pharm prep for hesi
Meperidine hydrochloride (Demerol)
1. Tremors 2. Drowsiness 3 Hypotension
guaifenesin he nurse determines that the client understands the most effective use of this medication if the client makes which statement?
"I will take the tablet with a full glass of water."
alteplase, Which action is a priority nursing intervention?
Monitor for signs of bleeding.
Isosorbide mononitrate is prescribed for a client with angina pectoris. causes chronic head aches
Take the medication with food. is an antianginal medication.
Which instruction should the nurse give the client about taking Ibuprofen?
Take with 8 oz of milk.
Which data collection finding would indicate a potential serious complication associated with propranolol.
The development of audible expiratory wheezes
nitroglycerin 0.4 mg, sublingually. After 5 minutes, the client states, "My chest still hurts." Which appropriate actions should the nurse take? Select all that apply.
1. Check the client's pain level. 2. Check the client's blood pressure. 3. Administer a second nitroglycerin, 0.4 mg, sublingually
The home care nurse visits a client at home who has been prescribed prednisone 5 mg orally daily. The nurse reinforces teaching for the client about the medication. Which statement made by the client indicates a need for further teaching?
"I can take aspirin or my antihistamine if I need it."
nicotinic acid Which statement by the client indicates an understanding of the instructions?
"Ibuprofen taken 30 minutes before the this medication should decrease the flushing." Flushing is a side effect of this medication. Aspirin or a nonsteroidal antiinflammatory drug can be taken 30 minutes before taking the medication to decrease flushing.
The client diagnosed with acquired immunodeficiency syndrome (AIDS) is taking nevirapine. The nurse should monitor for which side/adverse effects of the medication? Select all that apply.
. Rash Hepatotoxicity
normal blood urea nitrogen level is
10 to 20 mg/dL
Phenytoin (Dilantin)
10-20 mcg/mL
Which laboratory finding indicates a therapeutic serum drug result?
15 mcg/mL
Carbamazepine (Tegretol)
5-12 mcg/mL
A client received 20 units of NPH insulin subcutaneously at 8:00 am. The nurse should check the client for a potential hypoglycemic reaction at which time?
5:00 pm this medication is intermediate-acting insulin. Its onset of action is 60 to 120 minutes, it peaks in 6 to 14 hours, and its duration of action is 16 to 24 hours. Hypoglycemic reactions most likely occur during peak time.
The nurse reinforces instructions to a client who is taking levothyroxine. Which instruction should the nurse give the client?
Take the medication on an empty stomach. Rationale: Oral doses of this medication should be taken on an empty stomach to enhance absorption.
The nurse is monitoring a client receiving glipizide. Which outcome indicates an ineffective response from the medication?
A glycosylated hemoglobin level of 12% this medication is an oral hypoglycemic agent administered to decrease the serum glucose level and the signs and symptoms of hyperglycemia. Therefore, a decrease in both polyuria and polyphagia would indicate a therapeutic response. Laboratory values are also used to monitor a client's response to treatment. A fasting blood glucose level of 100 mg/dL (5.7 mmol/L) is within normal limits. However, glycosylated hemoglobin of 12% indicates poor glycemic control.
carbidopa/levodopa (Sinemet)
Anti-Parkinson's drug. Increase dopamine to minimize tremors and rigidity. Used for Parkinson's disease. Do not use levodopa within 2 weeks of MAOI use. Pyridoxine (vitamin B6) decreases effects of levodopa. Must discontinue 6-8 hours before anesthesia. Side effects: muscle twitching (especially eyelid spasms), headache, dizziness, dark urine, agitation. adverse effects:Impaired voluntary movements
loperamide hydrochloride
Antidiarrheal
Carbamazepine (Tegretol)
Antiepileptic (also for bipolar, trigeminal neuralgia) (not for absence seizures) Can cause blood dyscrasias (bleeding, bone marrow suppression), promotes ADH (edema, fluid overload), Stevens-Johnson Hepatic autoinducer (alternate birth control, increase warfarin dosage) Grapefruit juice (toxicity) Phenytoin and phenobarbital decrease effects Anticonvulsant
Saquinavir ,The nurse should reinforce medication instructions about which health care measure to the client?
