Pharm review

A client is to be discharged with a prescription for an analgesic that is a controlled substance. Which comment by the client indicates to the nurse that further teaching is needed?

"I know I can titrate the dose according to the pain level." A client should never take it upon themselves to titrate or change a prescribed dose.

A client receives an IV dose of gentamicin sulfate. How long after the completion of the dose should the peak serum concentration level be measured?

30 mins The peak serum dose of an antibiotic is drawn 30 minutes after the completion of the IV dose of the antibiotic

A client is receiving a blood transfusion, and 1 hour after starting the transfusion the client reports dyspnea and has tachycardia. Which medication would be most important for the nurse to give?

Furosemid IV This client is experiencing fluid overload usually noted after the first 15 minutes. The treatment of choice would be a diuretic. Acetaminophen would used to treat a febrile reaction; methylprednisolone and diphenhydramine would be indicated in an allergic reaction.

A client with cholecystitis continues to have severe right upper quadrant pain. The nurse obtains the following vital signs: temperature 101.1° F (38.4° C); pulse 114 bpm; respirations 22/min; blood pressure 142/90 mm Hg. Using the SBAR (Situation-Background-Assessment-Recommendation) technique for communication, the nurse recommends to the health care provider for the client to receive:

Hydromorphone should be considered for pain management. It should be administered intravenously for rapid action to address the severe pain the client is experiencing. Intramuscular injections are painful and slower acting. Since meperidine's toxic metabolite can cause seizures, it is no longer the treatment choice for pain. Diltiazem, a calcium channel blocker, is not indicated. Elevation of heart rate and blood pressure is likely due to pain and fever. Promethazine is used to treat nausea.

Benztropine

anticholinergic treats extrapyramidal effects induced by antipsychotics

Vitamin B12 depends on

intrinsic factor

After administering naloxone, an opioid antagonist, the nurse should monitor the client carefully for which problem?

respiratory depression After administering naloxone, the nurse should monitor the client's respiratory status carefully because the drug is short acting and respiratory depression may recur after its effects wear off