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A 56-year-old woman with a diagnosis of multiple sclerosis has begun taking dantrolene. What client teaching should the nurse provide?
-"Make sure to see your health care provider promptly if you develop yellowish skin or eyes."
A client is receiving anakinra for treatment of rheumatoid arthritis. The client is scheduled to have arthroscopic evaluation of the right knee. What is the priority nursing diagnosis for this client after the procedure?
-Risk for infection
A nurse tells a patient to take a prescribed glucocorticoid in the morning based on the understanding that:
-This time mimics the normal peak diurnal concentration levels.
The nurse educates a client recently diagnosed with hyperthyroidism about using the prescribed levothyroxine. The client has a history of diabetes. Which client statement establishes the need for further clarification?
"It does not matter which brand of the drug I take, they are all the same"
You are administering intravenous amiodarone to a patient in the emergency department. Which of the following tasks would you need to prioritize?
-Monitoring the patient's blood pressure
A client is prescribed disopyramide. The nurse would expect to administer this drug by which route?
-Oral
The physician has ordered quinidine for a 12-year-old child. The nurse expects to administer this medication in what form?
-Oral
When describing desmopressin, the nurse understands that this drug can be administered by which route? Select all that apply.
-Oral -Subcutaneous -Intravenous -Intranasal
Based on the metabolic action of glucocorticoids, a patient who is on long-term glucocorticoid therapy is at risk of developing what disease?
-Osteoporosis
A male client is diagnosed with Addison's disease. What daily medication would the nurse expect to be administered?
-Prednisone
A nurse is assessing a client with possible Cushing's syndrome. In a client with Cushing's syndrome, the nurse expects to find:
-deposits of adipose tissue in the trunk and dorsocervical area.
The health care provider orders quinidine for a client who is receiving digoxin. The nurse would monitor this client for which of the following?
-digoxin level
A nurse is caring for a 70-year-old patient who is taking desmopressin (DDAVP). The patient has a history of cardiovascular disease. The nurse will prioritize the assessment of:
-electrolyte levels.
A 65-year-old male client was involved in a motor vehicle accident and sustained a closed head injury. He is diagnosed with diabetes insipidus and is prescribed desmopressin intranasal for the management of this condition. Which condition would pose a risk for the male client as a desmopressin recipient?
-has a history of hypertension with left ventricular enlargement
When prescribed dantrolene, what is the most serious adverse effect the client should be instructed about?
-hepatitis
Propranolol is ordered for a patient who has a cardiac arrhythmia. It will be important for the nurse to determine if the patient has a history of
-hypersensitivity to beta blockers.
The nurse closely monitors a client who is receiving anakinra and etanercept for:
-severe infection.
Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to
-stand or sit upright for at least 30 minutes after taking alendronate.
A surgical client has developed malignant hyperthermia. Which medication can be used to treat this health emergency?
dantrolene
Alendronate (Fosamax) is prescribed for a 67-year-old postmenopausal woman. In order to help prevent gastrointestinal distress, the nurse will advise the patient to:
stand or sit upright for at least 30 minutes after taking alendronate.
A female client with a six-month-old infant has been prescribed propylthiouracil (PTU). What is the most important question the nurse should ask this client?
"Are you breastfeeding your child?"
A 44-year-old warehouse worker experienced a painful lower back injury that has not responded to treatment with nonsteroidal anti-inflammatory drugs. Consequently, the man's care provider is considering the short-term use of cyclobenzaprine (Flexeril). Which of the following assessment questions would inform the clinician's decision to prescribe this drug?
"Are you taking antidepressant medications these days?"
patient has been diagnosed with Cushing's syndrome. The nurse would expect which of the following features to be present upon physical examination?
"Buffalo hump" Thin extremities" Moon face" Truncal obesity Purple striae
A client newly diagnosed with Cushing's disease asks how ketoconazole works. What is the nurse's best response?
"It controls cortisol secretions."
The patient receiving ketoconazole (Nizoral) for Cushing's disease reports a headache. What is the best advice for the nurse to give the patient?
"This might be a reaction to the medication. Talk to your health care provider."
A client who is experiencing lower back pain has been prescribed cyclobenzaprine. The nurse should provide what health education in order to ensure safe and effective treatment?
