Pharmacology nurse achieve notes.

A client with chronic liver disease presents with elevated LDL levels. Which medication does the nurse anticipate the healthcare provider to prescribe?

Colesevelam -This is a bile acid sequestrant and is not associated with a risk of hepatoxicity.

A client presents to the ER with status epilepticus and the health care provider wants to start a rapid IC infusion of phenytoin. - What side effect of the medication does the nurse anticipate will warrant therapy modification.

Hypotension.

Which of the following statements regarding cancer and chemotherapy is false?

- Hematopoietic cells, liver cells, the skin and its appendages, and the epithelium of the intestine are also highly proliferative, thus they are susceptible to toxicity from chemotherapy.

A client is to receive ceftazidime 0.25g IV q8h. The available vial for reconstitution is 1g. The nurse adds 10ml sterile water to provide 95mg per ML. -How many ML of the drug will the nurse administer for the scheduled dose?

2.6

A client with cental diabetes insipidus (DI) is starting treatment. Which of the following pharmacological and or parental therapy would the nurse expect to administer to this client?

- Desmopressin acetate (DDAVP) -Chlorpropamide -Hypotonic normal saline

The nurse is teaching a client on amiodarone therapy the dermatologic effects related to this medication. Which of the following teaching statements address this topic?

- You will need to wear a sunscreen and protective clothing when outside. - Your skin may develop a bluish grey discoloration which resolves when the drug is stopped.

The nurse is caring for a client with Addison's disease who is on long-term cortisol replacement therapy. When reviewing the client's medication record and care plan, which of the following orders would the nurse find the most concerni?

Administration of NSAID - Celecoxib is a NSAID medication, which ins contraindicated in cortisol replacement therapy due to the increased risk of peptic ulcer development.

Which of following is a corticosteroid indicated for the treatment of ulcerative colitis?

Budesonide - Budesonide is a corticosteroid that is specifically indicated for ulcerative colitis.

The nurse is caring for a 68-year-old female client who has a history of myocardial infarction and was placed on aspirin therapy which is now causing peptic ulcer disease? What is the best option to treat the peptic ulcer?

imitate standard dose proton pump inhibitor (PPI)

Which of the following is common side effect of levonorgestrel as an emergency postcoital contraception?

-Nausea

Metronidazole is potent against which type of bacteria?

Anaerobic -Metronidazole is an antibacterial drug used to treat anaerobic or mixed intra-abdominal infections. It is potent against anaerobes and has little effect on aerobes.

Which 2 medications does the nurse expect the client to be prescribed for corticosteroid maintenance therapy for a patient who is newly diagnosed with Addison's disease.

- Hydrocortisone - Fludrocortisone - steroid therapy is used for replacement therapy in Addison's disease.

The nurse is teaching a client with gastroesophageal reflux disease (GERD) about omeprazole (PRILOSEC). Which of the following statements made by the clients indicates a need for further teaching?

- Omeprazole is an antacid. - It is an PPI used in the treatment for GERD.

A nurse receives report at shift change that one of their clients intravenous sites that has just infiltrated. What signs and symptoms should the nurse expect to see upon assessment of the PIV insertion site.

-Edema around the site. tight skin cool to touch and burning sensation.

What adverse effects should the nurse reinforce during the discharge teaching for a patient being sent home on a loop diuretic.

-Low blood pressure - Low potassium levels in the blood.

The nurse is caring for a client at a family health clinic who is accompanied by their son. The client was diagnosed with Alzheimer's disease 10 years ago and has been on donepezil since the time of the diagnosis. The client's son informs the nurse that their father is recently having a very hard time swallowing pills and liquids and wondering what to do about the donepezil pills. What is the most appropriate recommendation for the client and their son?

-Request physician to switch the client to the rivastigmine patch. =Rivastigmine is a cholinesterase inhibitor that has a patch available for those who cannot take the oral medications.

An elderly client is prescribed hydrocodone tablets for the treatment of chronic pain. The clinic nurse should instruct the client's caregivers to immediately seek medical attention if they observe which of these findings.

-Shallow breathing -Decreased bathing rate.

