RESPIRATORY

Pravastatin can be taken with grapefruit juice. Pravastatin, unlike other statins, e.g. lovastatin, simvastatin & atorvastatin; is not affected by CYP3A4 inhibitors. It is safe for the client to consume grapefruit juice if desired.

A nurse is reinforcing teaching with a female client who has a new prescription m for pravastatin to treat hyperlipidemia. Which of the following pieces of information should the nurse include in the teaching?

Diltiazem. The nurse should anticipate a prescription for diltiazem, which blocks calcium channels in the feet and blood vessels, thereby lowering BP. Also, it is an anti-arrhythmic med that is used during cardio version to treat A-Fib.

A nurse is assuring with the care of a client who has A-Fib and is scheduled for cardio-version. The nurse should anticipate a prescription from the provider for which of the following meds for this procedure?

Baseline BUN & creatinine. Ticarcillin-clavulanate is a penicillin antibiotic n is excreted by the kidneys. Therefore, any renal impairment could result in a toxic leveled of the medication. The nurse should assess the clients baseline BUN & creatinine levels n monitor these values throughout therapy.

A nurse is caring for a client who has a pseudomonas infection and a new prescription for Ticarcillin-clavulanate. Which of the following should the nurse collect before administering this medication?

Diuresis

A nurse is caring for a client who has acute glomerulonephritis and a px for furosemide. The nurse should monitor the client for which of the rolling therapeutic effects of this med?

06:45 - Lispro is a rapid-acting insulin with an onset of 15 minutes. The nurse should administer the insulin dose 15 minutes prior to the feeding.

A nurse is caring for a client who has been receiving gastrostomy tube feedings and insulin. The client is scheduled to receive a tube feeding at 0700. When should the nurse administer insulin lispro subcutaneously?

The nurse should identify that furosemide is a high-ceiling loop diuretic indicated for the treatment of client who have severe renal impairment e.g. acute glomerulonephritis. Furosemide blocks the reabsorption of sodium n chloride, thereby preventing the reabsorption of water. Diuresis is a therapeutic response the the admin of furosemide.

A nurse is caring for a client who has cute glomerulonephritis and a px for furosemide. The nurse should monitor the client for which of the rolling therapeutic effects of this med?

Orthostatic hypotension. Orthostatic hypotension is an adverse effect of chlorpromazine. Other adverse effects include palpitations, tachycardia, constipation, sedation & photosensitivity.

A nurse is caring for a client who has schizophrenia an a prescription for chlorpromazine. For which of the following adverse effects should the nurse monitor?

"Gingko biloba will probably interfere with the effectiveness of his other meds." Some experts believe that gingko can delay the mental deterioration of Alzheimer's if taken in the early stages. Gingko also increases the clients risk for bleeding when taken with warfarin.

A nurse is caring for a client who takes warfarin to treat chronic A-Fib and has early manifestations of Alzheimer's disease. The client partner asks the nurse if the client would benefit from taking gingko biloba. Which of the following responses should the nurse provide?

Sudden onset of dyspnea

A nurse is caring for a female client who has osteoporosis and is taking raloxifene. Which of the folding findings should indicate to the nurse that the client is expediting an adverse effect of this medication?

The nurse should identify that raloxifene is a [SERM], which can have estrogenic effects in some tissues & anti-estrogenic effect in other tissues. Clients who are taking raloxifene have an increased risk of thromboembolic events e.g. DVT, P.E. or stroke. If having an adverse effect notify HCP.

A nurse is caring for a female client who has osteoporosis and is taking raloxifene. Which of the folding findings should indicate to the nurse that the client is expediting an adverse effect of this medication?

Loss of red or green color discrimination. Ethambutol is an anti-tubercular med that impairs ribonucleic acid synthesis. Loss of red or green color discrimination is a common adverse reaction due to optic neuritis. Nurse should notify provider and discontinue med.

A nurse is collecting data from a client who has TB & a prescription for ethambutol. Which of the following is an adverse effect of ethambutol?

Tell the parent that this reaction should only last for a couple of days. The nurse should tell the parent that a loss of appetite is a mild reaction in response to the Hep A vaccine and will usually last 1 to 2 days.

A nurse is evaluating a 20 month old child who received a Hep A immunization 3 days ago. The parent reports that the child has exhibited a loss of appetite following the immunization. Which of the following actions should the nurse take?

60 to 90 minutes prior to ambulation. It takes 60 to 90 minutes for the peak effect of P.O. Morphine to occur. Mediating the client 60 to 90 minutes prior to ambulation will provide the greater analgesic effect.

A nurse is planning for a client who is post-op and scheduled to ambulate. At which of the following times should the nurse plan to administer P.O. Morphine to the client for peak analgesic effect during the ambulation?

Aspiration of water. The client should be careful during bathing n showering & should avoid swimming due to the risk of aspiration of water. The client should use a shower shield over the stoma when bathing or showering to keep water out of the airway.

A nurse is reinforcing discharge instructions with a client who has a new laryngectomy. The nurse should tell the client to be careful while bathing to prevent which of the following complications?

"Plan to taper the dose slowly over several months." The nurse should instruct the client to taper the alprazolam, a benzodiazepine & CNS depressant, dose slowly over several weeks or months to ease the physiological & psychological manifestations of withdrawal.

A nurse is reinforcing teaching about benzodiazepines with a client who is discontinuing long-term use of alprazolam. Which of the following pieces of information should the nurse include in the teaching?

Status epilepticus. The nurse should reinforce with the client that abruptly discontinuing phenytoin can cause status epilepticus.

A nurse is reinforcing teaching with a client who has a new px for phenytoin. Which of the following adverse effects can occur with the abrupt withdrawal of phenytoin?

"This medication will decrease the effectiveness of oral contraceptives." : The nurse should reinforce with the client the traditional anti-epileptic drugs [AEDs] such as carbamazepine decrease the effectiveness of oral contraceptives.

A nurse is reinforcing teaching with a client who has a seizure disorder and a new prescription for carbamazepine. Which of the following statements should the nurse include in the teaching?

"I will increase my fluids to at least 2 liters per day."

A nurse is reinforcing teaching with a client who has gout and a px for allopurinol. Which of the following statements by the client should indicate to the nurse that the teaching was effective?

The nurse should identify that an adverse effect of allopurinol is renal injury. Therefore, clients are encouraged to drink at least 2,000 mL/dat to maintain a urine output of at least 2 L/day.

A nurse is reinforcing teaching with a client who has gout and a px for allopurinol. Which of the following statements by the client should indicate to the nurse that the teaching was effective?

DVT. The nurse should include in the teaching that clients who are premenopausal and have a prescription for a combination oral contraceptive containing estrogen are at an increased risk for developing DVT, which is an adverse effect of this medication.

A nurse is reinforcing teaching with a client who is premenopausal and has a prescription for a combination oral contraceptive. Which of the following findings should the nurse include as an adverse effect of oral contraceptives?