providing teaching to a client who has oral candidiasis in a new prescription for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching? I will store the medication at room temperature. I will take the medicine every morning on an empty stomach. I will split the medication out after switching it around my mouth. I will only need to take this medication for a few days.

Nystatin oral suspension should be stored at room temperature at all times. Since the action of this medication is local it is not absorb through intact skin or mucous membranes there is no reason to take the medication on an empty stomach. This medication must be swallowed in order to maximize the local affects on the mucosal lining of the upper G.I. tract. Long-term therapy may be needed to clear the infection.

Address is caring for a client who has acute respiratory distress syndrome ARDS. And requires mechanical ventilation. The client receives a prescription for PANCURONIUM. The nurse recognizes that this medication is for which of the Following purposes? Decrease chest wall compliance. Suppress respiratory effort. Induce a sedation. Decreased respiratory secretions.

Neuromuscular blocking agents such as this medication induced paralysis and suppress the clients respiratory effort's to the point of apnea, following the mechanical vent to later to take over the work of breathing for a client. This therapy is especially useful for a client who has ARDS and Poor lung compliance

A nurse is teaching a client who has a new prescription for pancrelipase to eat in digestion. The nurse should inform the client to expect which of the following gastrointestinal changes? Decrease mucus in stool's. Decrease black tarry stool's. Decreased watery stools. Decreased fat in stools.

Pancrelipase is a combination of pancreatic enzymes used to increase digestion of fats, carbohydrates and proteins. The client should expect a reduction of fat in the stool.

A nurse is assessing a client who is on long-term omeprazole therapy. Which of the following findings should indicate to the nurse that this medication is effective? Increased appetite. Regular bowel movements. Absence of a headache. Or reduce dyspepsia.

Omeprazole is a proton pump inhibitor which reduces gastric acid secretions and treats duodenal and gastric ulcers, prolonged dyspepsia, gastrointestinal reflux disease or erosive esophagitis

A nurse in a mental health clinic is caring for a client who has bipolar disorder in a prescription for an antipsychotic medication. The provider in nursing staff suspect that the client is not it hearing to his medication therapy. Which of the following intervention should the staff used to encourage the client adherence? Select all that apply. Perform mouth checks following the administration of the medication. Provide for once daily dosing. Use sustained release forms. Engage the client in conversation following medication administration. Rotate staff that administer the medications.

Once daily dosing of the medication simplifies the therapy and makes it easier for the client to comply. Sustained release forms remain in the clients system longer and require less frequent dozing. If the Klein is speaking he will be less likely to be able to hide the medication in his mouth.

A nurse is providing education to a client who is in labor and has a prescription for a continuous IV infusion of Oxsee Tosun. Which of the information is below should the nurse include? This medication will help prevent nausea and vomiting. Your contractions will become stronger and more frequent. I will remove the electronic fetal monitor once the contractions are regular. You can push the button on the control device to administer more medication as needed.

Oxytocin is diluted with sodium chloride and administered IV and infusion pump device to induce or strengthen you during contractions during labor. The client who is receiving an Oxsee Tosun drip is closely monitored to promote a safe delivery and prevent maternal went or feet or complications. The desired concentration of Oxsee Tosun medication is determined by the desire labor contraction pattern that should increase in frequency duration and intensity. The nurse closely monitors rest for continuous IV infusion of Oxsee Tosun to determine went to discontinue this medication. Risks include fetal distress such as bradycardia caused by hyperstimulation of the uterus compromising blood flow to the fetus. You don't contractions lasting longer than 90 seconds should prompt the nurse to discontinue the medication

A nurse is teaching a client who has a new prescription for amoxicillin CLAVULANATE to treat pharyngitis. Which of the following statements by the client indicates an understanding of the teaching? I will take this medication until my sore throat goes away. I should take this medication on an empty stomach it between meals. I will stop taking this medication if I develop itching. I will double my dose if I miss one.

Penicillin derived medications are a common cause of medication allergic reaction's. Manifestations can include rashes, hives, itchy and watery eyes, swollen lips tongue or face. Anaphylactic reactions can develop within one hour of taking the Dells and include difficulty breathing, shortness of breath, Strider, and angioedema. The client should discontinue the medication to notify the provider immediately of any of these manifestations occur.

A nurse is planning care for a client who has a detached retina and is Perry pre-operative for surgical repair. The nurse should prepare to administer which of the following medications? Phenylephrine Latanoprost. Pilocarpine. Timolol

Phenylephrine or Miadratic medications are used preoperatively to dilate pupils to facilitate intraocular surgery. All other three medications are used for the treatment of glaucoma.

A nurse is teaching a client who has a new prescription for FinAid 20. The nurse should instruct the client to monitor for and report which of the following adverse effects of this medication? Metallic taste. Diarrhea. Skin rash. Anxiety

Phenytoin is an anti-epileptic medication that is used to treat partial seizures and generalized tonic wanting seizures. This medication can cause a rash they can progress to Steven Johnson syndrome or toxic epidermal Necro laces. If a rash develops the client should notify the provider immediately and stop to use it. Other adverse effects of been a tween included suicidal tendencies, aggression, constipation, and gingival hyperplasia.

A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication the nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects? Hyper glycemia. Adrenal cortical insufficiency. Severe dehydration. Rebound pulmonary congestion.

Prednisone is a corticosteroid and is similar to cortisol the glucocorticoid hormone produced by the adrenal gland's. It relieves inflammation and is used to treat certain forms of rice right as severe allergies auto immune disorders an asthma. Administration of glucocorticoids cancer press production of glucocorticoids and an abrupt withdrawal from the drug can lead to a syndrome of adrenal insufficiency.

A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication? It reduces the risk of infection. It decreases inflammation. It improves peripheral blood flow. It increases bone density.

Prednisone is used to treat rheumatoid arthritis because it produces anti-inflammatory and immunosuppressive a fax, which reduces inflammation decreases pain and increase his mobility.

A nurse is caring for a client who asked how albuterol help his breathing. Which of the following responses should the nurse make? Select all that apply. It will stimulate flow of mucus. It will prevent wheezing. It will open airways. It will reduce inflammation. It will decrease coughing episodes.

Prevents or treats wheezing. Promotes bronchodilator and opening of the airways. And provides a rapid response to relax smooth muscles and reduce bronchoconstriction which will also decrease coughing

A nurse is caring for a client who has a new prescription of propranolol. The nurse should monitor the client for which of the following adverse reactions to this medication? Autotoxicity. Tachycardia. Postural hypotension. Hypokalemia.

Propranolol can cause postural hypotension. The client should change position slowly and the nurse should monitor the clients blood pressure from lying to sitting and standing position.

A nurse caring for a client who has hypertension and asked the nurse about the prescription of propranolol. The nurse should inform the client that this medication is contra indicated and clients who have a history of which of the following conditions? Asthma. Glaucoma. Depression. Migraines.

Propranolol is a beta blocker that is contra indicated in clients who have asthma because it can cause bronchospasm. Propranolol blocks the sympathetic stimulation which prevents smooth muscle relax Asian. Beta blockers are also contra indicated for clients who have cardiogenic shock, AV heart block,. Beta blockers are also used for the prophylactic treatment of migraine headaches.

A nurse is caring for a client who is receiving help run by continuous IV infusion. Which of the following medication should the nurse plan to administer in the event of an overdose? Iron. Glucagon. Protamine. Vitamin K.

