Pharmacology HESI
Patient taking furosemide and start with muscle weakness. What to do?
Check electrolytes
Patient taking Verapamil (or other antihypertensive medicine.) What should the nurse do?
Check the BP.
Patient taking nitrofurantoin and starts with diarrhea.
Chequear, evaluar porque puede ser una complication.
Pte que esta tomando un antipsychotic medication y la enfermera observa que tiene movimientos involuntarios de los pies. Quiere dejarle saber al doctor. Que debe hacer?
Document it as an abnormal movement scale.
Patient taking a sucralfate and after one week of treatment complain that he still has symptoms. What is the nurse best answer?
Explain the healing process take time, algo asi.
Patient taking oxybutynin and start feeling with dry mouth.
Give hard candy
Pte que toma NSAID y que comeinza con cansancio, falta de aire, dolor en epigastrio y palido. Que debe chequear la enfermera?
Hemoglobin
Prior to administering oral dose of calcitriol (rocaltrol) and calcium carbonate (Os-cal) to a client with hypoparathyroidism, the nurse notes that the client's total calcium level is 15 mg. What action should the nurse implement?
Hold both medications until contacting the Dr.
Metodo para usar el inhaler.
Inhale slowly.
Patient with Neutrophilia is taking a medication and something happen.
Isolation and continuo the treatment.
Patient taking Sulfaprin (It may be another antibiotic) and after some minutes of starting the administration patient does not feel ok. What may be a sing of alarm for the nurse to stop the medication and call the provider?
Itching throat. (Era algo en la garganta pero no recordamos la palabra en ingles. Comienza con Str..o algo asi)
Patient taking atorvastatin. What she can include in her diet? Select all that apply
Low fat yogurt; oatmeal; banana
Patient taking warfarin and start with symptoms of shock. What is the nursing first action? Stop the medication and call the provider. Administer O2 Administer protamine sulfate. Do the labs PT
Not sure. Options to select one below. *****
In planning care for a client diagnosed with bacterial pneumonia, which intervention should the practical nurse implement?
Obtain the sputum specimen before administering prescribed antibiotics.
In planning care for a client diagnosed with bacterial pneumonia, which intervention should the practical nurse implement?:
Obtain the sputum specimen before administering prescribed antibiotics.
Patient taking a medication that cause Mydriasis. Which physiological response will not appear with a miotic medication?
Pupil contraction.
Paciente que se le hace un proceder y esta ansioso y le dan un medicamento para eso. Que debe hacer la caregiver?
Quedarse con el paciente hasta que se despierte.
Patient taking Hydroxychloroquine. Which nursing action will address for a possible side effect of this medication?
Refer the patient every 6 to 12 moth to the ophthalmology.
Paciente en quirofano. Cual reaccion es importante attender?
Sore throat and diarrhea.
Patient taking spironolactone.
Take the medication in the morning.
A client with a history of asthma is experiencing an acute episode of wheezing and SOB four hours after returning from surgery. Which prescription should the nurse administer at this time? a. pirbuterol (maxair) b. theophylline c. cromolyn d. montelukast (singulair)
a. pirbuterol (maxair)
Patient taking pantoprazole IV and antiacid and has stomach upset. What should the nurse do?
administer the medication as prescribed.
The client with a gastric ulcer has a prescription for sucralfate (Carafate), 1 g by mouth four times daily. The nurse schedules the medication for which times? 1. With meals and at bedtime 2. Every 6 hours around the clock 3. One hour after meals and at bedtime 4. One hour before meals and at bedtime
4. One hour before meals and at bedtime Rationale: Sucralfate is a gastric protectant. The medication should be scheduled for administration 1 hour before meals and at bedtime. The medication is timed to allow it to form a protective coating over the ulcer before food intake stimulates gastric acid production and mechanical irritation. The other options are incorrect.
Dose calculation. No me acuerdo.
1.6 ml
A client is receiving acetylcysteine (Mucomyst), 20% solution diluted in 0.9% normal saline by nebulizer. The nurse should have which item available for possible use after giving this medication? 1. Ambu bag 2. Intubation tray 3. Nasogastric tube 4. Suction equipment
4. Suction equipment Rationale: Acetylcysteine can be given orally or by nasogastric tube to treat acetaminophen overdose, or it may be given by inhalation for use as a mucolytic. The nurse administering this medication as a mucolytic should have suction equipment available in case the client cannot manage to clear the increased volume of liquefied secretions.