Avoid sun exposure.
The nurse is caring for a postrenal transplantation client with prescription for cyclosporine. If the nurse notes an increase in one of the client's vital signs and the client is complaining of a headache, which vital sign is most likely increased?
Blood pressure
Following kidney transplantation, cyclosporine is prescribed for a client. Which laboratory result would indicate an adverse effect from the use of this medication?
Blood urea nitrogen level of 25 mg/dL (8.8 mmol/L)
Phenytoin
Dilantin Anticonvulsant
A daily dose of prednisone is prescribed for a client. The nurse reinforces instructions to the client regarding administration of the medication and instructs the client to take this medication at which time?
Early morning Corticosteroids (glucocorticoids) should be administered before 9:00 am. Administration at this time helps minimize adrenal insufficiency and mimics the burst of glucocorticoids released naturally by the adrenal glands each morning. The other answer options are incorrect.
stavudine. The nurse should monitor which parameter closely while the client is taking this medication?
Gait
Amikacin is prescribed for a client with a diagnosed bacterial infection. The nurse instructs the client to contact the primary health care provider (PHCP) immediately if which occurs?
Hearing loss
isoniazid
Inhibits mycolic acid synthesis by mimicking two vitamins, niacin and pyridoxal (vit B6)
Ketoconazole is prescribed for a client with a diagnosis of candidiasis. Which interventions should the nurse include when administering this medication? Select all that apply.
Monitor liver function studies. Instruct the client to avoid alcohol. Instruct the client to avoid exposure to the sun.
didanosine
NRTI
The client has an as needed prescription for ondansetron. For which condition should the nurse administer this medication?
Nausea and vomiting
The client with a gastric ulcer has a prescription for sucralfate 1 g by mouth four times daily. The nurse should schedule the medication to be administered at which times?
One hour before meals and at bedtime
Meperidine (Demerol)
Opioid Analgesic
A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is reinforcing teaching for the client about the medications prescribed, including clarithromycin, esomeprazole, and amoxicillin. Which statement by the client indicates the best understanding of the medication regimen?
The medications will kill the bacteria and stop the acid production."
when a patient is taking birth control ND phyention.
The potential for decreased effectiveness of the birth control pills exists while taking phenytoin.
Alendronate
bone resorption inhibitor
pentamidine
Prophylaxis for PCP (like Dapsone)
isoniazid
Report yellow eyes or skin immediately. is hepatotoxic,
Amikacin
Aminoglycoside is an antibiotic This medication can cause ototoxicity and nephrotoxicity; therefore, hearing acuity tests and kidney function studies should be performed before the initiation of therapy.
A client is suspected of having myasthenia gravis, and the primary health care provider administers edrophonium to determine the diagnosis. After administration of this medication, which sign/symptom would indicate the presence of myasthenia gravis?
An increase in muscle strength this medication is a short-acting acetylcholinesterase inhibitor used as a diagnostic agent. When a client with suspected myasthenia gravis is given the medication intravenously, an increase in muscle strength would be seen in 1 to 3 minutes. If no response occurs, another dose is given over the next 2 minutes, and muscle strength is again tested. If no increase in muscle strength occurs with this higher dose, the muscle weakness is not caused by myasthenia gravis. Clients receiving injections of this medication commonly demonstrate a drop of blood pressure, feel faint and dizzy, and are flushed.
baclofen The client calls the clinic nurse because of continuous feelings of weakness and fatigue and asks the nurse about discontinuing the medication. The nurse should make which appropriate response to the client?
these symptoms will diminish with continued medication use."
Cimetidine
this medication is a histamine 2 (H2)-receptor antagonist.