"This will likely make you drowsy, so don't take it before doing anything that would require alertness."
After a client takes a radioactive iodine preparation, the nurse should teach the client to do which of the following? Select all that apply.
-Flush twice after using the toilet facilities. -Wash eating utensils and laundry separately. -Avoid contact with pregnant women for two to four days. -Remain in separate area of the house as much as possible.
Which hormone would be initially responsible for hormone secretion from the ovaries and testes?
-Gonadotropin-releasing hormone (GnRH)
Which of the following hormones are not released during childhood?
-Gonadotropin-releasing hormone (GnRH)
What endocrine gland produces corticosteroids?
Adrenal
A nurse is providing discharge teaching for a client who will be going home on cyclobenzaprine prescribed for acute musculoskeletal pain. What health education should the nurse provide?
Avoid drinking any alcohol until the completion of treatment.
A client with gout is receiving allopurinol as part of the treatment plan. Which instruction would the nurse include in the teaching plan for this client? Select all that apply.
Drinking at least 3 L of fluid per day• Taking the drug with meals• Reporting any evidence of skin rash
The nurse is caring for a client taking antirheumatic drugs, which have caused dyspepsia. The nurse knows the client will exhibit which signs or symptoms?
Fullness or epigastric discomfort.
A client reports that he uses an herbal product to treat his osteoarthritis. Which herbal product would the nurse most likely expect the client to use?
Glucosamine
After reviewing agents that act as gonadotropin-releasing hormone antagonists, the students demonstrate a need for additional study when they identify which as an example?
Goserelin
What information should the nurse provide a client newly prescribed propylthiouracil about its primary mode of action?
Inhibits production of thyroid hormone
A client admitted to the hospital with hyperthyroidism treated with propylthiouracil suddenly develops a skin rash. Which action would the nurse implement first?
Notify the primary health care provider
A client with a spinal cord injury has developed central spasticity and the care provider wishes to administer a muscle relaxant intrathecally. What is the nurse's best action?
Prepare to administer baclofen (Lioresal)
A client with a spinal cord injury is experiencing increasing muscle spasticity and the care team is considering the use of dantrolene. The nurse should identify what possible contraindication to the safe and effective use of this medication?
The client has hepatitis C
A 32-year-old female client is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis. The nurse will inform the client and her husband that the adverse effect that poses the greatest safety risk to the client is:
hypotension.
A nurse is working with a 39-year-old client who is experiencing muscle spasms associated with multiple sclerosis. The client reports needing help with basic care The client's health care provider has prescribed baclofen (Lioresal). The nurse and the client agree that an appropriate goal related to helping to maintain self-worth would be to:
increase self-care in activities of daily living.
Adverse effects of dantrolene (Dantrium) include:
potentially fatal hepatitis.
What question is important for the nurse to ask a client who is scheduled to receive a first dose of radioactive iodine for hyperthyroidism?
"Do you have any trouble swallowing?"
The client with chronic gout asks how he can reduce the uric levels in his body when he begins to self-administer colchicine. What would be the nurse's response?
"Drink 2 to 3 quarts of fluid daily; this will decrease uric acid levels and help prevent formation of uric acid kidney stones."
Alendronate (Fosamax) is prescribed for a patient. Which statement made by the patient will indicate to the nurse that further instruction is needed?
"I can go back to bed as soon as I take this drug."
An older adult client has been using levothyroxine for several years on an outclient basis. Which client statement should the nurse attribute to the decreased effect of levothyroxine?
"I've been using a lot of antacids lately because of my indigestion."
A client has been prescribed baclofen and will be taking the drug on an outpatient basis. The client asks the nurse if it is still okay to drink wine with meals or end the day with a "nightcap." What is the nurse's best response?
"The combination of baclofen and alcohol could depress your nervous system to a dangerous level."
While you are speaking with a client diagnosed with gout, she states that she has no symptoms of the disease and asks you to explain why she was prescribed Allopurinol (Zyloprim). Your best response is:
-Allopurinol is used to prevent or treat hyperuricemia, which occurs with gout.
A client in the clinic complains of depression (secondary to chronic back pain) and of not being able to "get around as good as I used to." The client has been prescribed a skeletal muscle relaxant. What is the nurse's most therapeutic response?
