pharm EAQ

how would the nurse reply when a pt prescribed tetracycline class med asks why milk n antacids should b avoided before n after dosing

"this can lead to decreased absorption of the med u need"

how will the nurse respond to a pt prescribed levothyroxine for hypothyroidism when the pt asks whether she can become preggo while taking levothyroxine

"this medicine will not interfere w ur ability to become preggo"

which statement explains y so many drugs are necessary for a pt w stage 3 hodgkin's disease who is started on a multiple-drug regiment of doxorubicin, bleomycin, vinblastine n dacarbazine

each drug destroys the cancer cell at a diff time in the cell cycle

which therapeutic effect would nurse expect to identify when mannitol is admin to pt

decreased intracranial pressure

which assessment finding indicates an improvement when the nurse is evaluating the results of treatment w erythropoietin

decreased pallor

which physiological response will occur if a pt being treated for myocardial infarction experiences the intended therapeutic effect of morphine

decreased workload of the heart

which info would the nurse include in the teaching plan for pt who will receive total parenteral nutrition at home

demonstrating how to test capillary glucose lvls

which effect of lorazepam is the reason it's given to a pt w status epilepticus

depresses the CNS

which action would nurse take when caring for pt using a patient-controlled analgesia pump who identifies attempts to self-admin the analgesic 10 times bc pt is still experiencing pain

determine integrity of IV delivery system

which med may cause gynecological malignancies in females

diethylstilbestrol

which concern when caring for a pt prescribed furosemide 40mg everyday in conjunction w digoxin would prompt the nurse to ask the HCP abt potassium supplements

digoxin toxicity occurs rapidly int he presence of hypokalemia

which med would b used to manage nonmetastatic gestational trophoblastic disease

dinoprostone *methylergonovine*: postpartum hemorrhage *oxytocin*: labor induction *mifepristone*: induce an abortion

which symp would the nurse include when teaching a pt w arthritis who takes large doses of aspirin abt the clinical

disturbances in hearing

which potential effect will the nurse teach to a pt receiving metoprolol

dizziness w strenuous activity

which factor must the nurse determine to adjust the drip rate when admin IV fluids to be delivered at 80 mL/hr

drops per mL delivered by the infusion set

which med is used to treat helicobacter pylori infex

- amoxicillin - tetracycline - pantoprazole - metronidazole - bismuth subsalicylate

which finding would lead the nurse to recheck blood glucose lvl of diabetic pt before admin a mealtime insulin dose

- confusion - drowsiness - diaphoresis - nervousness - HR 110 BPM

which advice will the nurse provide to a pt who is taking an oral hypoglycemic daily for type 2 diabetes who develops an infection w anorexia

- continue taking the oral med - drink fluids throughout the day - monitor capillary glucose lvls

which action would nurse take before admin each dose of oxycodone q3 hrs for pain

- count RR - rate lvl of pain - assess LOC

which manifestation may indicate that the pt w type 1 diabetes has insulin-induced hypoglycemia

- excessive hunger - weakness - diaphoresis

which substance hx of a severe allergic reax results in avoidance of the cephalosporins such as cefazolin, cefditoren, cefotetan, n ceftriaxone

- milk - calcium - aspirin - penicillin

which action transmits HIV

- sharing needles - breast feeding newborn - anal intercourse

which pt response is indicative of a hypoglycemic reax

- tremors - confusion - diaphoresis (sweating)

which finding in a pt w hypothyroidism n HTN who reports taking an extra dose of levothyroxine indicates the need to obtain a thyroid funx panel

- tremors - diaphoresis - nervousness - temp 101 - HR 116

which clinical finding in a pt receiving morphine warrants immediate follow up by the nruse

- unconsciousness - bradycardia - bradypnea

why would lactulose be prescribed for a pt w a hx of cirrhosis of the liver

elevated ammonia lvls are lowered

which AE would a nurse monitor for in a pt taking clopidogrel

epistaxis

which diagnosis would cause the nurse to assess for signs n symptoms of hypoglycemia

liver failure

which diagnostic testing would a nurse focus on when caring for a pt on isoniazid therapy for TB

liver funx test

which part of the renal system does furosemide exerts its effects

loop of henle thiazide: distal tubule potassium-sparing diuretics: collecting duct plasma expanders: glomerulus of nephron

which action would nurse take for pt who has a tonic-clonic seizure caused by an overdose of aspirin

monitor vital signs q 15 mins

which independent nursing action would b included in the plan of care for a pt after an ep of ketoacidosis

monitoring for signs of hypoglycemia resulting from treatment

which action will the nurse include as part of the initial 24hr postoperative care plan of a pt receiving intrathecal morphine to control severe postoperative pain

monitoring respiratory rate hrly

which is involved in post procedure nursing care of a child after left-side cardiac cath

monitoring the insertion site for bleeding

which nursing action is important when transfusing packed red blood cells to a pt w a diagnosis of anemia

monitoring the pt's response within first 10 mins

which med would the nurse identify as a risk factor for straining due to constipation in a pt w a MI receiving digoxin, fluoxetine, morphine n docusate sodium

morphine

which pain relief med would the nurse expect to find int he plan of care of a pt w myocardial infarction admitted to the cardiac ICU