Pancrelipase
this medication is a pancreatic enzyme used in clients with pancreatitis as a digestive aid.
Allopurinol
xanthine oxidase inhibitor is an antigout medication.
name a antiretroviral drugs
stavudine
Cyclobenzaprine
is a skeletal muscle relaxant.
Desmopressin acetate is prescribed for the treatment of diabetes insipidus. The nurse monitors the client after medication administration for which therapeutic response?
Decreased urinary output
The nurse is monitoring a client receiving desmopressin acetate for adverse effects to the medication. Which sign/symptom indicates the presence of an adverse effect?
Drowsiness Water intoxication (overhydration) or hyponatremia is an adverse effect of this medication. Early signs include drowsiness, listlessness, and headache. Decreased urination, rapid weight gain, confusion, seizures, and coma also may occur in overhydration.
before giving isoniazid the nurse should check
Liver enzyme levels Isoniazid therapy can cause an elevation of hepatic enzyme levels and hepatitis
sucralfate
Sucralfate is a gastric protectant
acetylcysteine The nurse should have which item available for a possible adverse event after giving this medication?
Suction equipment can be given orally or by nasogastric tube to treat acetaminophen overdose,
naloxone hydrochloride After administration of the medication, the nurse should check the client for which sign/symptom?
Sudden increase in pain
The nurse is planning to administer amlodipine to a client. The nurse should plan to check which before giving the medication?
Blood pressure and heart rate
misoprostol. The nurse determines that this medication is having the intended therapeutic effect if which is noted?
Relief of epigastric pain
The nurse is caring for an older client with a diagnosis of myasthenia gravis and has reinforced self-care instructions. Which statement by the client indicates a need for further teaching?
"I can change the time of my medication on the mornings that I feel strong."
Fluoxetine Which statement by the client indicates an understanding about the administration of this medication?
"I should take the medication in the morning when I first arise."
etanercept
-Mechanism: fusion protein (receptor for TNF-α + IgG1 Fc), produced by recombinant DNA. Etanercept is a TNF decoy receptor. -Use: rheumatoid arthritis, psoriasis, ankylosing spondylitis
The nurse is caring for a client who has been prescribed furosemide and is monitoring for adverse effects associated with this medication. Which should the nurse recognize as potential adverse effects? Select all that apply.
1 Tinnitus 2. Hypotension 3 Hypokalemia
The nurse is performing a follow-up teaching session with a client discharged 1 month ago who is taking fluoxetine. Which information should be important for the nurse to gather regarding the adverse effects related to the medication?
Gastrointestinal dysfunctions
During the monitoring of a client's response to disease-modifying antirheumatic drugs (DMARDs), which findings should the nurse interpret as acceptable responses? Select all that apply.
1. Symptom control during periods of emotional stress 2. Normal white blood cell, platelet, and neutrophil counts 3. Radiological findings that show nonprogression of joint degeneration 4. An increased range of motion in the affected joints 3 months into therapy
cetirizine
an antihistamine, is drowsiness or sedation. Others include blurred vision, hypertension (and sometimes hypotension), dry mouth, constipation, urinary retention, and sweating.
lamivudine
3TC is a nucleoside reverse transcriptase inhibitor and antiviral medication. It slows HIV replication and reduces the progression of HIV infection
blood glucose level
70-110 mg/dL
A client with trigeminal neuralgia tells the nurse that acetaminophen is taken on a frequent daily basis for relief of generalized discomfort. The nurse reviews the client's laboratory results and determines that which indicates toxicity associated with the medication?
A direct bilirubin level of 2 mg/dL overdose of acetaminophen causes liver damage. it is an indicator of liver function
pentamidine. The client develops a temperature of 101° F (38.3° C). The nurse continues to monitor the client, knowing that this sign would most likely indicate which condition?
A result of another infection caused by the leukopenic effects of the medication.