Protamine reverses the effects of heparin and is used in the event of an overdose. Vitamin K reverses the effects of warfarin. Glucagon treat severe hypoglycemia from an insulin overdose. Irene trees anemia.

A nurse is caring for a client who has thrombophlebitis and is receiving a continuous have been infusion. Which of the following medications should the nurse have available to reverse the effects? Vitamin K. Protamine Sulfate. Acetylcysteine. Deferasiox

Protamine sulfate reverses the affects of heparin by binding with the heparin to form a heparin protamine complex that has no anticoagulant properties. Acetylcysteine isn't mucolytic that reduces the hepatotoxicity after and acetaminophen overdose. The last medication is a chelating agent that binds to iron to reduce iron toxicity from supplemental iron therapy

A nurse is caring for a client who has diabetes and administer his regular insulin subcutaneously before he eats breakfast at zero 800. After checking the clients morning glucose level which of the following action should the nurse take? Give her insulin at zero 700. Give the insulin one of the breakfast tree arrives. Give insulin 30 minutes after breakfast with the client other routine medicines. Give the insulin at 0730.

Regular insulin has an onset of 30 to 60 minutes and should be given at a specific time before meals usually within 30 minutes. The nurse should

A nurse is caring for a client that states I don't want to take my medications which of the following action should the nurse take? Tell the client the position wants the client to take the medicine

Repeat delete

Calculate the drops per minute of an IV bolus of 500 ML of lactated ringer to be infused over three hours using a 20 drops per milliliter to being rate. Round your answer to the nearest whole number

Repeat delete

A nurse is preparing to administer medications to a client who stayed I don't want to take those drugs. Which of the following actions should the nurse take? Tell the client the physician wants him to take his medications. As the client why he is refusing to take the medications. Explain the purpose of those medications. Document that the client refuses the medications.

The client has a right to refuse any type of medications and it is appropriate for the nurse to document the clients refusal of these medications. The nurse should then inform the provider of the clients refusal.

A nurse is caring for a client who has active pulmonary tuberculosis and is to be started on intravenous rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects? Constipation. Black colored stools. Staining of the teeth. Body secretions that turn a red or orange color.

Rifampin is used in combination with other medicines in order to treat TB. This medication will cause you're in stool saliva sputum sweat and tears to turn a reddish orange to reddish brown color

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements? Sodium. Potassium. Vitamin K. Vitamin C

Since lithium is a salt if sodium levels fall the client will retain lithium and have an increased risk for toxicity.

A nurse is teaching a client who has chronic kidney disease and a new prescription for it we will epoetin Alfa. The nurse should instruct the client to increase dietary intake of which of the following substances? Iron. Protein. Potassium. Sodium.

Since this medication is a synthetic form of erythropoietin, a substance produced by the kidneys that stimulates the bone marrow to produce red blood cells. Increased iron is needed for the production of hemoglobin in red blood cells by the bone marrow.

The nurse is caring for a client who has chronic renal disease and is receiving therapy with Epoetin Alfa. Which of the following lab results should the nurse review for an indication of therapeutic effect of the medication? The Leukocyte count. The platelet count. The hematocrit. The erythrocyte sedimentation rate.

Since this medication is anti-anemic and is indicated for patients who have anemia due to reduce production of endogenous erythropoietin which may occur and clients who have an stage renal disease or Milo suppression from chemotherapy. The therapeutic effect of this medication is in Hanst red blood cell production, which is reflected in an increase RBC, Hgb, and HCT.

A nurse is teaching a client who has a bipolar disorder and a prescription for lithium to recognize the manifestations of toxicity. Which of the following statements by the client indicates an understanding of this teaching? I will report any loss of appetite. Increase flatulence is an indication of toxicity. Vomiting is an indication of toxicity. I will call my provider if I experience any headaches.

Since vomiting and diarrhea early signs of toxicity the client should omit the next dose of lithium and call her provider eat mediately of this should occur. Headaches are a common adverse side effects as specially in the period after lithium has first been prescribed in the body is adjusting to the medication however it is not a sign of toxicity. Anorexia and increase fragile and are also common adverse side effects but are not signs of toxicity either

Under the teaching of mine who has a new prescription for capital Grille. Which of the following instruction should the nurse include in the teaching? Monitor for a cough. All the medication of the heart rate is less than 60 bpm. Take the medication with food. Avoid grapefruit juice.

Some Pepto grill is an ace in Hibbett her it is used to treat hypertension. However the. The patient should monitor and report any cough or Dyspnea.

A nurse is providing instruction to a new nurse about Cari for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain that which of the following medications puts clients at risk for both hyperkalemia and hyponatremia? Furosemide. Hydrochlorothiazide. Metolazone Spironolactone.

Spironolactone is a potassium sparing diuretics that blocks the effects of aldosterone in the renal tubule's causing a lot of sodium and water in the retention of potassium. The possible adverse reactions include hyper kalemia and hyponatremia.

A nurse is teaching a group of young women about the use of oral contraceptives. The nurse should teach that taking which of the following herbal preparations reduces the effectiveness of this birth control method? Just saying. Ginkgo biloba. St. John's wort. Or Saul Palmetto.

St. John's wort decreases the effectiveness of oral contraceptives and can't be responsible for breakthrough bleeding and unintended pregnancies as well. Ginger is contra indicated for clients who are taking antiplatelet medications or those taking insulin or other anti-hyper glycemic's for diabetes. Ginkgo below but should not be used by patients who are on antiplatelet drugs or at risk for seizures. Saul Palmetto should not be taken by clients taking antiplatelet medication or anticoagulants it can cause danger to the developing fetus and should not be taking during pregnancy either.

A nurse is caring for a client who is prescribed diphenhydramine to relieve itchiness. The client asked the nurse how he can minimize the daytime sedation he is experiencing. Which of the following responses should the nurse give? Gradually decrease the dose once tolerance to the effect is reached. Distribute the doses evenly throughout the day. Take most of the daily dose at bedtime. Take the medication with meals.

Taking most of The medication at night time will increase the benefit of maximum relief of manifestations and rest without itching.

A nurse is assessing a client who has schizophrenia and has been a long-term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and face the nurse should suspect the client has developed which of the following adverse side effects? Tardive dyskinesia. Parkinsonism Dystonia. Akathisia.

Tardive dyskinesia could can develop in clients during long-term therapy with chlorpromazine. For many clients the manifestations are irreversible.

A nurse is providing teaching to a client who is taking warfarin about monitoring his therapeutic effects. Which of the following exclamation should the nurse provide about the international normalized ratio or INR test? The INR also monitors have been therapy if the providers which is the medication prescription. The INR is the only test available for anticoagulant therapy monitoring. You will only need to test twice per month. The INR is a standardized test that illuminates the variations between laboratory reports and prothrombin times.

The INR is a standardized test which means that the result will be the same no matter which laboratory performs it. At the start of warfarin therapy the prescriber should monitor the clients INR daily. Several tests are available for monitoring anticoagulant therapy including the INR prothrombin time which is PT, and activated partial pearl thromboplastin time which is APTT. The INR monitors warfarin therapy not heparin therapy. The activated partial thromboplastin time APTT monitors heparin therapy instead.

Unders in the emergency department is caring for a client who took three nitroglycerin tablets sub lingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make? A headache is an indication of an allergy to the medication. The headache is an expected adverse affect of this medication. The headache indicates tolerance for the medication. The headache is likely due to the anxiety about this chest pain.