morphine

which measure would nurse take to ensure pt safety when admin enoxaparin subq

only abdomen area

which class is contraindicated in pts who take rifampin

oral contraceptives

which organism is a common opportunistic infection in a client infected w HIV

oropharyngeal candidiasis

which gland secretes melatonin

pineal gland adrenal: androgens thyroid: thyroid hormones parathyroid: calcitonin

which is a secondary cause of adrenal insufficiency

pituitary tumors primary: hemorrhage, tuberculosis, metastatic cancer

which technique will the nurse teach a pt who has prescription for sublingual nitroglycerin tab

place the pill under the tongue n let it dissolve

which action will the nurse take when a pt when a pt who had a myocardial infarction complains of feeling dizzy 15 mins after receiving 15 mg of morphine sulfate for chest pain

place the pt in supine position n take the vital sign

which med is unsafe to admin as an IV bolus

potassium chloride - can cause cardiac arrest, must b diluted n infused slowly thru an IV infusion pump

which condition contraindicates use of ginseng herbal therapy

pregnancy schiz, bipolar n alz = contraindicates for st john's wort herbal therapy

which technique used by the nurse demonstrates medication safety n effectiveness when assisting an older pt to instill prescribed eyedrops for glaucoma

pressing the inner canthus for 1-2 mins after instillation

what is the purpose of encouraging active leg n foot exercises who had hip surgery

prevent clot formation

which reason would an IV infusion of 5% dextrose w 0.45% sodium chloride n 20 mEq of potassium b prescribed for a pt w nasogastric tube set to low intermittent suction

prevent electrolyte imbalance

which rationale supports NI to turn pt w paraplegia q1-2hrs

prevent pressure injuries

which relationship reflects the relationship of naloxone to morphine sulfate

protamine sulfate to heparin

which substance does vit K contribute to formation of

prothrombin

which nursing care will b included for a pt who's receiving doxorubicin for acute myelogenous leukemia

providing frequent oral hygiene

which statement will the nurse need to consider when developing the teaching plan for a client w type 2 diabetes prescribed an oral hypoglycemic med

pts taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control

which food item will a pt diagnosed w TB n taking isoniazid be advised to avoid to prevent a food n med interaction

red wine, tuna, hard cheese

which med action would the nurse identify as the purpose of azathioprine, cyclosporine, n prednisone given before receiving a kidney transplant

reduce antibody production

which condition would the nurse monitor for int he client on aminoglycoside therapy n skeletal muscle relaxants

respiratory arrest

which MOA would nurse identify for levodopa therapy prescribed to a pt diagnosed w parkinson disease

restores the dopamine lvls in the brain

which advice will the nurse give the pt to avoid lipodystrophy when self-admin insulin therapy

rotate injection sites

which complication will occur as the result of admin sildenafil to a pt who takes isosorbide dinitrate

severe hypotension

which assessment is the nurse's priority before beginning an infusion of tissue plasminogen activator (t-PA) to a client in the emergency department

signs of bleeding

which nursing intervention is priority when assessment reveals a bounding pulse, distended jugular veins, dyspnea, n cough during admin of TPN

slowing the infusion rate

which action is responsible for the therapeutic effect of docusate sodium

softens the feces

which action will the nurse take during admin of blood products to ensure the pt's safety

stay w the pt during first 15 mins of infusion

which MOA explains how glyburide decreases serum glucose lvls

stimulates the pancreas to produce insulin

which preventative would nurse anticipate will b prescribed daily to avoid straining due to constipation for a pt who had a recent brain attack

stool softener

which info would b included in teaching plan for pt w peptic ulcer disease who is taking an antacid n sucralfate

sucralfate should b taken on an empty stomach 1 hr before meals

which circumstance would the nurse use the Z-track technique to admin a med

the med is irritating to SUBQ tissue n skin

which issue related to antibiotic use is an increased risk for the older adult

toxicity bc of reduced metabolism n excretion of medications

which explanation would the nurse provide to a pt w gastric ulcer disease who asks the nurse why the HCP has prescribed metronidazole

treat helicobacter pylori infex

which clinical indicator would the nurse monitor to determine if the pt's simvastatin is effective

triglycerides

which symptom of levodopa toxicity will a pt taking levodopa b taught as a reason to contact the HCP

twitching

which assessment would the nurse perform specific to the safe admin of IV mannitol

urine output hrly - mannitol = osmotic diuretic = increases intravascular volume that must b excreted by the kidneys

which step would the nurse include during the admin of epoetin prescribed to a pt w AIDS

use a syringe that has a 1 in, 25 gauge needle

which assessment finding in a pt w acute lymphoblastic leukemia receiving chemotherapy would alert the nurse to the possible development of thrombocytopenia

- melena - hematuria - ecchymosis

which med is classified as an H2 receptor antagonist

- nizatidine - ranitidine - famotidine

which therapeutic outcome is expected after admin ibuprofen

- pain relief - temp reduction - reduced inflammation

which response indicates that the pt receiving total parenteral nutrition is experiencing hyperglycemia

