EAQ - client needs (med therapy)

Early side effects of oral contraceptives include

1. bloating, 2. nausea, 3. breast tenderness. Although they may be bothersome enough to lead to discontinuation of the contraceptive, these side effects usually subside in several months. Contraceptives have been associated with thrombophlebitis; clinical manifestations of thrombophlebitis include calf tenderness and redness and heat over the affected area. If the clot travels, it could present as a pulmonary embolism, so chest pain should be reported as well.

Bisphosphonates

Alendronate and -dronates

A client with phosphate-based urinary calculi asks why aluminum hydroxide gel has been prescribed. The nurse explains that the medication decreases serum phosphorus by which action?

Aluminum hydroxide binds phosphorus in the intestine, preventing its absorption; this decreases serum phosphorus. Preventing absorption of phosphorus in the stomach, promoting excretion of excessive urinary phosphorus, and dissolving stones as they pass through the urinary tract are not actions of this drug.

Phenytoin (Dilantin)

Anticonvulsant

Turning the client on her side will keep the uterus from putting pressure on the inferior vena cava, which causes a decrease in blood flow. If signs and symptoms do not abate after the client is turned on her side, the primary healthcare provider should be notified. Checking the vaginal area for bleeding is not an assessment specific to epidural anesthesia; it is part of the general nursing care during labor. Fetal heart rate monitoring is a continuous process, and the rate should be recorded every 15 minutes; if this monitoring is not being performed, the rate should be checked and recorded every 15 minutes

Maternal hypotension

gingival hyperplasia

Phenytoin, verapamil Over-formation of gum tissue

a *synthetic glucocorticoid* that exerts an active antiinflammatory effect by *stabilizing lysosomal membranes*, thereby *inhibiting proteolytic enzyme release*. Prednisone does not affect the lymphocytes. Although prednisone increases the appetite and creates a sense of well-being, these are not the reasons it is administered.

Prednisone is

Paget's disease

tinnitus, bone pain, elnargement of bone, thick bones

During labor a client who has been receiving epidural anesthesia has a 1. sudden episode of severe nausea, and her 2. skin becomes pale and clammy. What is the nurse's immediate reaction?

Turn her on her side Maternal hypotension is a common complication of epidural anesthesia during labor, and nausea is one of the first clues that it has occurred. Turning the client on her side will keep the uterus from putting pressure on the inferior vena cava, which causes a decrease in blood flow. If signs and symptoms do not abate after the client is turned on her side, the primary healthcare provider should be notified. Checking the vaginal area for bleeding is not an assessment specific to epidural anesthesia; it is part of the general nursing care during labor. Fetal heart rate monitoring is a continuous process, and the rate should be recorded every 15 minutes; if this monitoring is not being performed, the rate should be checked and recorded every 15 minutes.

a common complication of epidural anesthesia during labor, and nausea is one of the first clues that it has occurred.

Maternal hypotension is

Which is the first line treatment for Paget disease?

Oral alendronate, a bisphosphonate, is the first line treatment for Paget disease..

The most common *adverse effect of a tissue plasminogen activator* is

bleeding because of the thrombolytic action of the drug. Sites of invasive procedures, such as IV sites, have an increased tendency to bleed.

A common side effect of phenytoin is

gingival hyperplasia. Meticulous oral hygiene may reduce the risk of this side effect. Phenytoin is *strongly alkaline* and should be administered *with meals* to help prevent gastric irritation. *Pink urine* may be observed during drug excretion; it is expected and does not require treatment. Avoidance of overeating and overhydration may result in better seizure control.

2500 mg of calcium is given as a supplement to reduce the risk for.

hypocalcemia