The basal dilation nitroglycerin induces increases blood flow to the head and typically results in a headache.

A nurse is assessing a client prior to administering seasonal influenza vaccine. The client says that he read about an influenza vaccine that can be given as a nasal spray and wants to receive that instead. The nurse should recognize that which of the following findings is contra indicated for the client receiving a live attenuated influenza vaccine LAIV? The clients age of 62. The client smokes one pack of cigarettes a day. The client has a history of myocardial infarction. The client has recently traveled to Europe.

The client must be between the ages of two and 49 in order to receive LIAV, therefore it is contra indicated for this particular client. Pregnancy and immunocompromise daughters are also contra indications. None of the other issues are contra indicated for receiving this vaccine be a nasal spray

A nurse is caring for four different clients for whom she has to administer all medications in the morning. The nurse should administer which of the following medications prior to breakfast? Alendronate. Digoxin. Mycostatin mouthwash. Divalproex.

The client must take a Linder and eat first thing in the morning on an empty stomach and wait at least 30 minutes prior to eating, drinking, or taking other medications. Please know that any mouthwash rinse type of medication is most effective after a meal. For the other two medications they do not need to necessarily be taken prior to eating.

A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instruction should the nurse include with her teaching? Apply a new transdermal patch once a week. I'll play the transdermal patch in the morning. Apply the transdermal patch in the same location as the previous patch. Apply a new transdermal patch when chest pain is experienced.

The client should apply the patch every morning and leave it in place for a 12 to 14 hour period, then remove it in the evening for 12 to 10 hours. Please note the client should rotate the sites use for the patch placement in order to avoid areas of local skinny rotation. The trans dermal route of nitroglycerin has a delayed onset of action therefore it is not suitable for immediate relief of new onset of chest pain. The client should also apply new patch each day not once a week.

A nurse is teaching A client who has a new prescription for codeine. Which of the following instruction should the nurse include in the teaching? You should take the medication on an empty stomach to prevent nausea. You should limit alcohol intake to 12 ounces daily. You should expect to experience diarrhea while taking this medication. You should change position slowly.

The client should change position slowly to avoid the risk of falls. Coding is an opioid analgesic that causes CNS depression and orthostatic hypotension

A nurse is teaching a client who has a new prescription for regular insulin and NPH insulin. Which of the following instruction should the nurse include in the teaching? Keep the open bottle of insulin at room temperature inject insulin into a large muscle. I sprayed the medication prior to administration. Administer the insulin into separate injections.

The client should keep the vile in use at room temperature in order to minimize tissue injury into reduce the risk for lipodystrophy.

A nurse is providing teaching to a client who has stable angina in a new prescription for nitroglycerin oral sustained release capsules. Which of the following instruction should the nurse include? Take one capsule at the onset of anginal pain. Stop taking the medication of side effects are troublesome. Take the medication with meals. Swallow the capsules whole.

The client should swallow the capsule is whole and not chew or crush them or place them under the tongue.

A nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take this medication? Take this medication after each meal and at bedtime. Take one tablet every 15 minutes during an acute attack. Take one tablet at the first indication of chest pain. Take this medication with 8 ounces of water.

The client should take nitroglycerin as soon as he feels pain, pressure, or tightness in the chest and not wait until his chest pain is severe.

A nurse is teaching a client who has a new prescription for COLES capital a M to lower his blow density lipoprotein levels. Which of the following instruction should the nurse include? Take this medication 4 hours after other medications. Reduce your fluid intake. Take this medication on an empty stomach. Two tablets before swallowing.

The client should take this medication for hours after other medications in order to increase absorption of the medication. Please note that the client should increase fiber and fluid intake in order to reduce the risk of constipation and should also take the medication with meals. The client should also swallow tablets hole in order to increase absorption and avoid chewing.

The nurse is teaching a client who has a new prescription for his sucralfate to treat a gastric ulcer. Which of the following statements by the client indicates an understanding of the teaching? I will take this medication as needed to reduce pain. I will reduce my fluid intake with this medication. I will take this medication with an antacid. I will take his medication one hour before meals and at bedtime.

The client should take this medication on an empty stomach one hour before each meal and at bedtime in order to create a protective coating over the ulcer.

I nurses evaluating teaching with a client who is receiving continuous subcutaneous insulin be an external insulin pump. Which of the following statements by the client indicates a need for further teaching? I will change the needle every three days. I should store all unused insulin in the refrigerator. If I skip lunch I will skip my meal time doses of insulin. I will use insulin glargine in my insulin pump.

The client should use a short acting insulin in the insulin pump. The insulin pump is designed to administer rapid acting or short acting insulin 24 hours a day. Insulin glargine is classified as a long acting insulin and is administered at the same time each day to maintain stable blood glucose concentration over the entire 24 hour period. Note - The infusion set should be changed every 1 to 3 days. Client should refrigerate insulin that is not in use to maintain potency prevent exposure to light and inhibit bacterial growth. Insulin in use should be kept at room temperature for up to one month in order to reduce irritation of the injection site. If a meal or skip the meal time dose should not be given.

A nurse is providing teaching to a client who has a skin infection in a new prescription for gentamicin topical cream. Which of the following instruction should the nurse provide? What's the affected area with soap and water before applying cream. Increase intake of fluids while taking this medication. The medication might cause temporary blurred vision. Apply the cream to large areas around the infection.

The client should wash the affected area with soap and water and dry it thoroughly before applying the cream. The client should increase fluid intake while taking an IV or I am form of this medication but not necessarily the topical cream. The ophthalmology form of this medication can cause temporary blaring but not the topical cream. The client should only apply the cream to the affected skin areas.

A nurse is preparing to administer potassium chloride to a client who is receiving diuretic therapy. The nurse reviewed the clients are in potassium level results and discovers that their level is 3.2 MEQ per liter. Which of the following actions should the nurse take? Give the order to KCl as prescribed. Omit the KCl does in document that it was not given. Hold the prescribe those and notify the provider of the Syrian potassium level. Call the lab to verify the results.

The client the county level is below the recommended reference range. The nurse should administer the case y'all as prescribed.

A nurse is providing teaching to client who takes an opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching? It may take up to three days for the medication to work. It will take the medication for diarrhea. I should drink 4 ounces of water when I take this medication. I can take this medication along with mineral oil.

The client understands docusate sodium is a stool softener in the therapeutic effects of this medication may take up to three days to achieve. This medication may lead to toxicity of taken with mineral oil and is not used to treat diarrhea. Additionally the client should drink up to 8 ounces of water when taking this medication and increase fluid intake in order to prevent further constipation.

A nurse is preparing to administer heparin subcutaneously to a client who has deep in thrombosis. Which of the following techniques should the nurse use? Cleanse the skin with an alcohol swab insert the needle aspirate and then inject heparin. Cleanse the skin with an alcohol swab insert the needle aspirate inject the heparin and then massage the site. Cleanse the skin with an alcohol swab insert the needle in Jack Tabron and observe for bleeding. Cleanse the skin with an alcohol swab insert the needle and Jack to aspirate then observe for bleeding.

The correct technique for the nurse to inject is to clean the skin with an alcohol swab, insert the needle, inject heparin, and observe for bleeding.

A nurse is caring for four clients after administering morning meds she realizes that the nifepidine prescribed for one client was in advertently administer to another client. Which of the following actions should the nurse take first? Notify the clients provider. Check the clients vital signs. Fill out an occurrence form. Administer the medication to the current client.