- polyuria - polydipsia - resp rate of 26 breaths/min

which factor is a likely cause of hyponatremia

- profuse diaphoresis - rapid IV infusion of 5% dextrose in water

which time will nurse teach pt to take antacid when also prescribed famotidine n magnesium hydroxide/aluminum hydroxide antacid for a pt w peptic ulcer

1 hr before or 2 hrs after famotidine

within which period of time would a nurse advise the pt to anticipate pain relief will begin when nitroglycerin sublingual tabs are prescribed for a pt w diagnosis of angina

1-3 mins

which statement by a pt who is receiving total parenteral nutrition after extensive colon surgery indicates effective teaching

TPN provides total nutrition when gastrointestinal funx is questionable

which test would the nurse identify as specific for the diagnosis of myasthenia gravis

endrophonium chloride test

which synovial joint movement is described as turning the sole away from the midline of body

eversion

which condition would b indicated by presence of ketones in urine

fat metabolism - pt who ingesting fewer calories than needed produce ketones from fat metabolism as alt source of fuel for muscles n organs

which food would the nurse instruct a pt taking diltiazem to avoid

grapefruit calcium channel blockers = X grapefruit acetaminophen = X alc MAOIs = X aged cheese n meat

which action would the nurse perform first when a HCP prescribed milrinone for a pt w congestive heart failure

have the prescription, dosage calc, n pump settings checked by a second nurse

which hep spreads thru contaminated food n water

hep A

which MOA explains how hydrochlorothiazide increases urine output

increases the excretion of sodium

which action would the nurse take to avoid red man syndrome when preparing to admin a vancomycin infusion

infuse slowly

which MOA is specifically resp for the action of med ranitidine

inhibiting histamine at H2 receptors

which mechanism is specifically responsible for the action of the med ranitidine

inhibiting the histamine at H2 receptors

which info would the nurse provide to a pt w hyperthyroidism receiving methimazole

initial improvement will take several wks

which topic will nurse include in discharge teaching of pt who had a total gastrectomy

injections of vit B12 for life - needed to maintain hemoglobin lvl n prevent pernicious anemia

which response would a nurse give to a pt who asks "why can't i take the insulin in pills instead of taking shots?" during a teaching session abt insulin injections

insulin is destroyed by gastric juices, rendering it ineffective

which type of insulin would the nurse recognize as compatible w IV solutions when caring for a pt w diabetes mellitus who is scheduled to receive an IV admin of 25 units of insulin in 250mL normal saline

insulin lispro

which benefit is provided by intraarterial chemotherapy for cancer of the liver

it reduces systemic toxicity

which med will the nurse expect to find int he recent med hx of a pt who is receiving med for an eye disorder n reports bleeding in the eye

ketorolac

which med should b avoided for pt w acute pancreatitis

meperidine - can cause CNS irritability n even TC seizures

which effect of sodium bicarbonate is the nurse trying to prevent when teaching a pt abt the dangers of using sodium bicarbonate regularly

metabolic alkalosis - retention of NA n H2O

which med used to treat postpartum hemorrhage

methlyergonovine

which med is admin to women after delivery to prevent postpartum uterine atony and hemorrhage

methylergonovine

which potential side effect of docusate sodium would a nurse include in discharge teaching of a pt who had repair of an inguinal hernia

mild abdominal cramping - this emollient laxative permits water n fatty substances to penetrate n mix w fecal material

which nursing action is important when a HCP prescribes enalapril for a pt

monitor BP during therapy

which med is used to inhibit preterm contractions

nifedipine *oxytocin*: induce labor *raloxifene*: prevent postmenopausal osteoporosis *clomiphene*: cause ovulation

which info will nurse share abt alopecia characteristics to a pt who is to receive chemotherapy after surgery for cancer

not permanent

which action will the nurse take in a pt hospitalized for uncontrolled HTN n chest pain on a daily diuretic for 2 days whose potassium lvl this morning is 2.7 mEq/L

notify HCP potassium lvl below normal normal: 3.5-5.3

how will the nurse evaluate the effectiveness of training after teaching a family member how to admin SUBQ enoxaparin sodium

observing the family member admin enoxaparin sodium to client

which condition is characterized by infection of a client's bone or bone marrow

osteomyelitis

when teaching a pt abt their disease process, which term would the nurse use to describe bone loss greater than normal but less than that caused by osteoporosis

osteopenia osteomyelitis: infex of bone or bone marrow osteomalacia: softening of bone due to calcium or vit D deficiency osteoarthritis: cartilage deterioration in the joints

which hypothalamic hormones would the nurse identify as helping treat postpartum uterine atony n hemorrhage

oxytocin indomethacin: maintain pregnancy in preterm labor dinoprostone: ripening of cervix during labor methlyergonovine: ergot alkaloid that helps treat postpartum uterine atony n hemorrhage

which response indicates that sublingual nitroglycerin prescribed for a pt w unstable angina is effective

pain subsides as a result of arteriole n venous dilation

which type of response is being demonstrated in pt w insomnia who takes new med to promote sleep n 2 hrs later is wide awake n feeling more energized than before

paradoxical

which substance is released in response to low serum lvls of calcium

parathyroid hormone

which clinical manifestation will alert the nurse to the fact that a pt who has type 1 diabetes n chronic bronchitis n is prescribed atenolol for the management of angina pectoris may b developing a life-threatening response to the med

