Pharmacology C (3)
The home health care RN provides care to a pt with type 1 diabetes. The RN injects regular insulin subcu at 1130. The RN knows the peak action of this insulin will occur at which time?
1230 to 1630 Peak action is 1-5. Onset is 20-60 min
Cefactor 10 mg/kg for child.
44 lb = 20 kg 10mg X 20kg= 200mg (200/250) X 5 mL X = 4 mL
The RN provides care for a pt receiving colestipol. The RN encourages the pt to eat foods rich in which vitamins?
A, D, and K
The emergency department RN is notified that a PT is being brought in with a possible acetaminophen overdose. Which med does the RN prepare to admin?
Acetylcysteine
A client has filled a prescription for dorzolamide for newly diagnosed glaucoma. The RN knows the client needs additional education if they state
Although I had a reaction to sulfa meds, I don't need to worry about the eye drops.
The RN provides education for a young adult being treated for trichomoniasis with metronidazole. What instruction by the RN is most appropriate?
Avoid sex during the use unless a condom is being used.
The RN gets a phone call from the radiology department. The staff member will come in 30 min for a client scheduled abdominal x-rays. It is essential that the RN admin what med to the client before they leave the unit?
Ciprofloxacin is an antibiotic. This is given before as a preventative measure.
An adult male client takes finasteride. The nurse knows the most likely adverse effect of finasteride includes which finding?
Decreased libido and impotence.
THe RN instructs a group of pregnant pts about Lamaze. During class, the RN hears one participant named Karen tell another pt that "taking med during pregnancy is very risky, so you should stop taking the med your health care provider prescribed. What is the best response?
Depending on the med and the trimester of pregnancy, appropriate choices can be made. Karen will battle with miss information on this one.
A client with a diagnosis of HF is prescribed oral furosemide. What is most important info for the nurse to include?
Getting up slowly from a chair or bed. This is due to furosemide being a loop diuretic.
A client has a urinary tract infection and is using phenazopyridine. The RN know that the pt understands the treatment if they state
I know that my urine can turn orange
A pt plans to stop smoking and has prescription for bupropion. What statement indicated that the med education is successful?
I should not stop smoking until I have been taking the med for at least one week.
Client diagnosed with bipolar disorder and is taking lithium 300 mg for three times a day. The RN knowns the education is effective if the pt states
I will drink decaf, I will eat a moderate amount of sodium, and I need to drink 2-3 liters of fluid daily
Client diagnosed with hypertension and arthritis. The pt reports taking aspirin every morning for a year to reduce the pain experienced in both knees. The client states the aspirin relieves the pain, but the spouse notices the pts eyes and skin look yellow.
I will need to contact your provider to obtain a prescription for lab work to determine why your are jaundiced. Need to determine before coming to a conclusion.
The RN instructs a pt diagnosed with atrial fib about lisinopril. Which statement shows the teaching was effective.
I will use spices to season my food and not use table salt or salt substitute.
An older adult with a diagnosis of angina has been prescribed sustained-release nitroglycerin tablets. What is the most important info for the nurse to include?
Make sure the medication is dry, tightly sealed, and out of reach of children.
A client is diagnosed with neuralgia and has been prescribed gabapentin. Which info is most important for the RN to include?
Make sure to leave 2 hours before and after taking an antacid with this medication.
A client has just been diagnosed with RA and prescribed prednisone. Which info is most important for the nurse to discuss when teaching the client about this medication?
Must be increase and decrease GRADUALLY
The RN assess a pt taking the contraceptive medroxyprogesterone. The RN is most concerned if the pt makes which statement.
Must take BP once a day.
The RN provides care for a pt with gout who has received a prescription for allopurinol. What is the most important thing for the nurse to state?
Notify a health care provider if you develop any skin rash.
A client receives promethazine for reports of nausea after surgery. What will the nurse monitor for with this medication?
Over sedation, Tinnitus, and Uncontrolled movements.
A client who is diagnosed with obesity seeks assistance with weight loss. The nurse understands which medication is most likely to be prescribed to the client?
Phentermine is a short-term treatment for obesity. Hypertension, palpitations, and CNS are side effects.
A client diagnosed with peptic ulcer takes cimetidine once a day. They state that they have a hard time remembering to take medication.
Simplify the medication regimen to assist. Try taking the med once a day before bed.
The RN reviews the adverse effects of med that are used to treat clients diagnosed with type 2 diabetes. Which class of med is most likely to cause adverse effect of moderate to severe hypoglycemia.
Sulfonylureas stimulate the pancreas to secrete insulin and increase insulin sensitivity.
The nurse instructs a client prescribed immediate release lovastatin for treatment of hypercholesterolemia. The nurse knowns their teaching is successful if the client states:
Take this medication with food to help avoid upsetting stomach. Lovastatin with food as med absorption is reduced by 30% on an empty stomach. Adverse effects are related to GI upset and medication with food helps minimize these effects. Should also be on a low fat diet.
A client with acute gout has been taking daily ibuprofen as prescribed for four weeks. The pt tells the RN that a ringing sound has developed in the ears. What is the best interpretation by the nurse?
The client has signs of toxicity and should discontinue the med until the provider is contacted.
The RN provides care for a pt with central venous access device. The nurse flushes the catheter with 10 mL of saline and 10 units of heparin. Why the heparin?
To ensure the central venous catheter remains patent. Heparin is an anticoagulant. A low dose is used to keep IV patent.
The nurse IDs which medication is used for the treatment of Parkinson disease.
Trihexyphenidyl. Anticholinergic medication.
The RN teaches a pregnant pt about taking carbonyl iron. It is most important for the nurse to include which statement?
Your stool may turn black or dark green.
The nurse observes another RN administer a parenteral injection. Skin to one side, holds the skin, inserts the needle at a 90 degree, injects, withdrawl, and releases skin. What tech is being used to admin?
z-track injection