"Therapy may take weeks or longer before you feel optimal relief."
The parents of a child who was diagnosed with diabetes insipidus ask the nurse, "How does this disorder occur?" When responding to the parents, the nurse integrates knowledge that a deficiency of which hormone is involved?
-Antidiuretic hormone
A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago and has experienced a recent exacerbation of her symptoms, including muscle spasticity. Consequently, she has been prescribed Dantrolene (Dantrium). In light of this new addition to her drug regimen, what teaching point should the woman's nurse provide?
"You might find that this drug exacerbates some of your muscle weakness while it relieves your spasticity."
The nurse knows that which assessment finding suggests hyperthyroidism?
- Blood pressure 145/87
The nurse is preparing discharge teaching for a client prescribed chronic antiarrhythmic medication therapy. Which signs/symptoms should be reported to the health care provider immediately? (Select all that apply.)
- Dyspnea - Heart palpations - Chest pain
The nurse closely monitors a client who is receiving anakinra and etanercept for
- Severe infection
While reviewing the medication history of a client receiving alendronate, the nurse notes that the client also takes a multivitamin. Which instruction would be most appropriate?
-"Separate taking the two drugs by about a half hour."
While the nurse is preparing the patient for discharge, the patient asks why the physician has prescribed administration of prednisone every other day instead of daily. What would be the nurse's best response?
-"Taking it every other day minimizes adverse effects."
A patient is having seizure activity and the physician has ordered diazepam (Valium) to be given parenterally. If this medication is administered intravenously, when will its onset of action be observed?
-1-5 minutes
Which of the following patients demonstrates the clearest indication for treatment with prednisone?
-A 70-year-old man whose rheumatoid arthritis has not responded to OTC pain relievers
The nurse is caring for a 36-year-old male client who is having back muscle spasms after falling from a ladder. The health care provider has prescribed cyclobenzaprine to relieve the muscle spasms. For which medical condition would the nurse want to hold the medications because of the increased risk of adverse effects?
-A history of supraventricular tachycardia
A client is diagnosed with diabetes insipidus. The physician orders desmopressin, which the nurse knows is the synthetic equivalent of what hormone?
-ADH
A client is experiencing acute anxiety and the nurse has received an order for diazepam 4 mg PO STAT. What is the nurse's best action?
-Administer the medication as prescribed
What is an important nursing action for the administration of colchicine to the patient in the acute care setting?
-Administer the medication with a full glass of water at evenly spaced intervals throughout the day.
The nurse is educating the patient who will be taking colchicine at home. What important information should the nurse be sure to include in the education?
-Avoid the use of alcohol because it will decrease the antigout effects of colchicine
Which of the following adrenocortical hormone drugs influence or regulate functions such as the immune response, glucose, fat, and protein metabolism, and the anti-inflammatory response? Select all that apply:
-Betamethasone (Celestone) Budesonide (Entocort EC) Hydrocortisone (Cortef) Dexamethasone (Decadron
A client is receiving anakinra as treatment for arthritis. The nurse understands that this drug acts in which manner?
-Blocks interleukin-1
Your client is diagnosed with gout. He calls the office requesting you to obtain a prescription for a month's supply of colchicine. As part of his medication education, you would inform the client of the following:
-Colchicine is limited to only 7 days of therapy.
Prior to starting therapy with diazepam (Valium), a nurse should gather which of the following information from a hospitalized client? Select all that apply:
-Complete medical history -Mental status exam -Anxiety level -Medication history
The nurse is caring for a client with muslce spasms and who has been prescribed cyclobenzaprine (Amrix) 100 mg PO t.i.d. What is the nurse's best action?
-Contact the prescriber to confirm the dose
A client sustained a musculoskeletal injury to his left leg that has resulted in occasional spasticity. What should the nurse expect the health care provider to prescribe?
-Cyclobenzaprine
While lifting weights a patient suffered a severe back spasm, similar to the back spasms she experienced during her 2nd pregnancy. She asks the physician for the same drug she used before because it really helped decrease the pain. The nurse expects that the physician will prescribe what?