The first action the nurse should take when using the nursing process is to assess the client. The nurse should know that the action of nifedipine is to lower blood pressure therefore immediately upon realizing this error the nurse should check the vital signs especially her blood pressure to ensure that the client is not hypotensive as a result of the error. Only after ensuring that the client is safe and has stable vital signs should the nurse take other actions. Notifying the clients provider administering medication to the correct client in filling out an occurrence form are all required however not the priority.

A nurse is caring for a client who is receiving a transfusion of packed red blood cells and suspects that the client is experiencing I have a lytic reaction. Which of the following interventions is a priority? Collector you're in specimen. Administer 0.9% sodium chloride to an IV line. Stop the transfusion. Notify the blood bank.

The greatest rest of the client is injury due to further hemolysis, therefore the priority action is to stop the transfusion. When suspecting a hemolytic reaction the priority action by the nurses to immediately stop the transfusion in order to prevent her further hemolysis. Well all of the other recommendations are correct they are not a priority

A nurse is preparing to administer ampicillin and gentamicin us in sulfate via IV infusion. Which of the following resources should the nurse consult first regarding medication compatibility? The nurse manager. The hospital pharmacist. The healthcare provider. The medical sales rep.

The greatest risk to a client is injury for medication error and therefore the nurse should consult the hospital pharmacist first. The pharmacist will have information about medications including adverse side effects recommended dosage is an any type of drug incompatibilities.

A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication has been effective? A drink recent blood sugar. A decrease in blood pressure. A decrease in urine output. A decrease in specific gravity.

The major manifestations of diabetes insipidus are excessive urination and extreme thirst. Vasopressin is used to control frequent urination, increased thirst, and lots of water associated with this disease. A decreased urine output is the desired response.

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching provided? The client hold his breath for 10 seconds after inhaling the medication. The client takes a quick in elation while releasing the medication from the inhaler. The client exhales as the medication is released from the inhaler. The client wait 10 minutes before each in a location.

The medication should be retained in the lungs for a minimum of 10 seconds of the max amount of the dosage can be delivered properly into the airway. Do you see in Hailer the client exhales normally just prior to releasing the medication should in hell deeply as a medication is released and then hold the medication in the lungs for approximately 10 seconds prior to exhaling again.

A nurse is caring for a client who is postoperative following hip arthroplasty. The nurse should anticipate which of the following prescriptions for this client? Aspirin. Clopidogrel Enoxaparin Alteplase

The new shouldn't of paid a prescription for ENOXAPARIN for prophylaxis therapy for Venus thromboembolism. Clients following hip arthropathy arthroplasty are usually on anticoagulants anywhere from 3 to 6 weeks after surgery.

And your sister going to administer phenytoin 50 mg by intermittent IV bolus to a client who has a seizure disorder. Which of the following actions should the nurse take? Slow the injection of the medication crystallizes. Dilute the medication before injecting it. Follow the IV injection with sterile water. Administer the medication over one minute.

The nurse is a minister Phinne tween slowly, no faster than 50 mg per minute. The IV injection should be followed with 0.9% sodium chloride to prevent precipitate developing. The nurse should not dilute the IV injection prior to administration as this medication in particular is given in on diluted form. The nurse should be continue the medication if it does crystallize. Mixing been a toilet with other solution can cause a precipitate to form. It should not be added to an existing iview fusion in the tubing should be flush before and after administration.

A nurse is teaching a client who is do I don't know what all sir about his new prescription for cement to Dihn. The nurse should include which of the following instructions in the teaching? Take the medication with an antacid in order to meet in my stomach upset. Your doctor might need to reduce your theophylline does while taking this medication. Take the medication on an empty stomach for better absorption. You should plan to take this medication for at least six months.

The nurse said in fact the client that the provider may need to reduce his theophylline doses Due to the possibility of increased medication levels. The patient it should take this medication with food in order to minimize gastric irritation. The patient should not take this medication within one hour of taking an anti-acid as it will interfere with the absorption of the medication. The nurse should instruct the client that he should plan to take this medication for short term treatment of duodenal ulcer is and will be approximately 4 to 6 weeks.

A nurse is preparing to administer a rectal suppository to a patient. In which of the following position should the nurse placed a client for insertion? Since position. Prone position. Lying on the right side. Supine.

The nurse should assess the client to the Sims position by lying flat on the left side left hip and lower extremity Street in right hip and knee bent this position exposes the anus and helps the client relax the external sphincter allowing for easier insertion of the suppository.

A nurse is assessing a client prior to administering atenolol. Which of the following findings should prop the nurse to withhold this medication? A heart rate of 46 bpm. O2 saturation of 95%. Respiratory rate of 18 breaths per minute. Blood pressure of 160/94.

The nurse should check the clients heart rate prior to administering a beta blocker. If the clients heart rate is less than 50 bpm, the nurse should hold the medication and contact the provider. This medication is used in the treatment of hypertension and angina and following a mile cardio infarction. This medication works by slowly reducing heart rate decreasing the speed of electrical impulses through the atrioventricular node in decreasing the force of contraction.

Understood teaching a class about medication reconciliation. Which of the following information should the nurse include in the teaching.? Do not include over-the-counter medications in the medication reconciliation report. Provide a list of the clients current medications during the change of shift report. Do not perform reconciliation of a client at discharge from a healthcare facility. Provide a list of the clients current medications during admission to a healthcare facility.

The nurse should create a list of current medications including the name, indication, route, dosage, inducing interval upon admission to healthcare facility. The list consist of all medications, including vitamins, herbal products, in a prescription and nonprescription medication.

A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods as a best source of potassium? Bananas. Cooked carrots. Cheddar cheese. 2% milk.

The nurse should determine that bananas are the best food stores to recommend because one cup of bananas contains 806 mg of potassium. In addition to the potassium supplements a provider might prescribe, the client should increase his daily intake of foods that have high potassium content which can also include orange juice or spinach.

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain any type of pain relief. Which of the following scenarios should the nurse document of the exclamation for the situation. The client not been taking the medication properly. The client is experiencing episodes of confusion. The client has become addicted to the medication. The client developed a tolerance to the medication.

The nurse should document that the client has developed a tolerance to this medication. Morphine is a narcotic analgesic use for treatment of severe pain. Tolerance is an adverse effect of narcotic analgesics in which a larger bills is needed to produce the same response. The nurse should not document that the client has not been taking the medication properly without further investigation. The client is able to tell the nurse that he had to increase the dosage would just not indicate taking the medication properly.

A nurse is reviewing the lab values of a client who has liver failure with ascites and is receiving Spironolactone. which of the following findings should the nurse expect? Decrease sodium level. Decrease phosphate level. Decreased potassium level. Or decrease chloride levels.

The nurse should expect a decrease in sodium levels. This medication is potassium sparing diuretics that inhibits the action of all those stair own, resulting in an increase excretion of sodium.

A nurse is caring for a client who is at six weeks of just station and has pneumonia. While the nurse is obtaining the clients history, the client is a nurse that she takes an herb feverfew for migraine headaches. Which of the following action should the nurse take? Tell the client that she should take an over-the-counter analGesic instead. Explain to the client that she should not take this or while she is pregnant. Asked client why she would take a nerve during pregnancy. Suggest that the client ask herbalist within the next few weeks about taking it while pregnant.

The nurse should explain that feverfew interferes with platelet aggregation income therefore cause bleeding. It is unsafe for the client to take this medication during pregnancy.