Dose calculation: Presentation of the medication 80 mEq/1L to administer 10 mEq. How many ml should be administered?
125
Methylphenidate is prescribed for daily administration to a 10-year-old child with attention-deficit/hyperactivity disorder (ADHD). In preparing a teaching plan for the parents of this child newly diagnosed with ADHD, which instruction is most important for the nurse to provide to the parents? A. Administer the medication in the morning before the child goes to school. B. Plan to implement periodic interruptions in the administration of the drug. C. Attempt to be consistent when setting limits on inappropriate behavior. D. Seek professional counseling if the child's behavior continues to be disruptive.
A. Administer the medication in the morning before the child goes to school. Methylphenidate is a central nervous system (CNS) stimulant. To be most effective in affecting the child's behavior, the dose of the drug should be administered in the morning before the child goes to school. Drug holidays are often prescribed to assess the child's degree of recovery; however, such interruptions are not conducted in the early phase of treatment and are usually implemented when side effects occur over a period of time. Options C and D are worthwhile instructions but do not have the priority of option A.
Following the administration of sublingual nitroglycerin to a client experiencing an acute anginal attack, which assessment finding indicates to the nurse that the desired effect has been achieved? A. Client states chest pain is relieved B. Client's pulse decreases from 120 to 90 C. Client's systolic blood pressure decreases from 180 to 90 D. Clients SaO2 level increases from 92% to 96%:
A. Client states chest pain is relieved Nitroglycerin reduces myocardial oxygen consumption which decreases ischemia and reduces chest pain
When providing client teaching about the administration of methylphenidate to a parent of a child diagnosed with ADHD, which instruction should the nurse include in the teaching plan? A. The doses should be given exactly 12 hours apart to sustain a therapeutic serum level B. Doses should be scheduled at midmorning and midafternoon to achieve optimal benefit C. Give the medication only on school days and when the child appears to be anxious. D. Offer the child the medication with breakfast and after the child eats lunch.
A. The doses should be given exactly 12 hours apart to sustain a therapeutic serum level Administering the medication at breakfast and after lunch provides the correct spacing of the doses to maximize the child's attention span and helps prevent the appetite suppression associated with the drug. Doses should be spaced at 6-hour intervals, not option A. Option B is likely to increase insomnia. Option C disrupts the normal dosing schedule, resulting in ineffective treatment. Doses should be discontinued only for brief intervals (with the health care provider's approval) when the client's condition is being evaluated or if the client is being weaned from the medication entirely.
The nurse plans to draw blood samples for the determination of peak and trough levels of gentamicin sulfate in a client receiving IV doses of this medication. When should the nurse plan to obtain the peak level? A. Thirty minutes after the dose is administered B. Immediately before giving the next dose C. When the next electrolyte levels are drawn D. When the client's temperature is 98.6°F/37°C.
A. Thirty minutes after the dose is administered Peak drug serum levels are achieved 30 minutes after the IV administration of aminoglycosides, so option A is the optimum time to get a peak level. Options B, C, and D are not appropriate times associated with peak levels for gentamicin.
A female client with RA takes ibuprofen (motrin) 600mg PO 4xday. To prevent GI bleeding, misoprostol (cytotec) 100mcg PO is prescribed. Which information is most important for the nurse to include in client teaching? A. use contraception during intercourse B. ensure the cytotec is taken on an empty stomach C. encourage oral fluid intake to prevent constipation D. take cytotec 30min prior to motrin
A. use contraception during intercourse Cytotec, a synthetic form of prostaglandin, is classified as pregnancy category X and can act as an abortifacient, so the client should be instructed to use contraception during intercourse to prevent loss of early pregnancy
A 26-year-old primigravida client is experiencing increasing discomfort and anxiety during the active phase of labor. She requests something for pain. Which analgesic should the nurse anticipate administering? A.Butorphanol B.Hydromorphone C.Morphine sulfate D.Codeine sulfate
A.Butorphanol Butorphanol is a mixed agonist-antagonist analgesic resulting in good analgesia but with less respiratory depression, nausea, and vomiting compared with opioid agonist analgesics.
Patient with Nitroglycerin patch that started with chest pain. What should the nurse do?
Administer the Nitroglycerin PRN and leave the patch.
Patient taking Orlistat y comienza con diarreas. Que debe hacer la enfermera?