-Cyclobenzaprine (Flexeril)
The client is taking cyclobenzaprine for muscle spasms secondary to an injury to the lumbar spine that occurred while lifting a motor at work. The client is being seen for a follow-up visit by the health care provider. The client reports dry mouth, blurred vision, and constipation. Why is the client having these side effects from cyclobenzaprine?
-Cyclobenzaprine produces an anticholinergic response
A client with a history of malignant hyperthermia is scheduled for surgery. Which agent would the nurse most likely expect to administer?
-Dantrolene
A patient is being treated for intractable muscle spasticity with a peripherally acting spasmolytic. The nurse should anticipate administering which medication?
-Dantrolene
After administering desmopressin to a patient with diabetes insipidus, which would the nurse identify as indicating drug effectiveness?
-Decreased reports of thirst
The nurse is developing a plan of care for a 7-year-old boy with diabetes insipidus. What is the priority nursing diagnosis?
-Deficient fluid volume related to dehydration
Desmopressin is used to treat which endocrine disorders?
-Diabetes insipidus
Lack of antidiuretic hormone (ADH) produces which disease process?
-Diabetes insipidus
What is the prototype for the classification of drugs referred to as benzodiazepines?
-Diazepam
A group of nursing students answers correctly if they identify which medication as the prototype benzodiazepine?
-Diazepam (Valium)
A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider?
-Dietary habits
A patient is administered cyclobenzaprine (Flexeril). Which adverse effect can the nurse expect with this medication?
-Drowsiness
A client is prescribed propranolol (Inderal). Which condition in the client's history may affect the treatment regimen?
-Elevated glucose
The nurse would contact the physician prior to administering desmopressin to a client with a history of what condition?
-Heart attack
A nurse should review a client's medical conditions prior to administering a dantrolene (Dantrium) as its use is contraindicated in clients with which issues? (Select all that apply.)
-Hepatic disease Lactation
The nurse is administering quinidine to a client who is also taking digoxin. The nurse will assess this client for which most important adverse effect?
-Increased digoxin level
Which would a nurse include when describing the action of dantrolene?
-Interference with calcium release from the muscles
The physician has prescribed quinidine. The nurse knows this drug is used for what physiologic effects on the heart? (Select all that apply.)
-It prolongs the refractory period. -It reduces automaticity.
Gonadotropin-releasing hormone (GnRH) stimulates the anterior pituitary to release which of the following hormones? (Select all that apply.)
-Luteinizing hormone (LH) • Follicle-stimulating hormone (FSH)
A clinic nurse is following a 62-year-old woman who is taking quinidine for a cardiac arrhythmia. What nursing action will address the most common adverse effects of quinidine therapy?
-Monitor the patient for signs and symptoms of GI upset
You are caring for an 84-year-old diabetic client who is receiving hydrocortisone 40 mg daily PO for treatment of an arthritic flare-up. When writing a plan of care for this patient, which of the following nursing interventions would be most appropriate?
-Monitoring blood glucose levels frequently
Martha, a 47-year-old lawyer with a history of asthma, is treated with a steroid burst for the second time this year since moving to the area. Other significant history includes a BMI of 22, allergic rhinitis, and contact dermatitis. Martha asks why she cannot just stay on the prednisone long term. What would be the best answer, based on the long-term effects of prednisone therapy?
-Prednisone can lead to osteoporosis.
What would a nurse keep in mind about glucocorticoids when teaching a patient?
-Promote fat storage
Which of the following medications are Class II antiarrhythmics? (Select all that apply)
-Propranolol (Inderal) -Acebutolol (Sectral)
Which would a nurse include when explaining the actions of glucocorticoids?
-Prostaglandin formation decreases
A patient, admitted to a health care facility with cardiac arrhythmia, is prescribed propranolol. Which of the following factors should the nurse closely monitor as a part of the ongoing assessment during the therapy?
-Pulse Rate
A patient on anti-arrhythmic drug therapy complains of nausea, vomiting, abdominal pain, diarrhea, and a ringing sensation in the ears. Which of the following drugs should the nurse consider as the cause for these adverse effects?
-Quinidine
A nurse is caring for a patient who is receiving cyclobenzaprine. Which of is the action of the drug on the patient?