The nurse is reviewing the record of a client who has been prescribed baclofen. Which disorder should alert the nurse to contact the primary health care provider (PHCP)?
A seizure disorder
The client with myasthenia gravis becomes increasingly weak. The primary health care provider (PHCP) prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or increasing severity of the disease (myasthenic crisis). An injection of edrophonium is administered. Which change in condition indicates that the client is in cholinergic crisis?
A temporary worsening of the condition
fosinopril
ACE inhibitors
A client is taking lansoprazole for the chronic management of Zollinger-Ellison syndrome. If prescribed, which medication would be appropriate for the client if needed for a headache?
Acetaminophen
whats the antidope acetaminophen
Acetylcysteine
A client is taking ticlopidine hydrochloride. The nurse tells the client to avoid which substance while taking this medication?
Acetylsalicylic acid
Heparin sodium Which laboratory result indicates that the heparin is prescribed at a therapeutic level?
Activated partial thromboplastin time (aPTT) of 55 seconds
Dantrolene sodium is prescribed for a client experiencing flexor spasms, and the client asks the nurse about the action of the medication. The nurse responds knowing that which is the therapeutic action of this medication?
Acts directly on the skeletal muscle to relieve spasticity
warfarin sodium
Anticoagulant
Fluoxetine (Prozac)
Antidepressant, SSRI
A client receiving a tricyclic antidepressant arrives at the mental health clinic. Which observation indicates that the client is correctly following the medication plan?
Arrives at the clinic neat and appropriate in appearance
bumetanide
Bumetanide is a loop diuretic. Hypotension is a common side effect associate
Atenolol hydrochloride (Tenormin) is prescribed for a hospitalized client. The nurse should perform which of the following as a priority action before administering the medication? 1. Listen to the client's lung sounds. 2. Check the client's blood pressure. 3. Check the recent electrolyte levels. 4. Assess the client for muscle weakness.
Check the client's blood pressure.
A client has begun therapy with theophylline. The nurse tells the client to limit the intake of which while taking this medication?
Coffee, cola, and chocolate
The client with non-Hodgkin's lymphoma is receiving daunorubicin. Which sign/symptom should indicate to the nurse that the client is experiencing a toxic effect related to the medication?
Crackles on auscultation of the lungs
donepezil hydrochloride. Which disorder should the nurse suspect that this client may have based on the use of this medication?
Dementia
The nurse reinforces client instructions about ethambutol. The nurse determines that the client understands the instructions if the client indicates to report which occurrence?
Difficulty discriminating the color red from green
tricyclic
a type of antidepressant drug
Disulfiram
Disulfiram is used as an adjunct treatment for selected clients with chronic alcoholism who want to remain in a state of enforced sobriety
phenelzine sulfate for the treatment of depression. The nurse reinforces instructions to the client and tells the client to avoid consuming which foods while taking this medication? Select all that apply.
Figs Yogurt Aged cheese
Lansoprazole (Prevacid)
Gastric Antisecretory is a gastric acid pump inhibitor used to treat gastric and duodenal ulcers, erosive esophagitis, and hypersecretory conditions. It also is used to treat gastroesophageal reflux disease (GERD)
Ranitidine
H2 receptor antagonist, suppresses acid secretion by blocking h2 receptors on partial cells
The client who received a kidney transplant is taking azathioprine, and the nurse reinforces instructions about the medication. Which statement by the client indicates a need for further teaching?
I can take the medication with meals to minimize nausea."
The nurse is analyzing the laboratory results of a client with leukemia who has received a regimen of chemotherapy. Which laboratory value should the nurse note as a result of the massive cell destruction that occurred from the chemotherapy?
Increased uric acid level
A client who has begun taking fosinopril is very distressed, telling the nurse that he cannot taste food normally since beginning the medication 2 weeks ago. Which suggestion would provide the best support for the client?
Inform the client that impaired taste is expected and generally disappears in 2 to 3 months.
