Pharm EAQ's
A healthcare provider prescribes furosemide for a client with hypervolemia. The nurse recalls that furosemide exerts its effects in what part of the renal system?
Loop of Henle (ascending limb)
A client has severe diarrhea, and the health care provider prescribes intravenous fluids, sodium bicarbonate, and an antidiarrheal medication. Which drug does the nurse expect the health care provider to prescribe? Psyllium Bisacodyl Loperamide Docusate sodium
Loperamide - inhibits peristalsis
A client is receiving penicillin G and probenecid for syphilis. What rationale should the nurse give for the need to take these two drugs?
Probenecid delays excretion of penicillin, thus maintaining blood levels for longer periods
A nurse is administering serum albumin intravenously to a client with ascites. In response to this therapy, what does the nurse expect to decrease? Confusion Urinary output Abdominal girth Serum ammonia level
Abdominal girth - increased serum albumin increases osmotic effect and pulls fluid back into the intravascular compartment
A client is admitted to the hospital with the diagnosis of Parkinson disease. What medication does the nurse expect the healthcare provider to prescribe to relieve the client's physiologic responses to this disease? Carbidopa-Levodopa Isocarboxazid Selegine Dopamine Pyridoxine
Carbidopa-levodopa - crosses BBBand converts to dopamine
The health care provider prescribes an oral hypoglycemic for the client with type 2 diabetes. What will the nurse need to consider when developing the teaching plan?
Clients taking oral hypoglycemics may subconsciously relax dietary rules to gain a sense of control. - taking a tab may give the client a false sense that the disease is under control leading to dietary indiscretions
A client is admitted to the hospital for an adrenalectomy. The nurse is providing postoperative care before the client's replacement steroid therapy is regulated fully. The nurse should monitor the client for which complication? Hypotension Hypokalemia Hypernatremia Hyperglycemia
Hypotension - Because of instability of the vascular system and the lability of circulating adrenal hormones
A client who had an organ transplant is receiving cyclosporine. The nurse should monitor for what serious adverse effect of cyclosporine? Hirsutism Constipation Dysrhythmias Increased creatinine levels
Increased creatinine levels - life threatening effect of cyclosporine is nephrotoxicity
A client diagnosed with tuberculosis is taking isoniazid. To prevent a food and drug interaction, the nurse should advise the client to avoid which food item? Hot dogs Red wine Sour cream Apple juice
Red wine - avoid foods containing tyramine
A health care provider prescribes cholestyramine, an anion exchange resin, to treat a client's persistent diarrhea. What vitamin does the nurse anticipate may become deficient because cholestyramine reduces the absorption of fat? Retinol (vit A) Riboflavin (Vit B2) Thiamine (Vit B12) Pyridoxine (Vit B6)
Retinol (Vit A) Fat soluble vitamins include A, D, E, K
A client is receiving warfarin for a pulmonary embolism. Which drug is often contraindicated when taking warfarin? Atenolol Ferrous Sulfate Chlorpromazine Acetylsalicylic acid
acetylsalicylic acid - it can cause decreased platelet aggregation, increasing risk for bleeding