paroxysmal nocturnal dyspnea

pt injures the amphiarthrodial joint, which joint did they injure

pelvic joint knee n elbow: diarthrodial cranial: synarthrodial

which therapy is indicated for a pt admitted to the hospital after general paresis develops as a complication of syphilis

penicillin therapy - may limit CNS damage if treatment is started before deterioration from syphilis

which statement explains lower leg numbness in a pt w leukemia who is receiving vincristine

peripheral neuropathies can result from vincristine chemotherapy

which toxic effect would a nurse monitor for in a pt who's prescribed vincristine

peripheral paresthesia

which effect has resulted in the avoidance of tetracycline use in children under 8yro

perm teeth discoloration

which med action would the nurse identify as the purpose azathioprine, cyclosporine, and prednisone given before receiving kidney transplant

reduce antibody production - these drugs suppress the immune system, decreasing body's production of antibodies in response to the new organ, which acts as an antigen

which physiological response is resp for the therapeutic effect of dexamethasone prescribed for a pt after a craniotomy for a brain tumor

reduced cerebral edema

which reason would the nurse include in a response to a pt w RA who asks the nurse why it's necessary to inject hydrocortisone into the knee joint

reduces inflammation

which rationale would the nurse give to explain the purpose of admin an opioid analgesic via epidural catheter when providing postoperative teaching

relieves abd pain

which instruction would the nurse include in a teaching plan for nitroglycerin patches

remove a previous patch before applying the next one

which teaching would nurse give to a pt w prescription for potassium supplements

report any abd pain

which action will nurse take for a pt scheduled to receive phenytoin extended release 100mg PO at 6pm who's having difficulty swallowing capsules when working in a unit that has phenytoin suspension, suppositories, n injectable solution in stock

request a prescription for phenytoin suspension

which AE of morphine indicates the need for naloxone admin

resp depression

which adverse effect will the nurse assess for when caring for a pt taking morphine sulfate for severe metastatic bone pain

resp depression

pt w COPD had blood pH of 7.25 n PCO2 of 60 mmHg. which complication would the nurse suspect the pt is experiencing

respiratory acidosis

which action would nurse perform first when assessing if an IV infusion of a vesicant has extravasated

stop the infusion

which action will a nurse take first when caring for a pt reporting chest pain, difficulty breathing n feeling cold 20 mins after an infusion of packed red blood cells begins

stop the transfusion

which form of nitroglycerin would nurse anticipate giving to pt w midsternal pain who presents to ER w stable vital signs

sublingual spray

which criterion is an indicator that the nitroglycerin sublingual tabs have lost their potency

tabs more than 3 months old

which admin guidelines would nurse follow when admin midazolam to an older pt

the increments should b smaller n rate of injex should b slower

how would the nurse respond to a female pt receiving cortisone therapy for adrenal insufficiency who express concern that she is developing facial hair

the med contains a hormone that causes male characteristics

which symp in a pt is probably caused by phenobarbital sodium started 2 wks ago

cognitive impairment - can cause lethargy n depression too

when developing the plan of care for a client w RA, which client consideration would the nurse include

comfort

which treatment measure would the nurse reinforce as the highest priority when providing discharge teaching to a pt w TB

consistently taking prescribed medication

which info would nurse include in teaching plan for pt who's prescribed sumatriptan for migraine headache

contraindicated in ppl w CAD - sumatriptan = coronary artery vasoconstriction

which clinical findings leads the nurse to conclude that an IV has infiltrated rather than caused inflammation

coolness

pt has superficial tumor involving only 1 vocal cord, which surgery would nurse anticipate

cordectomy

which advantage does aluminum n magnesium hydroxide have over baking soda (sodium bicarb) for treatment of heartburn

there is no direct effect on the systemic acid-base balance when taken as directed

which MOA explains how diuretics reduce blood pressure

they reduce the circulating blood volume

left lobe ostomy called

thoracentesis

for which purpose would a nurse advise a pt w chloroquine-resistant malaria to take oral quinine immediately after meals

to minimize gastric irritation

for which purpose would enoxaparin 40 mg SUBQ daily be prescribed for a client who had abdominal surgery

to provide prophylaxis against postoperative thrombus formation

which organism causes syphilis

treponema pallidum

which additional supplement will b needed by a pt w chronic liver disease who reports "my gums have been bleeding spontaneously" n has small hemorrhagic lesions on the face

vit K

which time for med scheduling would nurse teach to pt prescribed oral pancreatic enzymes pancrelipase

w meals

which med increases the risk of hematuria

warfarin

which med interaction complicates seizure therapy in a pt who is prescribed warfarin n takes phenytoin for a seizure disorder

warfarin inhibits the metabolism of phenytoin

in which time frame would the nurse advise a pt w a long leg cast for a fractured bone to take the prescribed as-needed oxycodone

when the discomfort begins

which item will nurse teach pt who had an excision of thrombosed external hemorrhoid to use when cleaning the booty after pooping

witch hazel-moistened pads

which joint is an ex of a condyloid

wrist

which symptoms will the nurse include as a reason to withhold the med when teaching a pt abt digoxin therapy

yellow vision

which assessment will the nurse conduct before admin digoxin to a pt

apical HR

which instruction would b appropriate for the nurse to include when teaching a pt who is being prepared to be discharged w PICC for admin of peripheral parenteral nutrition

arranging for professional help to monitor the alt nutrition

which med would nurse suspect is the cause of new onset tinnitus

aspirin

which action will nurse take after stopping antibiotic infusion of pt who becomes restless n flushed n begins to wheeze during admin of antibiotic

assess pt resp status

which response would the nurse provide to a pt who develops a seizure disorder as a result of a traumatic fall n states "i haven't had a seizure in 2 yrs. when can i stop taking my meds"