A nurse is reviewing the medical record of a client who has hypertension in a new prescription for metro pro long. Which of the following findings should the nurse investigate further? Diet controlled type two diabetes. A history of left-sided heart failure. A concurrent prescription for tadalafil. Recently treated bilateral pneumonia.

The nurse should further investigate the clients history of heart failure. Although this medication can be used to treat heart failure, it can also cause heart failure so this medication should be used with great caution in a client who has a history of such. The nurse should teach the client to watch for signs of increasing left-sided heart failure such as shortness of breath and weight gain indicating fluid retention, and report these to the provider immediately.

A nurse is admitting a client who states that he takes ginkgo biloba every day to improve his memory. The nurse should identify a potential interaction with which of the following medications that the client is already taking? Ranitidine. Levothyroxine. Warfarin. Loratadine.

The nurse should identify a potential interaction between ginkgo biloba and warfarin. Ginko might surprise coagulation and should be used with caution with antiplatelet drugs such as aspirin or anticoagulant such as warfarin or heparin. There is no documented interaction between ginkgo biloba in any of the other medications prescribed

A nurse is preparing to administer happened to a client. Which of the following actions should the nurse plan to take? Use a 22 gauge needle to inject the medication. Use the one in Chino to inject the medication. And check the medication into the abdomen above the level of the iliac crest. Massage injection site after administration of the medication.

The nurse should inject the medication into the abdomen above the level of the iliac crest, at least 2 inches from the umbilicus as well. The nurse should use a small needle either a 25 or 26 gauge as well as 3/8 of an inch or smaller in order to administer heparin. The nurse should apply for and pressure but not massage the site for 1 to 2 minutes after administration.

A nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. Which of the following instruction should the nurse include in the teaching? Do not take antihistamines with this medication. Take a medication on an empty stomach. Stop taking the medication immediately for a headache. Expect to develop diarrhea initially.

The nurse should instruct the client not to take antihistamines while taking this medication as they will intensify the depressant effects of baclofen. This medication causes nausea and intestinal distress therefore the client should take it with milk or meals. Abrupt withdrawl of the medication which is a CNS muscle relax sent me cause seizures, fever, and hypotension. A better alternative is to treat the headache which can have many other causes and see if it resolves with the medication. Baclofen is more likely to cause constipation and diarrhea.

A nurse is providing teaching to a client who has emphysema and a new prescription for Theophylline. Which of the following instruction should the nurse provide? Consume a high-protein diet. Administer the medication with food. Avoid caffeine while taking this medication. Increase fluids to 1 L per day.

The nurse should instruct the client that caffeine should be avoided while taking this medication as it can increase central nervous system stimulation. This particular medication should be administered with 8 ounces of water if G.I. upset were to occur however it should not be administered with food. High-protein diets should be avoided as they decreased the duration of this medications action. Fluid intake should be 2 L per day while taking this medication to decrease the thickness of mucous membranes related to emphysema.

A nurse has an ophthalmology clinic is providing teaching to client was open eagle glaucoma and a new treatment regimen for timolol and pilocarpine eyedrops. Which of the following instruction should the nurse provide? Administer the medications by touching the tip of the dropper to the square of the eye. Hold pressure on the conjunctival sad for two minutes following the application of the drops. Administer the medications five minutes apart. It is not necessary to remove contact lenses before administering these medications.

The nurse should instruct the client that if more than one medication is to be administered they should be given at least five minutes apart.

A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following manifestation should the nurse include as an indication of mile toxicity? Constipation. Urinary retention. Muscle weakness. Hyperactivity.

The nurse should instruct the client that muscle weakness is a manifestation of mile toxicity. Other mild toxicity manifestations of lithium are diarrhea, polyuria, and lassitude.

A nurse is providing teaching to a client who has a new prescription for levothyroxine for hypothyroidism. The nurse should instruct the client to avoid which of the following herbal supplements? Saw Palmetto. Cranberry. Soy. Garlic.

The nurse should instruct the client to avoid soy because so I can reduce the effectiveness of the levothyroxine. Saw Palmetto can increase the risk of bleeding and clients were taking anticoagulant or antiplatelet medication. Cranberry juice can increase the risk of uric acid kidney stones and can also increase the risk of bleeding and patients were taking warfarin. Garlic can increase the risk of bleeding in patients were taking anticoagulants an antiplatelet medication.

A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisones. Which of the following statements by the client indicates an understanding of the teaching? I should take my flu vaccine within one week of starting this medication. I can expect a sore throat for the first week after starting this medication. I should eat more bananas while taking this medication. I should take aspirin for minor aches and pains while taking this medication.

The nurse should instruct the client to eat more potassium rich foods such as bananas and citrus fruits while on this medication. Prednisones can cause a lot of potassium in the nursing instructor about the manifestations of hypokalemia such as muscle weakness and cramping and to notify the provider should be secure immediately. This patient should not take salicylates or NSAIDs for pain because these medications can increase the risk of gastric ulcer ration. The client should report any manifestations of sore throat or fever to the provider as this man may indicate an infection. The nurse should I tell the client to avoid taking vaccines while on prednisone as they decrease anti-body responds to the vaccine and increase the risk of infection for a live virus.

A nurse is providing discharge teaching to a client who has a new prescription for her verapamil for angina. Which of the following instruction should the nurse include? Let me your fluid intake to meal times. Do not take this medication on an empty stomach. Increase your daily intake of dietary fiber. You can expect swelling of the eagles while taking this medication.

The nurse should instruct the client to increase his daily intake of dietary fiber in order to reduce the risk of constipation associated with this medication. This medication can be taken without food. The client should increase her fluid intake rather than limit it during meal times due to the potential effects of constipation. If any swelling of the Ankles or feet of curb please notify the provider immediately as these are adverse side effects.

A nurse is teaching a client who has a urinary tract infection and is taking Cipro flaxen. Which of the following instruction should the nurse give to the client? If the medicine causes an upset stomach taken and acid at the same time. Limit your daily fluid intake while taking this medication. This medication can cause photophobia so be sure to wear sunglasses outdoors. You should report any tendon discomfort you experience while taking this medication.

The nurse should instruct the client to report any tendons comfort as well as swelling or inflammation of the tendons due to the risk of tendon rupture.

A nurse is providing teaching to client who has hypertension in a new prescription for hydrochlorothiazide. Which of the following instruction should the nurse provide? Weigh weekly to monitor therapeutic effects. Take the medication on an empty stomach. Take the medication early in the day. Muscle pain is an expected adverse affect.

The nurse should instruct the client to take hydrochlorothiazide early in the day in order to avoid nocturia.

A nurse is caring for a client who has just begun therapy with alprazolam to treat anxiety. The nurse should monitor the client for which of the following adverse effects of this medication? Insomnia. Bradycardia. Hearing loss. Hypertension.

The nurse should monitor the Client for paradoxical effect such as insomnia and excitation. If these do occur the medication should be withdrawn. This medication in particular is also likely to cause tachycardia, tinnitus, and hypertension or orthostatic hypotension.

A nurse is preparing to administer an ox a parent to a patient. Which of the following actions should the nurse plan to take? Insert the needle out of 45° angle. Aspirate for blood return before addressing depressing the plunger. The nurse should not expel the air bubble into the prefilled syringe. Administer the medication 2.54 cm or 1 inch from the umbilicus.

The nurse should not expel the air bubble that is in the prefilled syringe prior to administering the medication.