-Reduction of muscle spasm
A patient has a complex cardiac history that includes recurrent ventricular fibrillation. After the failure of more conservative treatments, his care team has introduced oral amiodarone. What assessments should be prioritized by the nurse who is providing care for this patient?
-Respiratory assessment
A 29-year-old client who experienced a lower back injury has seen his range of motion decrease and his pain increase over the past several weeks. As a result, he has been prescribed cyclobenzaprine. What nursing diagnosis should the nurse prioritize in light of the client's drug regimen?
-Risk for Injury related to CNS depression
Diazepam (Valium) is prescribed for a client. What are some possible adverse effects of diazepam? Select all that apply.
-Sedation• Restlessness• Disorientation
A child with diabetes insipidus is being treated with vasopressin. The nurse would assess the child closely for signs and symptoms of which condition?
-Syndrome of inappropriate antidiuretic hormone (SIADH)
Your client is on daily doses of prednisone. To minimize adrenal suppression, your instructions for administration should include:
-Take your medications in the morning.
When reviewing the medical record of a client who is to receive dantrolene, which condition would alert the nurse to the need for close monitoring?
-The client has respiratory depression from opioid analgesia
For which patient would cyclobenzaprine not be prescribed for muscle spasms?
-The patient who is having muscle spasms because of cerebral palsy
Flecainide, propafenone, and moricizine are unique in that they have no effect on the repolarization phase but do have what effect?
-They decrease conduction in the ventricles.
A child is prescribed therapy with glucocorticoids. The child is placed on alternate-day therapy. What is the advantage of alternate-day therapy in children?
-They will have less chance of infection.
The nurse is conducting a medication reconciliation of a new resident of a long-term care facility. The nurse notes that the resident takes allopurinol on a daily basis for the treatment of gout. What is the primary purpose of this drug?
-To balance urate concentration and prevent gout attacks
An infant on the pediatric floor has diabetes insipidus. Which assessment data are important for the nurse to monitor while the infant is on strict fluid precautions?
-Urine output
The teaching plan for a client taking amiodarone should include which instruction?
-Use a reliable form of birth control while taking this medication.
Which vitamin supplements should the nurse recommend while a postmenopausal client is taking alendronate (Fosamax)?
-Vitamin D and calcium
The home care nurse is following a client discharged from the hospital with a prescription for diazepam. On the initial visit what is the nurse's priority related to this medication?
-Warning signs that may indicate serious adverse effects
A nurse is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which instruction?
-Wear appropriate clothing and sunscreen whenever he is in direct sunlight
A female patient has been taking prednisone for her asthma for 1 month. The nurse will teach her to gradually decrease her dose of prednisone to avoid
-adrenal insufficiency.
The nurse may be asked to administer which medications to a client to counteract the increase in uric acid and subsequent hyperuricemia resulting from the metabolic waste buildup from rapid tumor lysis?
-allopurinol
When describing desmopressin to a group of students, the instructor explains that it is a synthetic form of:
-antidiuretic hormone
Deficiency of which hormone causes polyuria and polydipsia?
-antidiuretic hormone (ADH)
would contraindicate the use of cyclobenzaprine for acute muscle spasms?
-cardiac dysrhythmias
A child with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is to:
-check vital signs.
During long-term desmopressin therapy in a 48-year-old woman, it will be most important for the nurse to assess the:
-condition of the patient's nasal passages.
Levothyroxine (Synthroid) 88 mcg is prescribed for a client. How many mg of Synthroid will the nurse administer? Do NOT round the answer.
0.088
The nurse who is a case manager is overseeing the care of several clients, both inpatient and community-dwelling. Which client is most likely to benefit from the administration of baclofen?
A client who is undergoing rehabilitation following a spinal cord injury at C7
A primary health care provider has prescribed levothyroxine to a client with hypothyroidism. Which information would the nurse include in the teaching plan to promote an optimal response to the drug therapy?
Administer the drug early in the morning before breakfast
A history of what medical condition A female client has been experiencing increased muscle spasticity since being diagnosed with multiple sclerosis. What drug is most likely to meet this client's needs?
Baclofen (Lioresal)
A client is diagnosed with Graves disease. Propylthiouracil (PTU) is prescribed. After 8 weeks of therapy, the client reports fever and sore throat. The nurse is concerned that this symptoms may be early signs of:
Agranulocytosis
Which medication would the nurse expect to administer if prescribed to achieve skeletal muscle relaxation?