"a gradual reduction in seizure med may b considered"

which instruction abt phenytoin will nurse provide during discharge teaching to a client w epilepsy who is prescribed phenytoin for seizure control

"antiseizure meds will probably be continued for life"

home health nurse provides education for a pt w cancer of the tongue who will begin gastrostomy feedings at home. which pt indicates effective teaching

"before i start the procedure, i will measure the residual volume"

HCP prescribed enoxaparin 1mg/kg for pt who had total knee replacement. pt weighs 187lb. this med is available in concentration of 30mg/0.3mL. which dose will the nurse admin in mL

0.85mL

what length of time is max nurse will allow IV bag to infuse

24 hrs

when would the nurse have the lab obtain a blood sample to determine the peak lvl of an antibiotic admin by IV piggyback

30-60 mins after dose

which time interval would the nurse provide to a pt w TB who asks the nurse how long med therapy will b continued

6-12 months

which blood glucose lvls would the nurse identify as hypoglycemia

68 mg/dL normal: 72-108

which blood type is universal recipient

AB

which B vit deficiency will result in wenicke encephalopathy

B1 (thiamine)

which pt response indicates to the nurse that a vasodilator med is effective

BP changes from 154/90 to 126/72 mmHg

which lab values are important for the nurse to monitor in the pt who takes zidovudine

CBC

which lab report is most important for the nurse to monitor when considering the effects of chemotherapy when caring for a pt w laryngeal cancer

WBC

which client problem would the nurse expect to decrease in response to the admin of serum albumin IV to client w ascites

abdominal girth

which med is often contraindicated when taking warfarin

acetylsalicylic acid - can cause decreased platelet aggregation, increasing risk for bleeding that may occur w admin of anticoagulants

which action would be taken by the nurse caring for a pt w type 1 diabetes mellitus who has a finger-stick glucose lvl of 258 mg/dL at bedtime n a prescription for sliding scale regular insulin

admin insulin as prescribed

what action would nurse expect in plan of care for pt scheduled for an adrenalectomy

admin parenteral corticosteroids

which action would the nurse take when admin tetracycline

admin the med at least an hr before ingestion of milk products

which action will the nurse take when caring for a pt whose phenytoin lvl is 16 mcg/L

admin the next dose of med as prescribed - therapeutic range 10-20 mcg/L

how can the nurse prevent vomiting in a pt who reports feeling nauseated after cataract surgery

admin the prescribed antiemetic med

which element, if missing from a newly admitted pts MAR makes the record incomplete

allergies

which prescribed med will the nurse admin to ensure a bowel movement before discharge for a pt who has not had a bowel movement since before surgery, which was 4 days ago

bisacodyl suppository -- takes abt 15-60 mins to take effect

which action is accurate in explaining how neuroleptic meds act in the body to promote mental health for pt diagnosed w schizophrenia

block access to dopamine receptors at the postsynaptic receptor site - neuroleptics block access to dopamine receptors, rather than inhibiting enzymes at postsynaptic sites, they increase serotonin at postsynaptic sites

which tissue affected by chemotherapy will the nurse consider when formulating a response to a pt receiving cancer chemotherapy who asks the nurse why an antibiotic was prescribed

bone marrow

which response to morphine would need to b reported immediately to the HCP

bradycardia

which mineral deficiency would a nurse suspect in a client who reports tingling in the fingers n around the mouth n exhibits carpopedal spasm n tremors after a surgical thyroidectomy

calcium

which med will nurse expect HCP to prescribe to pt who had a thyroidectomy n is pale w spasms of the hand when taking BP

calcium hypomagnesemia: tremor, neuromuscular irritability n confusion metabolic acidosis: deep, rapid breathing, weakness n disorientation hypokalemia: muscle weakness n dysrhythmias

which complication would a nurse try to avoid by slowly admin a parenteral preparation of potassium

cardiac arrest

which system toxicity will the nurse assess for in a pt receiving doxorubicin as part of a chemotherapy protocol

cardiotoxicity

which action will the nurse take when caring for a pt whose IV site is tender w erythema, warmth, n mild edema

change the IV site

which action would nurse take after contacting HCP of post-surgical pt complaining of nausea, fatigue, HA during 4th hr of infusion of total parenteral nutrition instituted via central venous infusion who has an hrly urine output that is twice the amt of the previous hr

check the serum glucose lvl

which explanation would the nurse give to explain the delay after surgery for a pt scheduled to begin chemotherapy 2 wks after surgery for colon cancer

chemotherapy interferes w cell growth n delays wound healing

for which purpose is IV infusion of mannitol instituted in a pt being prepared for a supratentorial craniotomy w burr holes

decrease fluid in brain

which assessment finding indicates that sodium polystyrene sulfonate has been effective

decrease in serum potassium lvl - used to treat hyperkalemia

which statement would the nurse identify as the purpose of the nitroglycerin patch

decreased cardiac preload reduces cardiac workload

which response indicates that a beta blocker prescribed for persistent ventricular tachycardia is working effectively

decreased heart rate

which clinical findings indicates that doxorubicin toxicity may have occurred

alteration in cardiac rhythm

which instruction would the nurse include when teaching a female pt w a new infant who is prescribed amoxicillin for a UTI