A nurse in a providers clinic is assessing a client who has cancer in a prescription for methyl tracks eight by mouth. Which of the following action should the nurse take when the client reports bleeding gums? Explain to the client that this is an expected adverse affect. Check the value of the clients current platelet count. Instruct the client to use an electric toothbrush. Have a client make an appointment to see a dentist.

The nurse should recognize that the bleeding is likely due to the adverse effects of the chemo therapy and needs to be evaluated further. Bleeding gums is a sign of thrombocytopenia or decreased platelet count which is secondary to bone marrow suppression and can be life-threatening a client who is receiving chemotherapy.

A nurse is caring for a client who requires a medication that is packed in a single those glass and deal. Which of the following technique should the nurse use one opening this glass ampul? Where sterile gloves and break off the neck of the glass and deal with a single snap to the right side. We are sterile gloves and break off the neck of the glass infield with a single snap in a downward motion. Top the bottom of the amp you place of gods pad around the Annville neck and break off the bottom with the forward motion away from the body. Top the top of the Indian place a sterile gauze pad around the Annville neck and break off the top by bending it toward the body.

The nurse should tap the top of the amp you will, please a sterile gods pad around the empty will neck, and break off the top by bending it towards the body. The sterile gauze prevent broken glass coming in contact with the fingers and bending the Annville top towards the body allows glass fragments to spray away from the nurse.

A nurse is teaching a client who has diabetes a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication? Grapefruit juice. Milk. Alcohol. Coffee

The nurse should teach the client to avoid alcohol while taking this medication in order to prevent a disulfiram reaction, such as nausea headache and hypoglycemia. Milk and caffeine do not interact with this medication. Reproduce can cause atorvastatin toxicity if use while taking that medication.

A nurse is teaching a client had to draw up regular insulin and mph and slid into the same syringe which of the following instruction should the nurse include? Draw up the NPH insulin into the syringe first. Inject air into the regular insulin first. Shake the NPH insulin until it is well mixed. Discard regular insulin that appears cloudy.

The nurse should teach the client to discard any regular insulin that appears cloudy, as regular insulin should be clear. And peach insulin has a cloudy appearance.

A nurse is caring for a client who has the roses in a new prescription for lactulose. Which of the following manifestation indicates an adverse effect of this medication? Dry mouth. Vomiting. Headache. Peripheral eDema.

The nurse will monitor for vomiting as an adverse effect of lactulose. Dry mouth, headaches, peripheral edema are not adverse effects associated with this medication.

A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric coated aspirin by mouth once daily the client ask the man if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide? Crushing the medication might cause you to have a stomachache or indigestion. Crushing the medication is a good idea and I can mix it in some ice cream for you. Crushing the medication would release the medication all at once rather than over time. Crushing is unsafe as it destroys the ingredients in the medication.

The pill is enteric-coated in order to prevent breakdown in the stomach and decrease a possibility of G.I. distress. Crushing the pills destroys our protection and can cause stomachache or indigestion.

A nurse is caring for a client who is postoperative following of Domino surgery and reports incisional pain. The surgeon has prescribed morphine for milligrams IV bolus every six hours as needed. Before administering this medication the nurse should complete which one of use priority assessments? Blood pressure. Apical heart rate. Respiratory rate. Temperature.

The priority action the nurse should take when using airway breathing and circulation approaches is the client care is to evaluate the clients respiration rate the respiratory rate is especially important because opioid analgesics like morphine can cause respiratory depression.

A nurse is planning to administer Seth tree ask soon I am to an adult client which of the following actions should the nurse plan to take? Administer the medication using of 5-8 inch needle. Administer the medication at a 45° angle. Administer the medication in the deltoid muscle. Administer the medication using a Z track technique.

The z track method is used to reduce pain and prevent medication to leak into the subcutaneous tissue when giving and I am injection.

A nurse is providing teaching to a client who has seizures in a new prescriptions for phenytoin. Which of the following information should the nurse provide? This medication turns your room blue. Alcohol increases the chance of toxicity. Avoid flooding the teeth to prevent gum irritation. Take an antacid with the medication if irritation does occur

Then Nurse should include in the home in directions that alcohol alter his blood levels of phenytoin and therefore should be avoided to prevent toxicity. The nurse should include in the home instructions that this medication turns you're in pink red red brown but not blue. The nurse should instruct the client to foster teeth to prevent gingival hyperplasia which is associated with the use of this medication. The nurse should instruct the client to avoid taking an antacid within two hours of administering this medication.

A nurse is caring for a client who has Wernicke Korsakoff psychosis as a result of chronic alcohol use disorder. Which of the following intervention should the nurse anticipate? Lab analysis of cardiac enzymes. Monitoring for the presence of esophageal very sees. Administration of thiamine. Placing the client and protective isolation.

Thiamine is administered to a client who has Warnicke Korsakoff psychosis due to the hepatic dysfunction and in adequate intake of sufficient vitamins.

The nurse is assessing a client who is receiving IV Vanco myosin. The nurse notes flushing of the neck and tachycardia. Which of the following actions should the nurse take? Document that the client experiencing anaphylactic reaction to the medication. Change the IV infusion site. Decreased infusion rate to the IV. Apply cold compresses to the neck area.

This client is experiencing red man syndrome, which includes a flushing of the neck and face upper body arms and back along with tachycardia, hypertension and uticaria. This can lead to an anaphylactic reaction if the IV infusion rate is not slow down to run greater than one hour.

A nurse is caring for a client who has nausea in a prescription for metroclopramide intermittent IV bolus every four hours as needed. The client asked the nurse how this medication will relieve her nausea. Which of the following exclamation should the nurse provide? The medication relieves nausea by promoting gastric emptying. The medication works by decreasing gastric acid secretions. The medication to relieve nausea by slowing down Peristalsis. The medication works by relaxing gastric muscles.

This medication also known as Reglan is a gastrointestinal stimulate used to relieve nausea vomiting heartburn and stomach pain bloating in the persistent feeling of fullness after meals. This medication works by promoting gastric emptying through increase muscle contractions.

A nurse at teaching a client who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in teaching? Discontinue the medication if not it occurs. Expect your room to turn orange. Monitor for increased muscle spasms. Avoid driving until the effects of this medication or known.

This medication can cause drowsiness and dizziness therefore instruct the client to avoid driving in these effects occur.

A nurse is teaching a client who has a new prescription for COLCHICINE to treat gout. Which of the following instruction should the nurse include? Take this medication with food if not she develops. Monitor for muscle pain. Expect to have increased bruising. Increase your intake of grapefruit juice.

This medication can cause rhabdomyolysis. The client should therefore monitor and report any type of muscle pain that may develop. If the patient were to develop nausea this is a manifestation of gastric toxicity in there for the medication would be discontinued. If the patient is having increased bruising this is an indication of thrombocytopenia which is an adverse effect of the medication and should not be expected. Grapefruit juice can interfere with the metabolism of this medication and increase the risk for toxicity.

A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline or Theo 24. The nurse should tell the client that this medication my calls which of the following adverse effects? Drowsiness. Constipation. Oliguria. Tachycardia.

This medication can increase cardiac stimulation and cause tachycardia. It can also cause urinary frequency, diarrhea, or insomnia.

A nurse is caring for a client who has atrial fib relation and receive digoxin daily. Before administering this medication which of the following actions should the nurse take? Offer the client a light snack. Measure the clients blood pressure. Measure the clients apical pulse. Wait a client.