The nurse prepares to reinforce instructions to a client who is taking allopurinol. The nurse should include which instruction in the plan?
Instruct the client to drink 3000 mL of fluid per day.
Carbamazepine is prescribed for a client with a diagnosis of psychomotor seizures. The nurse reviews the client's health history knowing that this medication is contraindicated if which disorder is present?
Liver disease
the nurse determines that which is the most reliable indicator of hypoglycemia?
Low blood glucose level
Cyclophosphamide, ifosfamide
MOA: Cross-link DNA at guanine N7; Requires bioactivation by the liver Use: Solid tumors, leukemia, lymphoma AE: Myelosuppression, hemorrhagic cystitis, partially prevented with mesna (thiol group of mesna binds toxic metabolites)
The nurse is caring for a client with severe back pain, and codeine sulfate has been prescribed for the client. Which should the nurse include in the plan of care while the client is taking this medication?
Monitor bowel activity.
The nurse is preparing to administer furosemide to a client with a diagnosis of heart failure. Which is the most important laboratory test result for the nurse to review before administering this medication?
Potassium level
cyclosporine
Restasis
A postoperative client requests medication for flatulence (gas pains). Which medication from the PRN list should the nurse administer to this client?
Simethicone
The nurse reinforces dietary instructions to a client who will be taking warfarin sodium. The nurse tells the client to avoid which food item? 1. Grapes 2. Spinach 3. Watermelon 4. Cottage cheese
Spinach
Carbamazepine
Tegretol Anticonvulsant is contraindicated in liver disease, and liver function tests are routinely prescribed for baseline purposes and are monitored during therapy.
heparin
The antidote to this medication is protamine sulfate
fexofenadine is scheduled for allergy skin testing and tells the nurse in the primary health care provider's office that a dose was taken that morning. Which should the nurse anticipate happening as a result?
The client will need to reschedule the appointment.
The client has been on treatment for rheumatoid arthritis for 3 weeks. Which is most important for the nurse to check during the administration of etanercept?
The white blood cell counts and platelet counts
Megestrol acetate, an antineoplastic medication, is prescribed for the client with metastatic endometrial carcinoma. The nurse reviews the client's history and contacts the registered nurse if which diagnosis is documented in the client's history?
Thrombophlebitis
The lithium level is checked as a part of the routine follow-up, and the level is 3.0 mEq/L (3.0 mmol/L). The nurse knows that this is which level?
Toxic
A client who is taking hydrochlorothiazide has also been prescribed triamterene. The client asks the nurse why both medications are required. Which response is the most accurate to give to the client?
Triamterene is a potassium-retaining (sparing) diuretic, whereas hydrochlorothiazide is a potassium-excreting diuretic.
Metoclopramide
Vomiting following cancer chemotherapy
Disulfiram is prescribed for a client and the nurse is collecting data on the client and is reinforcing instructions regarding the use of this medication. Which is most important for the nurse to determine before administration of this medication?
When the last alcoholic drink was consumed
codeine sulfate
an opioid analgesic, the nurse should monitor vital signs and monitor for hypotension. The nurse should also increase fluid intake, palpate the bladder for urinary retention, auscultate bowel sounds, and monitor the pattern of daily bowel activity and stool consistency
what is the antidote for cholinergic crisis
atropine sulfate
cholestyramine
bile acid sequestrant
Ibuprofen (Advil, Motrin)
class: antipyretics, antirheumatics, nonopioid analgesics, nonsteroidal anti-inflammatory agents (NSAIDS) Indication- Mild to moderate pain, inflammatory states Action- Decreases pain and inflammation by inhibiting prostaglandins Nursing Considerations- may cause GI bleeding, hepatitis, Stevens-Johnson Syndrome - may cause anaphylaxis - monitor for headache, nausea, vomiting, constipation - therapy should be discontinued after first sign of rash - monitor renal and liver labs - patient should avoid using alcohol
thrombolytic therapy
drugs to dissolve clots are injected into the bloodstream of patients with coronary thrombosis
sublingual nitroglycerin
first-line for rapid relief of stable angina. Systemic vasodilation leads to decrease in Left ventricular EDV (decreased preload), thus decreased myocardial oxygen demand and relief of angina symptoms pharm
whats the normal serum ammonia level?
is 10 to 80 mcg/dL
Atenolol hydrochloride
is a beta blocker used to treat hypertention
Amlodipine
is a calcium channel blocker.