"report signs of allergic reax such as skin rash or itching"

which life-threatening complication may occur in pts taking high-dose or long-term ibuprofen

GI bleeding

which decrease in funx would nurse expect in a pt w myasthenia gravis who is prescribed anticholinesterase med pyridostigmine

HR

which assessment after admin of diltiazem to a client w supraventricular tachycardia n a heart rate of 170 BPM indicates the med was effective

HR 98 BPM

client receiving haloperidol for agitation, which side effect response is unrelated to an extrapyramidal tract effect

HTN crisis

which action will the nurse take after stopping the antibiotic infusion of a pt who becomes restless n flushed n begins to wheeze during the admin of an antibiotic

assess resp status

which AE of metformin will a nurse teach a pt w type 2 diabetes to monitor for when used at monotherapy

lactic acidosis

why would the nurse advise the pt who takes furosemide n digoxin for heart failure to drink a glass of orange juice q day

maintaining potassium lvls

which info would nurse include when teaching a pt w parkinson disease abt carbidopa-levodopa

med should b taken w meals

which med for treatment of gastroesophageal reflux disease would b contraindicated int he pregnant pt

misoprostol - can cause uterine contractions

which response would a nurse give to a pt who expresses fear that AIDS may be acquired as a result of a blood transfusion

"screening for HIV antibodies has minimized this risk"

which info would the nurse provide to a pt who would like to take the herbal supplement pt saw palemtto instead of the finasteride prescribed for BPH

"research has shown that saw palmetto is no better than a placebo"

which action would nurse teach pt w pulmonary TB who is prescribed a combo of rifampin and isoniazid

"continue taking the med even after i feel better"

which response will the nurse provide to a pt w type 2 diabetes taking one glyburide tab daily wo asks whether an extra tab should b taken before exercise

"do not take an extra pill bc u may become hypoglycemic when exercising"

which statement is important for nurse to include when teaching pt w IBS who is taking psyllium for constipation

"each dose should b taken w a full glass of water or juice"

which statement is important for the nurse to teach a pt prescribed psyllium 3.5g twice a day for constipation

"each dose should b taken w a full glass of water"

which pt statement abt ampicillin indicates that additional teaching is needed

"i can stop this med after i am symptom free for 48 hrs"

which assessment would nurse perform before admin a dose of vancomycin to pt

- creatinine - trough lvl - hearing ability - IV site - blood urea nitrogen 2 AE = nephrotoxicity n otoxicity

which benefit would b provided by admin PCA to pt after surgery

- pt able to self-admin pain relieving medications as necessary - decreases pt dependency - increases pt sense of autonomy

which description is associated w fissures

linear cracks in epidermis that extend into the dermis ulcers: deep erosions extending beneath the epidermis atrophy: thinning of surface of skin w loss of skin markings lichenifications: thick areas of epidermis w accentuated skin markings

which route would nurse admin morphine sulfate in pt admitted to ER w burns to anterior trunk, entire R arm, n anterior L arm

IV

which action will the nurse take when caring for a terminally ill pt receiving a morphine drip that exceeds the typical recc dosage whose spouse tells the nurse that the pt is again uncomfortable n needs the morphine increased

assess the pt's pain before increasing the dose of morphine

which advice will the nurse provide abt doxorubicin to a pt w hodgkin's disease

expect urine to turn red for a few days after taking this medication

which action would the nurse take in a client who takes rifampin who tells the nurse "my urine looks orange"

explain that it's expected

which action will the nurse take when caring for a pt w chronic arterial insufficiency of the legs who refuses the prescribed dose of aspirin n states "my legs are not painful"

explain the reason for med n encourage pt to take it

which rationale will prompt the nurse to ask the provider for a diff form of metformin when an older adult asks that extended-release metformin be crushed bc it's difficult to swallow

extended-release formulations are designed to be released slowly n crushing the tablet will prevent this from occurring

which factor would the nurse recognize as the cause when a pt's IV infusion infiltrates

failure to secure the catheter adequately

which purpose is served by an evening snack of milk, crackers n cheese for a pt who's receiving NPH insulin

food to counteract late insulin activity

what IV solution is 0.45% sodium chloride

hypotonic

which sign of hypokalemia will nurse monitor for in a pt receiving furosemide

muscle weakness

which fact abt medication therapy will the nurse emphasize when teaching a pt diagnosed w gonorrhea

cures the infex

which electrolyte abnormality will the nurse expect in a pt who is experiencing both tingling of the extremities n tetany

hypocalcemia

pt prescribed zolpidem for 5 days returns to clinic for follow-up. which statement by client indicates the medication has been effective