Baclofen
A nurse understands that which skeletal muscle relaxants should not be administered to a client with skeletal muscle spasms caused by systemic lupus erythematosus?
Baclofen
Levothyroxine is classified in which pregnancy category?
Category A
General anesthetic has been administered to a surgical client and the client has begun to exhibit signs and symptoms of malignant hyperthermia. The operating room nurse should prepare to assist with the administration of:
Dantrolene
Which medications can be used to treat or prevent malignant hyperthermia?
Dantrolene (Dantrium)
A client with a suspected brain tumor is scheduled for a computed tomography (CT) scan. What should the nurse do when preparing the client for this test?
Determine whether the client is allergic to iodine, contrast dyes, or shellfish.
Glucocorticoids should be used with caution in patients with what disease process?
Diabetes mellitus
Which medication is classified as an antianxiety medication but is also used to treat muscle spasms?
Diazepam (Valium)
What is the most important teaching from the plan of care, to emphasize, when a client is prescribed a skeletal muscle relaxant?
Do not drive or operate machinery until individual drug effects are known.
A nurse administers carisoprodol to a client for the treatment of an acute musculoskeletal condition. The nurse would be alert for which adverse effect after administering the drug?
Drowsiness
The nurse is caring for a client who is receiving cyclobenzaprine for relief of muscle spasms. What adverse effect should the nurse assess for?
Drowsiness
When developing a teaching plan for a client who is to receive carisoprodol, which sign or symptom would the nurse include as the most common adverse reaction?
Drowsiness
What assessment should the nurse perform prior to administration of a scheduled dose of levothyroxine?
Heart rate
Signs and symptoms of what would necessitate discontinuation of dantrolene therapy?
Hepatic dysfunction
A nurse is caring for a client who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for:
History of taking anticoagulant drugs
Which of the following is an example of a bisphosphonate disease modifying antirheumatic drugs (DMARDs)? (Choose one)
Hydroxychloroquine (Plaquenil)
Baclofen is a prototype drug for the centrally acting skeletal muscle relaxants. What adverse effects do these drugs have? (Mark all that apply.)
Hypotension Weakness Dizziness
The nurse is caring for a client who just received radioactive iodine. What should the nurse assess first when receiving the client into care after the procedure?
Infection
The pharmacology instructor is providing education regarding propylthiouracil to the nursing students. What would the instructor identify as the primary mode of action for this medication?
Inhibition of production of thyroid hormone
The nurse is caring for a client whose current medication regimen includes baclofen 60 mg PO daily. What assessment should the nurse nurse prioritize when assessing for therapeutic effects?
Inspection for muscle spasticity and range of motion assessment
A client with spastic hypertonia resulting from cerebral palsy has not responded appreciably to oral baclofen. During the client's care conference, the nurse should anticipate a discussion about what possible treatment?
Intrathecal baclofen infusion
When caring for a client taking dantrolene, for what adverse effects should the nurse monitor the client? Select all that apply.
Jaundice Fatigue Drowsiness
A child is diagnosed with hypothyroidism. The nurse knows that the drug of choice for this child will most likely be:
Levothyroxine (Synthroid)
An older adult has been prescribed a thyroid hormone replacement medication. The nurse should first clarify which prescription?
Levothyroxine (Synthroid) 150 mcg orally once per day
An operating room nurse is assisting the anesthesiologist in the preparation of an intravenous dose of dantrolene. What emergent issue most likely prompted the need to give the patient dantrolene?
Malignant hyperthermia
A nurse is preparing to administer a scheduled dose of levothyroxine to an elderly client who is being treated in the hospital for a respiratory infection. Prior to administering the drug, the nurse should perform what assessment?
Measurement of blood pressure
A client has a history of atrial fibrillation and is taking a oral anticoagulant. The client has been newly diagnosed with hypothyroidism and placed on levothyroxine (Synthroid). What assessment should the nurse prioritize?
Monitoring the client for increased bruising
Based on the nurse's knowledge about thyroid hormone supplements, the nurse administers levothyroxine cautiously to a client who has recently had which condition or disorder?