Nevirapine
is a nonnucleoside reverse transcriptase inhibitor that is used to treat HIV infection
Ticlopidine hydrochloride
is a platelet aggregation inhibitor.
docusate sodium
is a stool softener that promotes the absorption of water into the stool,
Trimethobenzamide
is an antiemetic agent used in the treatment of nausea and vomiting
allopurinol
is an antigout medication used to decrease uric acid levels.
Methylergonovine (Methergine)
is an ergot alkaloid used for postpartum hemorrhage. It stimulates contraction of the uterus and causes arterial vasoconstriction.
azathioprine
is an immunosuppressant medication that is taken for life
leflunomide
is an immunosuppressive agent and has an anti-inflammatory action.
Meperidine hydrochloride (Demerol)
is an opioid analgesic. Side effects of this medication include respiratory depression, orthostatic hypotension, tachycardia, drowsiness and mental clouding, constipation, and urinary retention.
Colchicine
is contraindicated in clients with severe gastrointestinal, renal, hepatic, or cardiac disorders, or those with blood dyscrasias.
aluminum hydroxide
is used to treat gastric ulcers and can decrease phosphate levels in chronic renal failure
Furosemide (Lasix)
loop diuretic The medication causes a decrease in the client's electrolytes, especially potassium, sodium, and chloride.
Digoxin toxicity symptoms
nausea, vomiting, diarrhea, vision changes, arrythmias Serum digoxin level of 2.3 ng/mL (2.93 nmol/L)
Lansoprazole (Prevacid)
proton pump inhibitor
lactulose (Cephulac)
reduce blood ammonia by excreation of ammonia by stools 2 -3 soft stools per day
Mycophenolate mofetil
should be administered on an empty stomach.he client should contact the PHCP if unusual bleeding or bruising, sore throat, mouth sores, abdominal pain, or fever occurs because these are adverse effects of the medication
Methocarbamol (Robaxin)
skeletal muscle relaxant client needs to be told that the urine may turn brown black or green Other adverse effects include blurred vision nasal congestion urticaria and rash.
Alendronate is prescribed for a client with osteoporosis and the nurse is providing instructions for the administration of the medication. Which instruction should the nurse reinforce?
take the medication with a full glass of water after rising in the morning.
magnesium sulfate
toxicity can occur as a result of this medication is relate to the central nervous system depressant effects of the medication and include respiratory depression loss of deep tendon reflexes sudden decrease in fetal heart rate maternal heart rate or both and sudden drop in blood pressure. Hyperreflexia indicates increased cerebral edema.
Cyclosporine
Immunosuppressant: antibiotic; inhibits interleukin−2 synthesis, suppresses T cells. Tox: HTN, hirsutism, nephrotoxicity (dose−limiting), seizures (in overdose). Not a myelosuppressant
Rifabutin The nurse should monitor for which side/adverse effects of the medication?
1. Signs of hepatitis 2. Flu-like syndrome 3. Low neutrophil count 4. Ocular pain or blurred vision
A histamine (H2)-receptor antagonist will be prescribed for a client. The nurse understands that which medications are H2-receptor antagonists? Select all that apply.
1. Nizatidine 2. Ranitidine 3. Famotidine 4. Cimetidine
The nurse is planning to administer hydrochlorothiazide to a client. Which are concerns related to the administration of this medication?