This medication decrease his heart rate so the nurse should count the apical pulse for at least one minute prior to administration. The nurse should hold medication and notify the provider if the heart rate is below 60 bpm or of a change in our heart rhythm is detected.

A nurse is teaching an adolescent about medication therapy with oral acetylcysteine. Which of the following information should the nurse include in the teaching? You should avoid eating eggs. Your mouth will become dry. It is necessary to monitor your serum electrolyte levels. This medication has a very unusual oder.

This medication has an order similar to rotten eggs due to the presence of disulfide linkages there for the medication does smell. There are no dietary restrictions when taking this medication. Increase oral secretions occur when taking this medication. ABG levels and pulmonary function test might be monitored while on this medication.

A nurse is providing teaching to a client who has a peptic also disease in a new prescription for sucralfate tablets. Which of the following information should the nurse provide? An antacid maybe taken with the medication is in digestion occurs. Take soak her feet one hour before meals. Take tablets hole. Store the medication in the refrigerator.

This medication is a mucosal protectant. The client should take it on an empty stomach either one hour before meals for maximum effectiveness

Unders on it in college her unit is preparing to administer doxorubicin to a client who has breast cancer. Prior to the beginning of the infusion the nurse verifies the clients current cumulative lifetime bills of the medication. For which of the following reasons is this verification? This medication can lead to myelosuppression. Exceeding the lifetime cumulative does limit of this medication might cause extravasation. In excess this medication cardiomyopathy. Exceeding the lifetime cumulative limit of this medication might produce red tinged urine and sweat

This medication is an anti-neoplastic antibiotic that is used to treat various forms of cancer. Irreversible cardiomyopathy with congestive heart failure can result from repeated doses of this medication, and prolonged use can also cause of your heart damage, even years after the client has stopped taking it. Therefore the cumulative does a client should receive is 550 mg/m² or 450 mg/m² with a history of radiation to the mediastinum as well. Please note that why all the other conditions also do occurred they are not the reason for the lifetime limit

A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect for this medication? Alleviate H pylori. Relief of gastrointestinal pain. Prevention of opportunistic infections. Improvement of impaired vision.

This medication is an anti-ulcer medication and is prescribed for acute or maintenance therapy of duodenal ulcer's. A therapeutic effect of the medication is relieve of gastrointestinal pain that is associated with gastric ulcers. It also promotes healing.

A nurse is preparing a client for surgery. Prior to administering the prescribed hydroxyzine, the nurse should explain to the client that this medication is used for which of the following indications? Select all that apply. Controlling emesis. Diminishing anxiety. Reducing the amount of narcotics needed for pain relief. Preventing thrombus formation. Drain secretions.

This medication is an effective anti-emetic and maybe used to control nausea and vomiting in Perry operative and postoperative clients. This medication is also an effective anti anxiety agent that maybe used to diminish anxiety and surgical clients as well as those who have moderate anxiety. This medication potentiates the actions of a narcotic pain medications and therefore narcotic requirements can be significantly reduced. This medication is an anti-histamine and commonly causes drying of the mucosal membranes.

A nurse is providing discharge teaching to a client who has asthma in a new prescription for fluticasone/salmeterol. For which of the following adverse affects of the nurse instruct the client to report to the provider immediately? Sedation. Increased appetite. White coating in the mouth. Dry oral mucous membranes.

This medication is an inhaled glucocorticoid and a long acting beta to adrenergic agonist combination that is used for daily management of asthma. It is not a rescue medication. And adverse affects of this medication is oropharyngeal candidiasis. The nurse should instruct the client to gargle after each use, use a spacer to reduce the amount of drug in the mouth in the throat. Report any white patches inside the mouth or on the tongue to the provider immediately.

A nurse is teaching a client who has a new prescription for disulfiram. Which of the following information should the nurse include in the teaching? Avoid grapefruit juice while taking this medication. Do not crush this medication before swallowing. Do not drink alcohol while taking this medication. Take this medication with food.

This medication is the type of aversion therapy that helps maintain abstinence from alcohol. Drinking alcohol while taking this medication can produce a life-threatening response I can include palpitations, headache, and hypotension. Therapy was not begin until the client has abstain from alcohol for at least 12 hours. The client should avoid all forms of alcohol including cough syrups and in aftershave lotion.

A nurse is instructing the parents of a client who has a new prescription for methylphenidate. Which of the following instruction should the nurse include? Avoid activities that require alertness such as driving. Increase caffeine intake. Take his medication prior to bedtime. Reduce caloric intake.

This medication the client should avoid driving in other activities that require alertness until the effects of this medication are known for this particular client. For this particular medication caffeine should be decrease in order to reduce the risk for excessive stimulation and irritability. This medication should be taken six hours before sleep in order to reduce the risk for insomnia. This medication can cause anorexia and weight loss therefore caloric intake should not be reduced.

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asked the nurse how long it will take for heparin to dissolve the clot. Which of the following responses should the nurse give? Usually takes her bring at least 2 to 3 days to reach to the therapeutic blood level. The pharmacist is the person to answer that question. Heparin does not dissolve clots. It just stops new clots from forming. The oral medication you will take after this IV will dissolve the clot.

This statement accurately answer is the clients question heparin does not dissolve clots it's simply stops new clots from forming.

A nurse is caring for a client who is prescribe warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin? Hemoglobin. Prothrombin time. PT Bleeding time. Activated partial thromboplastin time aPTT

This test is used to monitor warfarin therapy PT or prothrombin time. For a client receiving full anticoagulant therapy the PT should typically be approximately 2 to 3 times the normal value depending on the indication for therapeutic anticoagulation.

A nurse is caring for a client who has an infection in a prescription for gentamicin intermittent IV bolus every eight hours. A peek intro is required within with the next dose. Which of the following action should the nurse take to obtain an accurate gentamicin serum level? Draw a trough level at 0900 and a peak level at 2100. Draw a peak level 90 minutes prior to administering the medication and a trough level 90 minutes after the dose. Draw a trough level immediately prior to administering the medication and a peak level within 30 minutes after the dose. Draw Peak level of 0900 and a trough level at 2100

Timing of the peak and trough is based on for mock up pharmacokinetics of absorption and the half-life of each medication. The trough level is the lowest you're in level after the effects have taken place. For divided doses correct timing for this level is just prior to administering the next dose. The peak is the highest serum level of the medication, if the level is too low then the medication will not be effective and therefore must be adjusted. Correct timing for peak is between 30 to 60 minutes after the doors has finished infusing.

Understood teaching to client about the adverse effects of CISPLETIN. Which of the following adverse affects should the nurse include in the teaching? Tinnitus. Constipation. Hyperkalemia. Weight gain.

Tinnitus and hearing loss or adverse effects of this medication. Diarrhea hypokalemia are other effects of this medication. We gain is an adverse effect of DOCETAXEL due to fluid retention.

A nurse is teaching a client who has a new prescription for aspirin to prevent cardiovascular disease. Which of the following instruction should the nurse include in her teaching? Take the tablets on an empty stomach. Expect stores to turn black. Anticipate the tablets to smell like vinegar. Monitor for tinnitus

Tinnitus is a manifestation of a salicylism or aspirin toxicity other manifestations can include sweating headache and dizziness.

A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. Which of the following instruction should the nurse include in the teaching? Expect ringing in your ears. Take the medication with food. Store the medication in the refrigerator. Monitor for weight loss.

