pharm final 102

Nitroglycerin sublingually give chest pain relief in what period of time?

1-3 minutes

client is having methimazole to treat hyperthyroidism. what lab test is important for the client?

CBC

nurse evaluates that additional client teaching is needed regarding anticoagulants when the client states what intention?

I'll use disposable razors to shave and use each razor only once

what drug would the nurse expect to administer to a client with acquired immunodeficiency syndrome who has developed cachexia (muscle wasting)?

somatropin- growth hormone

the nurse anticipates an order for a glucocorticoid when caring for a client with what condition?

arthritis

client education for corticosteroids. what drug should the nurse tell the client to avoid taking?

aspirin

an older adulthood client is taking a sustained release antihypertensives drug. what is the nurses priority teaching point about this medication?

swallow the drug whole and do not cut, crush, or chew

client has begun taking antihistamine for the treatment of seasonal allergies. what dietary guidelines should the nurse provide?

avoid drinking alcohol while taking antihistamines

client is a 34 year old man who recently started taking theophylline. nurse knows that medication teaching has been successful when he agrees to what activity?

avoiding beverages that contain caffeine

long term growth hormone, what diagnostic testing would be ordered as a standard part of treatment?

blood sugar level, x-ray of the long bones, liver enzymes levels

priority teaching of a client taking levothyroxine?

take med with a full glass of water

nurse is caring for a client who has just been diagnosed with essential hypertension. the nurse should expect to administer what class of diuretics as first line therapy?

thiazide diuretics

first time taking sublingual nitroglycerin, expect what symptoms right after administration?

throbbing headache or dizziness

which client is most likely to benefit from the administration of a nasal steroids?

client who has chronic allergic rhinitis

client is prescribed an initial dose of 25 units insulin 4 in the ED. what insulin is administered?

regular insulin

nurse teaches the client receiving propranalol at home for management of a ventricular dysrhythmia to monitor what parameter?

daily blood pressure

assessment of effectiveness of diuretics drugs

daily weights, inspection of lower legs and feet, urine output

nurse administers desmopressin to treat a client with diabetes insipidus. what change in lab results would indicate the drug is working?

decreased serum sodium concentration

Desmopressin assessment finding that indicates a therapuetic effect

decreased urine output

nurse administers desmopressin to client to treat diabetes insipidus. what assessment finding indicates the drug is working?

decreased urine output- water retention

Hydrochlorothiazide adverse effects

dizziness, nocturia, muscle cramps

clients been taking OTC cold remedy containing pseudoephedrine for the past two days. what assessment finding should the nurse most likely attribute to this medication?

heart rate of 98 bpm and blood pressure of 142/93 mm Hg

client with benign prostatic hyperplasia is being treated with finasteride. what would the nurse do to assess for adverse effects of this drug?

history of decreased erection

the ED nurse is asked to prepare a nitroprusside infusion for a client being brought to the hospital. what is the clients most likely diagnosis?

hypertensive crisis

nurse is providing care for several clients who have diabetes. client receives 12 units of humulin R 45 minutes ago. what should the nurse monitor for?

hypoglycemia

the nurse is caring for a patient who is taking hydrochlorothiazide and digoxin. which potential electrolyte imbalance will the nurse monitor for in this patient?

hypokalemia

nurse caring for post-op client requiring long term glucocorticoid therapy will be directed at overcoming what adverse effects of the drug?

impaired wound healing

coronary artery disease , prescribed a statin, what is an adverse lab results of this medication?

increased liver enzyme levels

client has been diagnosed with asthma and prescribed inhaled steroids. what should the nurse teach the client about this treatment?

inhaled corticosteroids should not be used on an emergency basis

an adult client who has chronic asthma had had a anticholinergic prescribed. what drug would the provider prescribe?

ipratropium (antiasthmatic)

client presents with allergic rhinitis, she is prescribed a nasal steroids. two days later the client states she isn't experiencing any relief. what's the appropriate response to this?

it may take up to two weeks to get the full clinical effect. try to keep using it as prescribed

nurse caring for a 35 year old woman taking a statin to lower serum lipid levels, what client teaching is a priority?

use of contraceptives

nurse evaluates an improvement in a client's heart failure status based on what assessment finding?

using fewer pillows to sleep comfortably

what drug would the nurse appropriately administer to the client with depression, cold intolerance, bradycardia, and fatigue?

levothyroxine

client needs relief from congestion of allergic rhinitis. tells the nurse he can't afford to be drowsy. what medication is most likely to meet his needs?

loratadine (antihistamine)

levothyroxine overdose symptoms

nervousness, tachycardia, tremors

what would be an appropriate nursing intervention for a client on a urinary tract antispasmodic (anticholinergic)?

offer sugarless hard candy to relieve dry mouth

nurse reviews the lab results of a client taking digoxin. what finding creates a risk for digoxin toxicity? -glucose 200 mg/dL -potassium 3.3 mEq/L -sodium 144 mEq/L -hemoglobin 13.3 g/dL

potassium 3.3 mEq/L

for what condition would the nurse expect to administer IV lidocaine?

premature ventricular contractions (PVCs)