Hypokalemia, hyperglycemia, sulfa allergy THIS MED IS A DIURECTIC diuretics such as this medication are sulfa-based medications, and a client with a sulfa allergy is at risk for an allergic reaction.
warfarin sodium. Which statement made by the client reflects the need for further teaching?
I will take enteric-coated aspirin for my headaches because it is coated." Aspirin-containing products should be avoided while taking this medication. Alcohol consumption should be avoided by a client taking
Baclofen (Lioresal) adverse effects
Adverse effects: No antidote for overdose Gradual withdrawal over 1 to 2 weeks With abrupt intrathecal withdrawal - risk for rhabdomyolysis CNS depressant GI symptoms (nausea, constipation) Urinary retention
Glimepiride is prescribed for a client with diabetes mellitus. The nurse reinforces instructions for the client and tells the client to avoid which while taking this medication?
Alcohol
Prednisone is prescribed for a client with diabetes mellitus who is taking Humulin neutral protamine Hagedorn (NPH) insulin daily. Which prescription change does the nurse anticipate during therapy with the prednisone?
An increased amount of daily Humulin NPH insulin Glucocorticoids can elevate blood glucose levels. Clients with diabetes mellitus may need their dosages of insulin or oral hypoglycemic medications increased during glucocorticoid therapy. Therefore, the other options are incorrect.
Phenytoin, The nurse reinforces instructions regarding the medication to the client. Which statement by the client indicates an understanding of the instructions?
I will use a soft toothbrush to brush my teeth
The client is taking cholestyramine. Which statement made by the client indicates the need for further teaching?
I'll continue my nicotinic acid from the health food store." Nicotinic acid, even an over-the-counter form, should be avoided because it may lead to liver abnormalities
omeprazole
is a proton pump inhibitor classified as an antiulcer agent. The intended effect of the medication is relief of pain from gastric irritation, often called "heartburn"
The nurse performs an admission assessment on a client who visits a health care clinic for the first time. The client tells the nurse that propylthiouracil is taken daily. The nurse continues to collect data from the client, suspecting that the client has a history of which disorder?
Graves' disease this medication inhibits thyroid hormone synthesis and is used to treat hyperthyroidism, or Graves' disease. Myxedema indicates hypothyroidism. Cushing's syndrome and Addison's disease are disorders related to adrenal function.
A client with chronic kidney disease is receiving epoetin alfa. Which laboratory result would indicate a therapeutic effect of the medication?
Hematocrit of 32% this medication is used to reverse anemia associated with chronic kidney disease. A therapeutic effect is seen when the hematocrit is between 30% and 33%. The laboratory tests noted in the other options are unrelated to the use of this medication.
The nurse who is administering bethanechol chloride is monitoring for acute toxicity associated with the medication. The nurse should check the client for which sign of toxicity?
Bradycardia
rifampin. Which information about this medication should the nurse provide to the client?
Causes red-orange discoloration of sweat, tears, urine, and feces
baclofen look for side effects related to the medication.
Drowsiness dizziness, weakness, and fatigue. It can also cause nausea, constipation, and urinary retention.
dantrolene sodium, Which laboratory test(s) would identify an adverse effect associated with the administration of this medication?
Liver function tests
A client has been taking isoniazid for 2 months. The client complains to the nurse about numbness, paresthesia, and tingling in the extremities. The nurse interprets that the client is experiencing which problem?
Peripheral neuritis
The nurse prepares to administer sodium polystyrene sulfonate to a client with chronic kidney disease for which laboratory abnormality?
Potassium level of 7.2 mEq/L this medication is a cation exchange resin used in the treatment of hyperkalemia. The resin either passes through the intestine or is retained in the colon. It releases sodium ions in exchange for primarily potassium ions. The therapeutic effect occurs 2 to 12 hours after oral administration and longer after rectal administration.
A client with diabetes mellitus visits a healthcare clinic. The client's diabetes mellitus previously had been well controlled with glyburide daily, but recently the fasting blood glucose level has been 180 mg/dL to 200 mg/dL (10.2 mmol/L to 11.4 mmol/L). Which medication, added to the client's regimen, may have contributed to the hyperglycemia?