Ask about the patient's diet. Notes: 9. orlistat [Xenical] [weight MGMT] [patient teaching] - limit dietary fat to <30% of daily calories to reduce GI side effects associated w/increased fat content in stool e.g., flatulence, oily spotting, and fecal urgency - take w/all meals containing fat; - take a daily multivitamin supplement 2 hours before or after taking orlistat
Patient with rheumatoid arthritis taking NSAID. Start with
Assess abdomen.
Male patient wants a large dose of narcotics- what should the nurse do?
Assess pain level
Patient taking Methotrexate and another chemotherapy medication. What should the nurse include in the teaching plan?
Avoid crowd places and sick people.
A client with Parkinson's disease is taking carbidopa-levodopa (Sinemet). Which observation by the nurse should indicate that the desired outcome of the medication is being achieved? A) Decreased blood pressure. B) Lessening of tremors. C) Increased salivation. D) Increased attention span.
B) Lessening of tremors. Sinemet increases the amount of levodopa to the CNS (dopamine to the brain). Increased amounts of dopamine improve the symptoms of Parkinson's, such as involuntary movements, resting tremors.
When providing nursing care for a client receiving pyridostigmine bromide for myasthenia gravis, which nursing action has the highest priority? A. Monitor the client frequently for urinary retention. B. Assess respiratory status and breath sounds often. C. Monitor blood pressure each shift to screen for hypertension. D. Administer most medications after meals to decrease gastrointestinal irritation.
B. Assess respiratory status and breath sounds often. The client should be assessed often for signs of respiratory complications. The client with myasthenia gravis is at greatest risk for life-threatening respiratory complications because of the weakness of the diaphragm and ancillary respiratory muscles caused by the disease process. Cholinergic agents used to reduce muscle weakness can also cause hypersalivation, increased respiratory secretions, and possible bronchoconstriction. Although options A, C, and D reflect helpful interventions, they do not have the priority of option B in caring for the client with myasthenia gravis.
A client with angina pectoris is instructed to take sublingual nitroglycerin tablets PRN for chest pain. Which instruction should the nurse include in the client's teaching plan? A. Take one tablet every 3 minutes, up to five tablets. B. Take one tablet at the onset of angina and stop activity. C. Replace nitroglycerin tablets yearly to maintain freshness. D. Allow 30 minutes for a tablet to provide relief from angina.
B. Take one tablet at the onset of angina and stop activity. Nitroglycerin tablets should be taken at the onset of angina, and the client should stop activity and rest. One tablet can be taken every 5 minutes, up to three doses. Nitroglycerin should be replaced every 3 to 6 months, not every 12 months. Nitroglycerin should provide relief in 5 minutes, not 30 minutes.
When caring for a client on digoxin therapy which laboratory finding alerts the nurse to the potential for digoxin toxicity? A. Low serum sodium level B. High serum sodium level C. Low serum potassium level D. High serum potassium level
C. Low serum potassium level Rationale: Hypokalemia predisposes the client on digoxin to digoxin toxicity, which usually presents as abdominal pain, anorexia, nausea, vomiting, visual disturbances, bradycardia, and atrioventricular (AV) dissociation. Assessment of serum potassium levels with prompt correction of hypokalemia is an important intervention for the client taking digoxin. Options A, B, and D are not relevant.
A client who is recently diagnosed with myasthenia gravis receives a prescription for pyridostigmine (Mestinon), a cholinergic agent. Which information should the nurse instruct the client to implement when taking this medication? A. Always take with meals to avoid gastrointestinal distress. B. Plan the doses close together for maximal therapeutic effect. C. Take the medication at least 30 minutes before eating meals. D. Avoid dairy products two hours before and after taking medications.
C. Take the medication at least 30 minutes before eating meals. The nurse should instruct the client to take the medication 30 minutes before meals with an empty stomach, which allows for the onset of action and therapeutic effects to be present during the meal to help improve swallowing and chewing. The doses should also be spaced evenly apart to optimize the effects of the medication
Paciente que le da influenza y tiene secreciones. Esta con falta de aire, y toma ansiolitico. Que hace la enfermera?
Call 911 o alguien que lo lleve a la emergencia.
Patient taking Heparin. Start with Hematuria. To what should the nurse pay attention?
Coagulation.
20- Dobutamine (Dobutrex) is an emergency drug most commonly prescribed for a client with which condition? A) Shock. B) Asthma. C) Hypotension. D) Heart failure.
