Comprehensive practice medsurge 2

what is a side effect if niacin (vit b3)?

Facial flush is a common side effect of taking high doses of niacin supplements. It's uncomfortable, but it's harmless. It appears as a flush of red on the skin, which may be accompanied by an itching or burning sensation

what is noloxone for?

Naloxone is a medication designed to rapidly reverse opioid overdose. It is an opioid antagonist—meaning that it binds to opioid receptors and can reverse and block the effects of other opioids.

Can you take prednisone with metformin?

No. PredniSONE may interfere with blood glucose control and reduce the effectiveness of metFORMIN and other diabetic medications. Monitor your blood sugar levels closely.

How does warfarin affect PT?

It can increase PT which is normally 10-12 seconds.

Atenolol s/e?

Commonly reported side effects of atenolol include: cardiac failure, bradycardia, dizziness, fatigue, and cold extremity.

A nurse is reinforcing teaching with a young adult female client who has been prescribed lisinopril (Zestril). Which of the following instructions should the nurse plan to include?

1. "Report the development of a persistent dry cough." 2. "Monitor your blood pressure on a regular basis." 3. "Notify your doctor immediately if you become pregnant." The development of a chronic dry cough is a common problem with the use of ACE inhibitors and is believed to be related to the accumulation of bradykinin. It is important that all clients be instructed to report the development of this side effect. Hypotension is a common side effect of lisinopril, so the client should be instructed in how to monitor their blood pressure on a regular basis. Lisinopril is a known teratogenic agent and may cause serious harm to a developing fetus, subsequently lisinopril should not be taken by a woman who is pregnant or lactating.

Nitroglycerin patch application?

Choose a spot on your upper body or upper arms to apply your patch. Do not apply the patch to your arms below the elbows, to your legs or to skin folds. Apply the patch to clean, dry, hairless skin that is not irritated, scarred, burned, broken, or calloused. Choose a different area each day.

a nurse is reinforcing teaching a client who has a new prescription for gentamicin ointment to treat a skin infection. which of the following statements by the client indicates an understanding of the teaching?

I'll wash the area with soap and water before I apply the cream. Before applying this medicine, wash the affected area with soap and water, and dry thoroughly. Apply a small amount to the affected area and rub in gently.

a nurse is assisting in the plan of care for a client who is receiving digoxin to treat heart failure. which of the following actions should the nurse plan to take?

Instruct the client to eat foods low in potassium. Digoxin toxicity causes hyperkalemia, or high potassium

S/s of fluid volume overload

Rapid weight gain. Noticeable swelling (edema) in your arms, legs and face. Cramping, headache, and stomach bloating. SOB High blood pressure. A cough that produces frothy sputum that may be tinged with blood.

What should the nurse monitor for someone taking risperidone?

Risperidone has a potential to cause hypertension in early phase of treatment. Therefore, regular monitoring of cardiovascular parameters is necessary in patients on risperidone.

a nurse is caring for an older adult client who has a prescription for captopril. for which of the following possible adverse effects should the nurse instruct the client to notify the provider immediately?

Sore throat. The greatest risk to the client is infection related to neutropenia. Unexplained fever, sore throat, and fatigue can indicate an infection and should be immediately reported to the provider.

How does spironolactone effect sodium, calcium, and potassium?

Spironolactone competitively antagonize aldosterone by binding to its receptor on the late distal tubule and the collecting duct to increase sodium, calcium, and water excretion and decrease potassium loss.

a nurse is reinforcing teaching with a client who has a prescription for lithium carbonate they treat bipolar disorder. Which of the following instructions should the nurse include?

Wait up to 3 weeks to the full effects of the medication. It can take several weeks for lithium to start to take effect when using it to treat bipolar depression.

What are side effects of captopril?

ACE inhibitors are associated with a dry, persistent cough in 5%-35% of patients who take them.

Why cant you take alcohol with chlorpropamide?

Alcohol can make the side effects of chlorpropamide worse. Consuming alcohol while taking chlorpropamide also may cause symptoms such as flushing (reddening of the face), headache, nausea, vomiting, chest pain, weakness, blurred vision, mental confusion, sweating, choking, breathing difficulty, and anxiety.

What finding should the nurse report tot he provider for a client who is taking digoxin to treat heart failure?

Blurred vision. Common side effects of digoxin toxicity include feeling confused, dizzy, feeling or being sick, loss of appetite, diarrheia, changes in your vision or skin rashes.

A nurse is reviewing care for a client who has heart failure and a potassium level of 2.4. What medication can cause this?

Furosemide. As with many diuretics, it can cause dehydration and electrolyte imbalance, including loss of potassium, calcium, sodium, and magnesium. Excessive use of furosemide will most likely lead to a metabolic alkalosis due to hypochloremia and hypokalemia.

When should you withhold furosemide?

When a patient has lab values of hypokalemia.

Patient teaching for methotrexate?

it may take up to 12 weeks before you notice any benefits. Report bruising. Take with breakfast. Avoid people with infections because it lowers the immune system.

Normal platelet count

150,000 to 450,000 platelets

a nurse in a provider's office is reinforcing teaching with a client who is to start taking colchicine orally for gout. The nurse should tell the client that while of the following findings is an adverse effect of colchicine?

Diarrhea. Gastrointestinal disorders are the most common adverse reactions with colchicine. They are often the first signs of toxicity and may indicate that the colchicine dose needs to be reduced or therapy stopped. These include diarrhea, nausea, vomiting, and abdominal pain.

A client is admitted to the hospital with a diagnosis of alcohol withdrawal syndrome. What should the nurse prepare to administer?

Disulfriam

How to administer prednisone?

Take this medicine with food or milk to avoid stomach irritation. Swallow the delayed-release tablet whole. Do not crush, break, or chew it

Signs of levothyroxine toxicity?

Tremors, nervousness, or insomnia. Levothyroxine is used for hypothyroidism and thus the toxicity signs will be those of hyperthyroidism.

a nurse is collecting data from a client prior to administration of digoxin which of the following findings should the nurse report to the provider?

potassium level 3.0 mEq Digoxin toxicity causes hyperkalemia, or high potassium. The sodium/potassium ATPase pump normally causes sodium to leave cells and potassium to enter cells. Blocking this mechanism results in higher serum potassium levels.

heparin antidote?

protamine sulfate is used as an effective antidote to reverse the activity of heparin

What is an early sign of IV infiltration for an infant?

When an IV infiltrates, it comes out of the baby's vein and the IV fluid then leaks into the tissue, which can cause swelling (edema) or, in severe cases, death of surrounding tissue.