Pharm ati

A nurse is monitoring a client who received diphenoxylate-atropine. Which of the following statements by the client should indicate to the nurse that the medication has been effective?

"I have not had a bowel movement today." The nurse should identify that diphenoxylate-atropine is an opioid used to treat diarrhea. The therapeutic response of this medication is a decrease in the frequency of watery stools due to reduced motility of the intestinal lining

dessmopressin

-Headache can indicate toxicity high risk of hypernatremia, avoid for treatment of nocturia or nocturnal polyuria

Psyllium (Metamucil)

-The nurse should direct the client to administer the medication mixed with a full glass of water or juice followed by an additional glass of liquid. The client should also be instructed to increase the intake of fluids to help decrease constipation. -the nurse should explain to the client that psyllium can be taken on a long-term basis for chronic constipation. -Increase bulk fiber -

Dinoprostone vaginal insert pouch used to stimulate labor, patient teaching.

-You should lie on your back for at least 2 hours w/out getting up. -This device releases medicine slowly and is generally removed in 12 hours

A nurse is reinforcing teaching with a client who has chronic bronchitis about how to administer acetylcysteine using a handheld nebulizer (HHN). Which of the following client statements indicates an understanding of the teaching? A. "I can store an open vial of the medication in the refrigerator for up to 24 hours." B. "I should limit my fluid intake while taking this medication." C. "I should try to cough productively just before I begin the treatment." D. "If the medication becomes discolored, I should throw it out and get a new supply.

C. "I should try to cough productively just before I begin the treatment."

A nurse is monitoring a client who is receiving phenytoin IV for the treatment of status epilepticus. Which of the following findings should the nurse identify as an adverse effect of the medication?

Cardiac dysrhythmias The nurse should identify cardiac dysrhythmias as an adverse effect of phenytoin IV. As a result of this potential complication, cardiac monitoring is required.

A nurse is caring for a client who is receiving sumatriptan for cluster headaches. Which of the following findings should the nurse expect as an adverse effect?

Chest pressure A client who takes sumatriptan can develop sensations of chest pressure and heavy arms. The nurse should monitor the client; if the chest pressure continues, the nurse should notify the provider. About 50% of clients who take sumatriptan experience chest pressure and heaviness of the arms that are transient and resolve.

A nurse is caring for a client who has a suspected adrenal insufficiency. Which of the following medications should the nurse anticipate the provider using to determine the presence of adrenal insufficiency?

Cosyntropin The nurse should expect the provider to use cosyntropin to determine if the client has adrenal insufficiency. The client is monitored after the provider injects cosyntropin to see if the cortisol level rises above 20 mcg/dL. If the adrenal response causes the cortisol level to elevate, the response is considered to be within the expected reference range. If the cortisol level does not elevate, the provider should determine that the client has adrenal insufficiency.

Phenytoin

Dilantin used to treat seizures. Remind pt. The importance of gum massage due to gigival hypoplasia

A charge nurse is reinforcing teaching with a newly licensed nurse about a client who has severe allergy-related asthma and a new prescription for omalizumab. Which of the following pieces of information should the charge nurse include to describe the medication's mechanism of action?

It reduces the number of immunoglobulin E (IgE) molecules on mast cells. The charge nurse should include in the teaching that the mechanism of action of omalizumab reduces the number of IgE molecules on mast cells. This limits the ability of allergens to trigger immune mediators that cause bronchospasm.

What is an acceptable range for HbA1c?

Less than 7%

famotidine

Pepcid Used to treat GERD Notify provider of bloody stools

A nurse is caring for a client who received spinal anesthesia 30 minutes ago. The client reports feeling dizzy, and the nurse notes that the client's blood pressure is 84/54 mmHg. Which of the following actions should the nurse take?

Place the client in the head-down position The nurse should identify the client is experiencing an adverse effect from receiving the spinal anesthesia. Hypotension is the common adverse effect of spinal anesthesia due to the loss of venous tone and decreased venous return to the heart. Therefore, the nurse should position the client in a 10° to 15°, head-down position to rapidly promote venous return to the heart, which increases the client's blood pressure.

Medication used to treat fibromyalgia

Pregabalin-Lyrica Anticonvulsant Side effects: Dizziness, sleepiness, weight gain head ache and dry mouth Also used: duloxetine and milnacipran (antidepressant)

Tamoxifen

Tamoxifen is an anti-estrogen medication used to treat cancer of the breast in both premenopausal and postmenopausal women who are at an increased risk.

Sulfasalazine

Used to treat inflammatory bowel disease (IBD); now used for RA as well Anti-inflammatory and immunomodulatory actions Can slow the progression of joint deterioration GI side effects may be intolerable Can cause bone marrow suppression, monitor CBC periodically

A nurse is caring for a client who asks about taking orlistat for weight loss. The nurse should inform the client that this medication can intensify the effects of which of the following medications or supplements?

Warfarin The nurse should inform the client that orlistat can intensify the effects of warfarin, which increases the client's risk of bleeding. The client should undergo close anticoagulant monitoring if the medications are to be used concurrently.

carbamazepine

decreases oral birth control effectiveness

feverfew

migraine prophylaxis

cycloplegia

paralysis of the ciliary muscle of the eye Blurred vision is an expected side effect with this condition

Gemifribrozil

reduces cholesterol levels Monitor Liver function Can cause decrease in WBC and hyperglycemia