D) Heart failure.
Paciente que tiene una orden de un medicamento 15 ml 2v/d. LLeva 4 dias tomandolo. El frasco es de 240 ml. En el 4to dia de tratamiento el frasco esta a la mitad. Que accion debe hacer la enfermera?
Dar el resto de las 8 dosis.
Paciente que toma Rivostigmina (Para la demencia). Teaching plan for to diminish GI adverse effects.
Dar poca y frequente comidas.
Patient with Alzheimer on treatment since few days and insomnia. Caregiver asked about that. What is the nurse best response?
Explain that it is a transited side effect and after that the patient will sleep well.
A male client with Laennec's sclerosis refuses to take the daily dose of the latulose (amonia) because he had three soft boiled yesterday. Which action should the nurse implement?
Explain that this effect reduces serum ammonia levels.
A patient in the hospital tells the nurse that she does not want to take her Carafate -- es Sucralfate until after she eats. What should the nurse instruct the patient to do?
Explain the importance of taking the medication 1 hour before meals
Patient taking Gentamicin C12/h. Creatinine level 1.6. Nursing action
Hold the dose and call the provider.
Patient with HTN with normal BP. What statement by the patient indicate to the nurse further teaching in needed?
I will save today's tablet for tomorrow since my BP is normal today.
Pt is very anxious and suicidal; Lithium level is 15 mEq; Which action should the nurse implement?
Instruct pt to drink 3 liters in 24 hours. Note: Normal lithium is 0.8-1.2 mEq
(Similar) Which long-acting insulin mimics natural, basal insulin with no peak action and a duration of 24 hours?
Insulin Glargine (lantus) Insulin glargine has a duration of action of 24 hours with no peaks, mimicking the natural, basal insulin secretion of the pancreas.
When ASA should not be giving to a patient?
Low platelets.
Patient taking regular insulin at 0730. What should the nurse check?
Make sure the patient take breakfast.
The nurse is preparing a patient for a computed tomography scan using iodine contrast media. Which medication should the nurse question if prescribed one day before the scheduled procedure?
Metformin (Glucophage) The concurrent use of metformin with iodinated (iodine-containing) radiologic contrast media has been associated with both acute renal failure and lactic acidosis. Therefore, metformin should be discontinued the day of the test and for at least 48 hours after the patient undergoes any radiologic study that requires the use of such contrast media.
The nurse assess a client with intermittent claudication who is receiving pentoxifylline (trental). Which assessment should the nurse perform to determine the effectiveness of the medication?:
Monitor numeric pain scales
Patient who is being treated with morphine and pain does not relieve in 24 h and Morphine dose is repeated. Which of the following actions does the nurse identify as a priority for this client?
Monitoring the client's respiratory rate. (Vital sings in our test) Rationale: Morphine sulfate suppresses respiration, and monitoring respirations (Vital sings) is a priority nursing action. Although the other options may be a component of the plan of care for this client, monitoring the client's respiratory rate is the priority nursing action.
Patient that is taking X medication and start with hand tremors? What is the nurse first action?
Not sure. Options we remember: stop the medication and call the PCP Measure capillary glucose
Patient taking Verapamil. Nursing teaching:
Pasar de la posicion de sentado a de pie lentamente.
Patient taking terfenadine for mycosis. Which patient will be at more risk?
Patient with history of alcoholism.
A client has been diagnosed with open-angle glaucoma. The health care provider prescribes pilocarpine (Isopto Carpine) eye drops. What action of this drug makes it a useful treatment for the client's condition?
Pilocarpine, a cholinergic agent, causes pupillary constriction (miosis), which facilitates outflow of aqueous humor, causing a decrease in intraocular pressure
A client has been diagnosed with open-angle glaucoma. The health care provider prescribes pilocarpine (Isopto Carpine) eye drops. What action of this drug makes it a useful treatment for the client's condition?:
Pilocarpine, a cholinergic agent, causes pupillary constriction (miosis), which facilitates outflow of aqueous humor, causing a decrease in intraocular pressure.
A client has been diagnosed with open-angle glaucoma. The health care provider prescribes pilocarpine (Isopto Carpine) eye drops. What action of this drug makes it a useful treatment for the client's condition?
Pilocarpine, a cholinergic agent, causes pupillary constriction (miosis), which facilitates outflow of aqueous humor, causing a decrease in intraocular pressure.