A client is receiving antibiotic therapy via oral solution with a 20mg/ml concentration. The client weighs 10kg. Th antibiotics is ordered at 50mg/kg/day dose. given once daily. How many Mg of medication will the child receive? record your answer using a whole number.

500mg daily

The nurse is administering isoniazid for a client with active tuberculosis (TB). which of the following should be included in the client education about this medication?

Avoid Tyramine-containing foods. Tyramine interacts with isoniazid to increase the risk of hepatoxicity occurring during treatment. This medication should be taken with aluminum-containing antacids or with food.

The nurse is preparing to administer 150mg of elemental iron via oral suspension. What should the nurse do to prevent the most common side effect associated with this medication?

Dilute the medication and provide a straw for the client. - Oral iron suspensions can cause teeth staining. The nurse should dilute the medication with water or juice and provide a straw with the medication in order to prevent this common complication associated with this medication therapy.

Which of the following medications interact with levothyroxine.

Ferrous sulfate. - Ferrous sulfate decreases the absorption of levothyroxine.

A client with nephrogenic diabetes insipidus (DI) is completing teaching with the nurse. After teaching the client about a low-sodium diet. Which medication will the nurse need to focus teaching on for this condition?

Hydrochlorothiazide. - Nephrogenic DI is treated with low sodium diet and thiazide diuretics because they allow for sodium uptake in the renal tubules to help prevent total sodium losses.

A nurse is reviewing the medication administration record of a client with hyperparathyroidism. Which of the following medications would the nurse find the most concerning.

Hydrochlorothiazide. This medication is contraindicated for clients with hyperparathyroidism because they decrease renal excretion of calcium. leading to hypercalcemia.

A client with bacterial meningitis is prescribed dexamethasone IV. Which if these adverse effects does the nurse know how to be associated with this medication?

Hypernatremia Insomnia

The nurse is providing teaching to a client about taking allopurinol. Which of the following statements by the clients indicates a need for further teaching?

I will not receive any gout attacks when taking the drug. -Acute gout attacks may occur in the initial stages of allopurinol therapy. Patients should continue with prescribed therapy for attacks to minimize acute episodes.

The health care provider orders inhaled corticosteroids for a client with asthma. The client asks the nurse why inhaled corticosteroids are ordered instead of oral corticosteroids. What is the best nursing response to the client's question?

Inhaled corticosteroids have reduced side effects resulting from adrenal suppression.

A 7-year-old client presents to the ER with seizures. The health care provider diagnoses the client with absence seizures. The nurse is waiting for a prescription order from the health care provider. Which of the following medication if prescribed by the physician. requires clarification.

Phenobarbital -This medication is not prescribed for absence seizures. Only to be prescribed for partial and tonic-clonic seizures.

A client admitted for a severe drug overdose requires emergent hemodialysis. The healthcare provider inserts a temporary central venous catheter (CVC) in the clients right internal jugular vein. Which assessment finding would alert the nurse to immediately alert the HCP?

The central venous catheter is not sutured and is secured with an occlusive dressing and tape. - A temporary central venous catheter inserted for vascular access for dialysis must be sutured. A temp cathe should be replaced by a tunneled catheter as soon as possible. Proper catheterization should be confirmed by x-ray before use.

The nursing student working with their preceptor is caring for a client with a history of angina who has been prescribed a long- acting nitroglycerin patch. The student is providing health teaching about nitroglycerin use and tolerance. Which of the following statements made by the student requires clarification by the nurse?

The medication should have the same effect every time you take it. -Nitroglycerin may not have the same effect every time it is taken. The medications efficiency can decline over time and tolerance can a develop.

A high risk client for influenza is prescribed zanamivir by the health care provider. Which of the following statements indicates the client understands the route and indications for this medication?

This medication is administered by an inhaler. It should be taken within 2 days the onset of influenza symptoms. - This medication is prescribed prophylactically for control in influenza outbreaks or to reduce the intensity and duration of influenza.

A nursing student is educating a postoperative client on adverse effects related to IV morphine for pain relief. Which of the following finding requires intervention by the primary nurse?

Tinnitus

Which of the following laxatives facilitates the incorporation of water into fatty intestinal material?

To identify the function of surfactant laxatives. - Docusate sodium is a surfactant laxative that facilitates the incorporation of water into fatty intestinal material.