"i have been sleeping better"

which pt statement indicates understanding of the side effects of nitroglycerin ointment

"i may experience a headache"

which statement by pt prescribed ampicillin indicates the teaching was effective

"i must increase my fluid intake"

which pt statement provides evidence that the pt understands med teaching for high-dose penicillin

"i must increase my intake of fluids while taking this med" - high doses = nephrotoxic

which statement by the pt receiving corticosteroids after a bilateral adrenalectomy indicates to the nurse that additional education is needed

"im glad i only have to take the med once a day"

which med is used to treat a pt whose cardiac monitor reveals several runs of ventricular tachycardia

amiodarone

which advice will the nurse include when discussing postoperative med therapy w a pt admitted to hospital for a subtotal thyroidectomy

"if u develop palpitations, nervousness, or tremors, the dose of thyroid hormone may need to be decreased"

which response would the nurse provide to a pt w colon cancer prescribed neomycin preoperatively who asks y this is necessary

"it kills intestinal bacteria to decrease the risk for infection"

how would a nurse respond to the spouse of a pt w an intracranial hemorrhage who asks the nurse "why arent they administering an anticoagulant"

"it's not advisable bc bleeding will increase"

which info would nurse provide to pt w type 1 diabetes who requests info abt the difference btwn penlike insulin delivery devices n syringes

"penlike devices provide a more accurate dose delivery"

which info would nurse provide when admin first dose of prednisone prescribed to pt w an exacerbation of colitis

"prednisone is not curative but does cause a suppression of the inflammatory process"

after surgery, a pt has PCA pump set to allow morphine delivery q6 mins. which statement indicates that the family understands PCA pump

"she needs to push the PCA button whenever she needs pain med"

which statement by a pt who has gastric ulcer n asks what to do if epigastric pain occurs that teaching was effective

"taking an antacid preparation will decrease pain due to gastric acid"

which response would the nurse provide to a client receiving digoxin who calls the clinic and complains of "yellow vision"

"the med may need to be discontinued. come to the clinic this afternoon"

which explanation would the nurse include when teaching a pt scheduled for a bowel resection abt the purpose of preoperative antibiotics

"they are given to eliminate bacteria from the GI tract"

which technique would the nurse reinforce when teaching a pt how to self-admin eyedrops after cataract surgery

holding the dropper tip above the conjunctival sac

which explanation would nurse provide for admin prednisone to pt w exacerbation of colitis

although med decreases intestinal inflammation, it will not cure the colitis

which statement would nurse provide to a pt scheduled for an endoscopic sphincterotomy to remove a gallstone lodged in the common bile duct who asks the nurse abt pain during the procedure

an IV sedative usually is administered

which treatment would the nurse b referring to when explaining to a pt w trigeminal neuralgia that treatment is effective on a temp (6-18 month) basis

an alc injex at the peripheral branch of the 5th cranial nerve

which property of acetylsalicylic acid would a nurse recall when administering to a client

analgesic

which info would the nurse reinforce when teaching a pt w gastroesophageal reflux disease abt antacid therapy

antacids commonly interfere w the absorption of other meds

which condition would nurse identify as the likely cause of profound weakness n nervousness in a client that became confused shortly after self-admin the morning dose of 10 units of reg insulin n 25 units of NPH insulin after a light breakfast w no additional intake in 3 hrs since that time

hypoglycemia

with which condition would the nurse associate the response of diaphoresis, weakness, n palor at 3:30 PM in a pt w type 1 diabetes who receives 30 units of neutral protamine hagedorn insulin at 7 AM

hypoglycemia reaction

which adverse effect would a nurse monitor for when caring for a pt receiving furosemide to relieve edema

hypokalemia

which complication would the nurse suspect when cardiac monitor shows appearance of U wave in pt being treated w IV fluids n insulin for diabetic ketoacidosis when pt develops peripheral paresthesias n SOB

hypokalemia

which condition would b prevented by the addition of spironolactone to the med regimen of a pt w cirrhosis of the liver who has been taking chlorothiazide

hypokalemia

which info will the nurse provide to minimize the risk for complications of pancytopenia as a result of chemotherapy

avoid activities that risk traumatic injuries n exposure to infex

who info would the nurse consider when formulating a response to a pt w myasthenia gravis who asks abt the action of neostigmine

blocks the action of cholinesterase

which med would the nurse expect to b prescribed for a pt who is scheduled for a bilateral adrenalectomy

hydrocortisone

how will the nurse respond to a client w cancer experiencing severe N/V from chemotherapy who wants to know if it's true smoking week will help

some THC based meds that contain weed control chemotherapy-induced N/V in some ppl

which clinical manifestations indicate a pt who sustained head n chest injuries from a motor vehicle accident, responded to medical treatments n is ready for transfer to a critical care unit

stabilized vital signs n complaints of pain

which stage of HIV is present in client w lab report revealing a CD4+ T-cell count of 520 cells/mm^3 according to CDC

stage 1

which instruction would nurse include when preparing discharge instructions for pt who'll take enalapril for HTN