A client is receiving tamsulosin (Flomax), an alpha adrenergic blocking agent, for the management of urinary retention due to BPH. The patient was siting after taking the lunch and started feeling with weakness. What is the First action the nurse should take?
Place client in a Recumbent position.
Patient taking Heparin. Signo de alarma.
Platelets go from 150000 to 100000
A male client is admitted for observation he is complain of progressively increasing fatigue over the past month and a brief episode of dizziness. Just history includes heart burn and indigestion that he self treats with ibuprofen (advil) and antacids. The nurse should report which of these findings to the HCP?
Positive guacic of stool (blood in stool)
The nurse administers the initial dose of cefoxitin (mefoxin) to a client whose medical record indicates an allergy to penicillin. Which finding is most important for the nurse to report to the HCP?
Pruiritis and mascular rash.
A patient was prescribed Zithromax for chlamydia. Patient is instructed to report onset of what symptoms?
Report symptoms of sore throat, fever, fatigue, severe diarrhea, dark urine, pale stools, jaundice. These are signs of liver infection.
Paciente que tiene un parche para el dolor. Le toca el proximo parche pero el anterior esta nuevo. Que hacer?
Retirar el Viejo y poner el parche nuevo en otro lugar.
Parkinsons patient is taking cardopa/levodopa is at an increased risk for injury. What instruction should the nurse provide?
Rise slowly, don't miss doses and monitor for adverse effects.
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4, oxygen sat 75% and is unable to be aroused. What action should the nurse implement.
START CPR
Patient taking melatonin. What should the nurse check to see the effectiveness of the medication?
Sleep pattern.
Patient taking Losartan. In teaching safety, what should the nurse tell to the patient?
Stand slowly.
Patient taking Naproxen.
Take it with food.
Bethanechol is effective with what condition?
Urinary retention; relaxes bladder. Output=intake.
A female client with rheumatoid arthritis take ibuprofen (Motrin) 600 mg PO 4 times a day. To prevent gastrointestinal bleeding, misoprostol (Cytotec) 100 mcg PO is prescribed. Which information is most important for the nurse to include in client teaching? A. Use contraception during intercourse. B. Ensure the Cytotec is taken on an empty stomach. C. Encourage oral fluid intake to prevent constipation. D. Take Cytotec 30 minutes prior to Motrin.
Use contraception during intercourse. Correct (Descartar embarazo en nuestro examen) Cytotec, a synthetic form of a prostaglandin, is classified as pregnancy Category X and can act as an abortifacient, so the client should be instructed to use contraception during intercourse (A) to prevent loss of an early pregnancy. (B) is not necessary. A common side effect of Cytotec is diarrhea, so constipation prevention strategies are usually not needed (C). Cytotec and Motrin should be taken together (D) to provide protective properties against gastrointestinal bleeding.
Patient who leave the operating room after used a muscle relaxant. What should the nurse report?
Ventricular tachycardia. (Not 100% sure)
Patient taking Azithromycin. What is a side effect?
Yellow sclera.
Patient started with flu symptoms yesterday and wants to start taking Tamiflu. What is the nurse best answer?
You should see the PCP to get the prescription.
A female client with multiple sclerosis reports having less fatigue and improved memory since she began using the herbal supplement, ginkgo biloba. Which information is most important for the nurse to include in the teaching plans for this client? a-Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo b-nausea and diarrhea can occur when using this supplement c-anxiety and headaches increased with use of ginkgo d-ginkgo biloba use should be limited and not taken during pregnancy
a-Aspirin and nonsteroidal anti-inflammatory drugs interact with ginkgo Rationale ginkgo biloba has blood thinning properties and should not be used in taking aspirin or unsafe which increased the risk for bleeding. nausea diarrhea anxiety and headaches are also side effects of supplements but they do not pose the same risk as a. Although D is accurate A has a higher priority
A client diagnosed with myasthenia gravis receives a prescription for the anticholinesterase medication, pyridostigmine (Mestinon). Which intervention should the nurse implement when preparing to administer this medication? a. administer the medication thirty minutes prior to meals b. schedule the medication to be given just before bedtime c. instruct the client to avoid dairy products for 30 minutes d. break the medication into small pieces and sprinkle onto food
a. administer the med 30 minutes prior to meals. this medication should be administered before meals because it increases muscle strength to help enhance chewing and swallowing
A client with chronic kidney disease is receiving calcium acetate (PhosLo) 667 mg PO. a decrease in which blood values indicates to the nurse that the medication is having the desired effect. a. phosphate b. potassium c. calcium d. ph
a. phosphate
A client is receiving tamsulosin (Flomax), an alpha adrenergic blocking agent, for the management of urinary retention due to BPH. Which instruction is most important for the nurse to provide. a. take the medication early in the day b. stand and sit up slowly c. use a twice-a-week dosing schedule d. reduce daily fluid intake
b. stand and sit up slowly Perpheral vasodilation is the therapeutic outcome of alpha adrenergic blocking agents such as tamsulosin, which relay veins, arteries, and in the client with BPH also relaxes the muscle in the prostate and bladder neck to ease initiating a urinary stream. Orthostatic hypotension due to rapid mobilization is a common side effect.
