Pharm Quiz 4 and 5
What should we do when wasting medications?
Have a second RN witness the disposal
A nurse is teaching a client who has a new prescription for a PPI to manage GERD. Which of the following is an understanding of the teaching?
Have an increased risk for PNEUMONIA (decreases calcium)
A nurse is caring for a client who has cancer and a new prescription of ondansetron. Which of the following adverse effects should we monitor for?
Headaches
We are preparing to administer morphine IV to a pt. Which of the following should the RN have on hand?
Narcan
An RN is instructing the parent of a client who has a new prescription for methylphenidate. Which of the following instruction should be included?
No operating heavy machinery
We are caring for a client who is receiving a unit of packed RBCs. We should prime the administration tubing with what?
Normal saline
We're caring for apt who has a new prescription of propranolol. What should we assess?
Orthostatic hypotension
What should we monitor for amitriptyline administrations?
Orthostatic hypotension
We're administering morphine to a client who has abdominal incisional pain. Wat is an adverse effect?
Orthostatic hypotension (low and slow vitals)
We are treating a patient in HYPOvolemic shock, what blood products are we anticipating giving to increase general volume?
Packed red blood cells
An RN is assessing a client prior to the administration of morphine. What is the priority assessment?
Respiratory rate
What should be included for methylphenidate teaching?
Restrict caffein intake
What should be included in Vitamin K teachings?
Reversal for warfarin toxicity
A nurse is assessing a client who is receiving 1 unit of packed red blood cells to treat intraoperative blood loss. The client reports chills and back pain. BP is 80/64. What is the first nursing intervention?
STOP infusion
What do we give for aspirin overdose?
Sodium bicarb
A nurse is caring for a client who is taking Ibuprofin. What info should we give the patient?
Take with food
A nurse is assessing a client before administering a unit of packed RBCs. Which of the following data is the most important to obtain prior to infusion
Temperature
A nurse is planning care for a client who is receiving packed RBCs. We should plan for the total infusion time to not exceed what?
4 hours
A nurse is receiving a unit of packed RBCs froma blood bank and notes the time is 1130. The nurse should begin the infusion at which times?
ASAP (within 30 min)
A nurse in the ED is monitoring for acute Tylenol toxicity. What reversal agent do we give?
Acetylcystine
A patient is taking aspirin for rheumatoid arthritis. Which of the following adverse effects should we monitor for?
Aspirin increase bleed risk
An RN is assessing a client who is requesting pain meds. What is prioritized?
Assess the patient's pain
A patient is taking a COX 2 Inhibitor. The nurse should report which of the following adverse effects?
Black tarry stools (GI bleeding)
We're providing instructions about bowel cleansing with PEG powder for a colonoscopy. Which of the following should the nurse include?
Bloating is common
What do we give to reverse magnesium sulfate?
Calcium gluconate?
A patient is taking lactulose. What is an adverse affect of lactulose?
Can cause diarrhea and vomiting
A nurse is caring for a client receiving eye drops. What manifestation should the nurse expect if the patient experiences a systemic anticholinergic affect?
Constipation
A pt with difficulty swallowing is planning on taking antericoated aspirin. How do we respond to a pt wanting to crush the meds?
Crushing the pill can cause stomach aches or indigestion
What is a health risk for heroin use?
Decreases respirations
We are providing teaching to a client who is taking opioid pain meds and is taking docusate sodium. Which of the following indicates an understanding of the teaching?
Docusate can take up to THREE days to work
A nurse is monitoring a client who is receiving a unit of packed RBCs before surgery. Which of the following assessments indicates circulatory overload?
Dyspnea (SOB)
a nurse is assessing a client who has schizophrenia and is being treated. (what's a manifestation of tardive dyskinesia?)
Excessive facial movements (especially tongue)
What do we administer for dig toxicity?
Fab antibody fragments (DigiFab)
A charge nurse is teaching about the antagonist actions of medications. Which of the following antagonist meds is used for benzodiazepine?
Flumenazil
A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if its okay to take her aspirin. What's a contraindication for aspirin?
Gastric ulcers (bleed risk)
What do we give to reverse metoprolol?
IV glucagon
A nurse is teaching a client who is taking acetaminophen daily. The RN should include.
Instruct the client to monitor for jaundice
A nurse is caring for a client who has a new prescription for metoclopramide. The pt asks how it will relieve my nausea. How do we respond?
It helps promote gastric emptying by increasing peristalsis
We have a patient taking acetaminophen (hard on liver). What should we monitor in this patient?
LFTs (ALT & AST)
Which of the following should the nurse include in the instructions for Dramamine?
Monitor for dizziness
A nurse is caring for a pt receiving heparin via continuous IV infusion. What is the reversal for heparin?
Protamine sulfate
A nurse is assessing a client who is on long-term omeprazole therapy. Which of the following findings should indicate the RN the medication is effective?
Reduced dyspepsia (reduced heartburn)
A nurse finds an open vial of morphine on top of a cabinet in a pts room. What should we do first?
Report immediately
We are caring for a client taking aspirin. What is an adverse affect?
Tinnitus