Prednisone
ethambutol,The nurse determines that the client understands the instructions if the client states to report which occurrence immediately?
Problems with visual acuity, causes optic neuritis the ability to discriminate between the colors red and green.
The nurse assists with creating a plan of care for a client with hyperparathyroidism receiving calcitonin-human. Which outcome has the highest priority regarding this medication?
Reaching normal serum calcium levels Hypercalcemia can occur in clients with hyperparathyroidism, and this medication is used to lower plasma calcium levels. The highest-priority outcome in this client situation would be a reduction in serum calcium level. Option 1 is unrelated to this medication. Although options 2 and 4 are expected outcomes, they are not the highest priority for administering this medication.
Oxybutynin chloride is prescribed for a client with neurogenic bladder. Which sign would indicate a possible toxic effect related to this medication?
Restlessness Toxicity (overdose) of this medication produces central nervous system excitation, such as nervousness, restlessness, hallucinations, and irritability. Other signs of toxicity include hypotension or hypertension, confusion, tachycardia, flushed or red face, and signs of respiratory depression.
The nurse is reinforcing instructions to a client regarding intranasal desmopressin acetate. The nurse should tell the client that the medication has which side effect?
Runny nose this medication is administered by the intranasal route can cause a runny or stuffy nose. Headache, vulval pain, and flushed skin are side effects if the medication is administered by the intravenous (IV) route.
didanosine. The nurse determines that the client may have the medication discontinued by the primary health care provider (PHCP) if which significantly elevated result is noted?
Serum amylase
During the administration of etanercept, it is most important for the nurse to collect which data?
The white blood cell and platelet counts
Cycloserine
To return to the clinic weekly for serum drug-level testing, cell wall synthesis
cholinergic crisis
Too much medication N&V, diarrhea, cramps hypotension Tensilon to distinguish from Myasthenia Crisis Atropine to reverse Respiratory support may be needed symptoms include
The nurse reinforces medication instructions to a client who is taking levothyroxine. The nurse instructs the client to notify the primary health care provider (PHCP) if which sign/symptom occurs?
Tremors Excessive doses of this medication can produce signs and symptoms of hyperthyroidism. These include tachycardia, chest pain, tremors, nervousness, insomnia, hyperthermia, heat intolerance, and sweating. The client should be instructed to notify the PHCP if these occur. The remaining options are signs of hypothyroidism.
Bethanechol chloride is prescribed for a client with urinary retention. Which disorder should be a contraindication to the administration of this medication?
Urinary strictures of this medication can be harmful to clients with urinary tract obstruction or weakness of the bladder wall
Which laboratory study prescribed for the client should the nurse specifically review to monitor for an adverse effect associated with the use of clozapine?
White blood cell count
what are the normal levels for hematocrit (male,female) normal platelet count, and normal BUN?
The normal level is Male: 42% to 52% (0.42 to 0.52); Female: 37% to 47% (0.37 to 0.47). The normal platelet count is 150,000 to 400,000 mm3 (150 to 400 × 109/L). The normal blood urea nitrogen level is 10 to 20 mg/dL (3.6 to 7.1 mmol/L). The normal white blood cell count is 5000 to 10,000 mm3 (5 to 10 × 109/L).
Cyclobenzaprine (Flexeril)
it should be used with caution in clients with a history of urinary retention, angle-closure glaucoma, and increased intraocular pressure. Cyclobenzaprine hydrochloride should be used only for short-term 2- to 3-week therapy.
Insulin glargine is prescribed for a client with diabetes mellitus. The nurse tells the client that which is the best time to take the insulin?
Once daily at the same time each day this medication is a long-acting recombinant DNA human insulin used to treat type 1 and type 2 diabetes mellitus. It has 24-hour duration of action and is administered once a day at the same time each day.