Myocardial infarction
A 40-year-old female client with myasthenia gravis has been prescribed dantrolene. The nurse has taught the client about the risks of liver toxicity associated with the medication and should teach the client to self-monitor for what early indications?
Nausea and loss of appetite
A client is brought to the emergency department after taking an overdose of levothyroxine. When assessing this client, what adverse effects would the nurse expect to find?
Nervousness and tachycardia
A client who has taken an overdose of levothyroxine (Synthroid) is brought to the Emergency Department. In assessing this client, what side effect would the nurse expect to find?
Nervousness, tachycardia, tremors
A client is taking allopurinol for gout. The client exhibits an "itchy" skin rash on the neck and both arms. What is the nurse's top priority action?
Notify the healthcare provider.
A patient being treated for Cushing's disease is upset about body changes. What information will the nurse tell the patient to provide reassurance?
Once therapy is effective, soft tissue changes will reverse.
The nurse is preparing to administer prednisone. The nurse would expect to administer this agent by which route?
Oral
Based on the metabolic action of glucocorticoids, a client who is on long-term glucocorticoid therapy is at risk of developing what disease?
Osteoporosis
A hospital client's current medication administration record specifies oral administration of propylthiouracil (PTU) every 8 hours. What sign or symptom may have originally prompted the care provider to prescribe this drug?
Persistent tachycardia
The nurse has admitted an elderly client in thyroid crisis to the unit. Since surgery is not an option, the client requires an antithyroid drug. What would be the best choice of drug for this client?
Radioactive iodine (Generic)
A patient has been prescribed disopyramide (Norpace) to treat a tachydysrhythmia. Which of the following factors would necessitate that the dose be reduced?
Renal impairment
Which of the following factors would necessitate a reduction in the dosage of disopyramide?
Renal impairment
What should be included in the nurse's ongoing assessment of a client receiving flecainide (Tambocor)? (Select all that apply.)
Response to therapy Signs of heart failure Development of new cardiac arrhythmias Worsening of arrhythmia being treated Monitoring of serum flecainide levels
The nurse is caring for a client who takes alendronate. What laboratory result best demonstrates successful treatment?
Serum calcium 2.45 mmol/L (9.8 mg/dL)
A 40-year-old client with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize for the nursing care plan for this client?
Risk for Injury related to CNS depressant effects
A client has been prescribed a subcutaneous medication to treat rheumatoid arthritis (RA). The nurse should teach the client to do which?
Rotate sites when administering the injections.
Prior to administering propylthiouracil, the nurse has reviewed the relevant black box warning and should teach the client about the need for what form of follow-up?
Routine liver function testing
Baclofen (Lioresal) is used in the treatment of muscle spasticity associated with which disease processes? (Select all that apply.)
Spinal cord injury Muscle rigidity Multiple sclerosis
A 6-year-old child has been brought to the emergency department in apparent status asthmaticus. The care team recognizes the need to intubate the client, who is inconsolably agitated. The nurse should anticipate a STAT prescription for what medication?
Succinylcholine
A nurse is caring for a patient with thyrotoxicosis. The physician prescribes liotrix to the patient. Which adverse reaction to the drug should the nurse monitor for in the patient?
Tachycardia
The nurse can determine that the client taking uric acid inhibitors is drinking enough fluids when which of the following occurs?
The daily urine output is about two liters.
Which patient should not receive ketoconazole (Nizoral) as ordered for Cushing's disease?
The patient with elevated liver function tests
The nurse should advise a client who is taking levothyroxine for the first time that resolution of hypothyroid symptoms may occur for how long after therapy is started?
Weeks
A client with muscle spasticity has been prescribed baclofen. In order to promote the safe use of this medication, the nurse should encourage the client to:
avoid drinking alcohol for the duration of treatment.
A client is undergoing sodium iodine drug therapy for the treatment of hyperthyroidism. Which adverse reactions to the drug should the nurse monitor for in the client?
bone marrow depression
Which finding should alert the nurse to a potential Cushing's syndrome manifestation presented by a client prescribed long-term corticosteroid therapy?
buffalo hump
A 72-year-old woman is on long-term glucocorticoid therapy. It will be most important for the nurse to instruct the patient to
take measures to minimize the risk of falls.