"change to a standing position slowly"

which instruction would the nurse include when teaching the pt abt sublingual nitroglycerin

"common side effect include HA n low BP"

which explanation would the nurse provide to a pt w burns n crushing injuries caused by an accident prescribed oral antacids n intravenous ranitidine who asks how these meds work

"they limit acidity int he GI tract"

which effect of atenolol is responsible for frequent dizziness in a pt w HTN

blocking the adrenergic response

which priority action will the nurse take after stopping an IV piggyback antibiotic of a pt who became restless, flushed n began to wheeze shortly after initiation

assess the pt respiratory status

which info is important for the nurse to include in the discharge teaching plan for a pt prescribed atenolol 20mg by mouth 4 times a day

avoid abruptly discontinuing the med

which contraindication would a nurse assess for when preparing to admin eardrops to a pt who has impacted cerum

allergy to the med

admin of which med in relation to which changes in fluid intake can help prevent complications related to uric acid nephropathy in a pt w lymphosarcoma is receiving allopurinol n methotrexate

allopurinol n encouraging increased fluid intake

which property would the nurse understand that the medication being used primarily for when aspirin is prescribed on a regular schedule for a pt w RA

anti-inflammatory

which NI assists in decreasing potential occurrence of pressure ulcers when providing care for a client w quadriplegia

frequently reposition the client on a scheduled basis

which nursing assessment finding would indicate that a pt receiving total parenteral nutrition has hyperglycemia

fruity odor to the breath

which condition is likely being experienced by a pt receiving NPH insulin every morning who reports feeling nervous at 4:30 PM n has moist n cool skin

hypoglycemia

which condition would nurse monitor for in a pt who's prescribed bumetanide

hypokalemia - bumetanide = loop diuretic = excretes sodium, chloride, potassium = risk for hypokalemia, hyponatremia, hypochloremia

which complication will a nurse monitor for before replacement steroid therapy is regulated fully in a client who has had an adrenalectomy

hypotension

how would the nurse describe heart failure to pt

inability of heart to pump blood in proportion to metabolic needs

which description describes a coalesced type of skin lesion configuration

lesion merge together n appear confluent

which is the etiological factor of nephrogenic diabetes insipidus

lithium therapy

which component of nephron does furosemide decrease fluid reabsorption

loop of henle, distal tubules, proximal tubules

which rationale explains y insulin is prescribed for pts in acute renal failure

promotes transfer of potassium into cells to lower serum potassium lvls

which complication would the nurse conclude is being experienced by a pt who takes 4 325-mg tabs of buffered aspirin 4 times a day for severe arthritis n complains of dizziness n ringing int he ears

salicylate toxicity

which antidepressant med is a selective monoamine oxidase B inhibitor

selegiline

which statement regarding vit B12 injections by a pt w pernicious anemia indicates that teaching was understood

"i must take this med for the rest of my life"

which statement by a pt w metastatic melanoma who's being treated w interferon gamma 1b indicates that teaching was understood

"i will increase my fluid intake to several liters qday"

which indicator of pt status is important for nurse to assess in a pt receiving TPN

blood glucose

by which process would total parenteral nutrition on an outpatient basis help a pt w crohn's disease prepare for surgery

decreasing fecal bulk

for which reason would pt who receive IV fluids rather than total parental nutrition for gastrointestinal probs lose weight

deficient carb intake

which condition is contraindicated for st. johns wort herbal therapy

dementia, schiz, alz, bipolar - herbal: used to treat anxiety - bupropion: seizures - valerian: cardiac disease

which short-term goal is the priority for a pt w a new insulin pump who is receiving discharge instructions

demonstrate correct use of the insulin pump

which goal is the priority for a client w asthma who has a prescription for an inhaled bronchodilator

demonstrates use of a metered-dose inhaler

which test would the nurse identify as specific for the diagnosis of myasthenia gravis

edrophonium chloride test

how would the nurse response to a pt admitted for dehydration who has an IV infusion of normal saline is started at 125 mL/h n one hr later begins screaming "i can't breathe"

elevate the head of the pt's bed n obtain vital signs

which effect of povidone-iodine would the nurse consider when using it on the client's skin before obtaining a specimen for a blood culture

eliminate surface bacteria that may contaminate the culture

which action would nurse perform when beginning pyridostigmine bromide therapy for a pt w myasthenia gravis

evaluate the pt's muscle strength qhr after the medication is given

which action is important for nurse to take after a long-term corticosteroid therapy has been initiated for pt w myasthenia gravis who experiences inadequate symptomatic control w pyridostigmine bromide

monitor pt for an exacerbation of symptoms

pt w jaundice receives diagnosis of pancreatic cancer. which rational explains cause of pt jaundice

obstruction of common bile duct by the pancreatic neoplasm

which statement abt admin of IV potassium would a nurse make to a pt w diagnosis of hypokalemia

oliguria is an indication for withholding IV potassium

which lobe of brain would nurse conclude is affected in a client unable to differentiate btwn heat or cold n sharp or dull sensory stimulation after cerebrovascular accident

parietal

which effect explains the purpose for gradual dosage reduction of glucocorticoids such as dexamethasone

promotes return of cortisone production by the adrenal glands