Ferrous sulfate elixir is prescribed for a client with iron deficiency anemia. Which instruction should the nurse provide this client about taking the liquid medication? a. mix with an antacid b. use a straw to ingest c. take with a glass of milk d. swallow undiluted
b. use a straw to ingest
Patient is taking a dose of coticotrophin IM. Patient feels swollen and has gained weight. The patient wants to stop taking the medication. What action should the nurse take? a) hold dose and document patient refused to take b) inform patient the need to increase the dose. c) explain the need to reduce salt intake while medication dose is tapered off. d) distract while administerring:
c) explain the need to reduce salt intake while medication dose is tapered off.
A nurse has taught a client who is taking lithium carbonate (Lithobid) about the medication. The nurse determines that the client needs additional teaching if the client states that: a. The medication should be taken with meals b. The lithium blood levels must be monitored very closely c. It is important to decrease fluid intake while taking the medication to avoid nausea d. The physician must be called if excessive diarrhea, vomiting, or diaphoresis occurs
c. It is important to decrease fluid intake while taking the medication to avoid nausea Rationale: Because the therapeutic and toxic dosage ranges are so close, the blood level of lithium in a client taking the medication must be monitored closely; assessments are performed frequently at first and every several months after that. The client should be instructed to stop taking the medication if excessive diarrhea, vomiting, or diaphoresis occurs and to inform the physician if any of these problems develops. Lithium is irritating to the gastric mucosa; therefore lithium should be taken with meals. A normal diet and normal salt and fluid intake (1500 to 3000 mL/day of fluid) should be maintained, because lithium decreases sodium reabsorption in the renal tubules, which may result in sodium depletion. Low sodium intake causes an increase in lithium retention and could lead to toxicity.
A client with acute pulmonary edema receives furosemide (Lasix). What assessment finding indicates that the intervention is working? a. Potassium level decreased from 4.5 to 3.5 mEq/L. b. Crackles auscultated in the bases. c. Lungs clear. d. Output 30 mL/hr.
c. Lungs clear.
A client who is taking an oral dose of tetracycline complains of gastrointestinal upset. What snack should the nurse instruct the client to take with the tetracycline? a. fruit flavored yogurt b. cheese and crackers c. cold cereal with skim milk d. toasted wheat bread and jelly
d. toasted wheat bread and jelly.
Paciente que toma vasopressin. Que signo de alarma debe chequear la enfermera?
fuerte dolor de cabeza.
The client diagnosed with a community-acquired pneumonia is being admitted to the medical unit. Which nursing intervention has the highest priority? 1. Administer the oral antibiotic stat. 2. Order the meal tray to be delivered as soon as possible. 3. Obtain a sputum specimen for culture and sensitivity. 4. Have the unlicensed nursing assistant weigh the client.:
3. Obtain a sputum specimen for culture and sensitivity. Broad-spectrum IV antibiotics are priority, but before antibiotics are administered, it is important to obtain culture specimens to determine the correct antibiotic for the client's infection. Clients are placed on oral medications only after several days of IVPB therapy. Meal trays are not priority over cultures.
Pregabalin (?)
(?) Lyrica Anticonvulsant
Dose calculation.
0.4
Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which best food item? 1. Milk 2. Water 3. Apple juice 4. Orange juice
4. Orange juice Rationale: Vitamin C increases the absorption of iron by the body. The mother should be instructed to administer the medication with a citrus fruit or a juice that is high in vitamin C. Milk may affect absorption of the iron. Water will not assist in absorption. Orange juice contains a greater amount of vitamin C than apple juice.