To minimize gastric irritation the client should take this medication with food or immediately after a meal. Please note that if ringing in the ears occurs this is a manifestation of otoxicity and should be reported immediately. The client should also monitor for weight gain which can be a manifestation of nephrotoxicity or a edema.

A charge nurse is supervising a newly licensed nurse provider taking care of a patient who is on a PCA pump. Which of the following statements made by the Nurse requires further action by the charge nurse? I just started the remaining 2 mg of morphine from the PCA pump please document that you witnessed it. I noted that my client push the PCA pump six times in the last hour in the PCA lockout is set for 10 minutes. I gave my client a bolus dose of morphine when I initiated the PCA pump. I told the clients family that they must not push the PCA button on behalf of the client.

Two nurses are required to witness the wasting of a narcotic and then signed the narcotic record. The nurse should not ask another nurse to sign the narcotic record if the nurse did not win it is wasting that narcotic there for the first answer is incorrect

A nurse is providing teaching to a client who has asthma in a new prescription for inhale the beclomethasone. Which of the following instruction should the nurse provided. Check the pulse after medication administration. Take the meds with meals. Rinse them out after administration. Limit caffeine intake.

Use of glucocorticoids by meter does in Hailer can allow for fungal overgrowth in the mouth. Rinsing them out after administration can lessen the likelihood of this complication.

A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication? Hyperthermia. Hypotension. Otoxicity. Muscle pain.

Verapamil is a calcium channel blocker and can be used to control supraventricular tachycardia. It also decreases blood pressure and act as a coronary basal dilator and anti-anginal agent. A major adverse effect of this medication however is hypotension. Therefore blood pressure and pulse must be monitored before and during parenteral administration.

A nurse is caring for a client who has the roses and a prothrombin time of 30 seconds. Which of the following medication should the nurse plan to administer. Vitamin K. Heparin. Warfarin. Ferrous Sulfate

Vitamin K a prothrombin time of 30 seconds indicates the clotting time is prolonged and bleeding could occur. Vitamin K injection's increase the synthesis of prothrombin by the liver therefore the nurse should plan to administer this medication.

A nurse is reviewing the medication list for a client who has a new prescription for warfarin. The nurse should recognize that which of the following medications is incompatible with warfarin? Furosemide. Alprazolam. Vitamin K. Vitamin A.

Vitamin K is not compatible with warfarin as it antagonizes the action of this medication and is actually the antidote for warfarin toxicity is well.

A nurse is caring for a client who is on warfarin therapy for atrial fib relation. The client INR is 5.2. Which of the following medications at the Nurse prepare to administer? Epinephrine. Atropine. Protamine. Vitamin K.

Vitamin K reverses the effects of warfarin and should be administered immediately.

A nurse is educating a group of clients about the Contra indications of warfarin therapy. Which of the following statements should the nurse include in teaching? Clients who have glaucoma should not take warfarin. Plan to have rheumatoid arthritis should not take warfarin. Clients who are pregnant should not take warfarin. Clients who have hypothyroidism should not take warfarin.

Warfarin therapy is contraindicated in the pregnant client because it crosses the placental barrier in place of the fetus at risk for bleeding as well. Other contraindications for warfarin therapy are peptic ulcer disease, thrombocytopenia, and liver disease.

A nurse is providing instructions about bowel cleansing with polyethylene glycol electrolyte solution PEG for a client who is going to have a colonoscopy. Which of the following information should the nurse include? To prevent dehydration drinking additional liter of fluid during prep time. Expect bell movements to begin three hours following the completion of the solution. Abdominal bloating may occur. During 400 ML's every hour until bowel movements are clear.

Well PEG is well tolerated, adverse effects can include nausea bloating and abdominal discomfort. Dehydration does not occur with a solution and therefore no additional fluid intake is necessary therefore A is incorrect. Bowel movements usually begin about one hour following the first dose of PG. The client should and just the full solution by drinking 250 ML's to 300 ML's every 10 minutes over to the three hours total.

A nurse is it ministering timolol eyedrops to a client who has glaucoma. Which of the following actions should the nurse take? Apply pressure to the bridge of the nose after administration. Wipe the eye from the outer canthus to the inner canthus before installation. Drop prescribed amount of medication into the conjunctival sack. Protect the distal portion of the eyedropper using clean technique.

Well the dominant hand is resting on the clients four head hold filled medication eyedroppers or at the mall at solution a proximally 1 to 2 cm above the contract table sack. Instill the prescribe number of medication drops into that sack. After instilling the eyedrops asked the client to close your eyes gently. If the client is to receive more than one eye medication in the same I wait at least five minutes before administering the next medication.

A nurse is assessing a client who is receiving dopamine IV to treat left and trailer failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect? Systolic blood pressure is increased. Cardiac output is reduced. Apical heart rate has increased. You're in output is reduced.

When dopamine has a therapeutic effect it causes vasoconstriction peripherally which increases the dolly blood pressure. It also causes increased cardiac output and increased urine output. Tachycardia is an adverse side effect not a therapeutic one

A nurse is assessing a client who is taking lisinopril to treat hypertension. Which of the following findings as a priority to report? Dry cough. Swelling of the tongue. Nausea. Nasal congestion.

When using an urgent versus non-urgent approached a client care the nurse determines that the priority finding is swelling of the tongue which is a manifestation of Angioedema. The nurse should withhold a medication to notify the provider immediately of the client reports swelling of the tongue or throat. Other manifestations can include giant wheels and Edema of the tongue, Glottis, and pharynx. Severe reactions are treated with subcutaneous epinephrine. If angioedema develops ACE inhibitors are discontinued.

A nurse is caring for a client who has streptococcal pneumonia in a prescription for penicillin G by inter-mitten IV bolus. 10 minutes into the infusion of the third dose, the client reports at the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first? Stop the infusion. Call the provider. Elevate the head of the bed. Auscultate breath sounds.

When using the airway breathing and circulation approached a client care the nurse should place a priority on stopping the infusion. The client is exhibiting signs of penicillin anaphylaxis and the first action should be taken is to withdraw the medication. While all the other actions are still correct they are not a priority.

I nurses assessing a client prior to the administration of morphine. The nurse should recognize that which of the following assessments is a priority? Pupil reaction. Urine output. Bowel sounds. Respiratory rate.

When using the airway, breathing, circulation approached a client care, the nurse should determine the party assessment as respiratory rate. Morphine can cause respiratory depression. Therefore with all the medication and notify the provider if a client has a respiratory rate of less than 12 breaths per minute.

A nurse is assessing a client who has a stomach lupus arithmetic oh sis and is taking Hydroxychlotoquine. The nurse should report which of the following adverse effect to the provider immediately? Diarrhea. Blurred vision. Itchiness. Fatigue.

When using the urgent versus non-urgent approach to client care, the nurse should determine that the priority finding us to report the provider that blurred vision has occurred as this is a manifestation of toxicity and can be an indication of renal damage. Diarrhea, itchiness, and fatigue are all potential adverse effects of this medication that should be reported to the provider as well however they are not a priority at this time.

A nurse is teaching a client who has a new prescription for every through myosin. Which of the following information should the nurse include? Take his medication with a glass of grapefruit juice. Expect your skin to turn yellow. Monitor for ringing in your ears. Increase fiber intake in order to prevent constipation.

otoxicity is an adverse effect of every through myosin. The client should monitor and report For manifestations of otoxicity such as tonight is dizziness or vertigo.