Pharmacology Nursing

A nurse is preparing to administer iron dextran IV to a client. Which of the following actions should the nurse plan to take? A. Administer a small test dose before giving the full dose. B. Infuse the medication over 30 mins. C. Monitor the client closely for hypertension after the infusion. D. Administer cyanocobalamin as an antidote if iron dextran toxicity occurs.

A. Administer a small test dose before giving the full dose.

A nurse is caring for a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following findings should the nurse identify as an indication that the client requires intervention? A. Heart rate 106/min B. Dry skin C. Oral temp of 98.2 D. Lethargy

A. Heart rate 106/min

A nuse is caring for a client who received naloxone for a suspected opiod overdose. Which of the following findings should the nurse identify as an adverse effect of this medication? A. Report of pain. B. Respiratory rate 8/min C. Report of numbness D. Report of abd. cramping and diarrhea

A. Report of pain.

Adverse effects of _______ to treat depression include weight gain, sedation, and anticholinergic effects (dry mouth, blurred vision, urinary retention, and constipation).

Amitriptyline

_______ is an antiarrhythmic agent that is administered to accelerate the heart rate to treat sinus bradycardia and heart block.

Atropine

A nurse is caring for a client who has suspected adrenal insufficiency. Which of the following medications should the nurse anticipate the provider usuing to determine the presence of adrenal insufficiency? A. Prednisone B. Cosytropin C. Dexamethasone D. ketoconazole.

B. Cosytropin (It is injected to see if cortisol levels rise above 20 mcg/dL. if it causes it to rise then the patient doesnt have adrenal insufficiency)

A nurse is admitting a client who has atrial fibrillation with a heart rate of 155/min. The nurse should anticipate a prescription from the provider for which of the following medications? A. Atropine. B. Diltiazem C. Epinephrine D. Vasopressin

B. Diltiazem

A nurse is caring for a client who is receiving cefotetan 1 g via intermittent IV bolus every 12 hr to treat a postoperative infection. Which of the following manifestations should the nurse monitro for an adverse effect of this medication? A. Disorientation B. Epistaxis C. Constipation D. Jaundice

B. Epistaxis

A nurse is teaching a client who will be taking dexamethasone daily for pain due to spinal edema. The nurse should identify which of the following client statements as an indication that the teaching was effective? A. I should eat a snack at bedtime to avoid low blood glucose. B. I should stay away from people who are ill. C. I should increase my fluid to about 3 quarts per day. D. Ill call my provider if i am experiencing too much sedation.

B. I should stay away from people who are ill.

A nurse is teaching a client who has a new prescription for amitriptyline to treat depression. Which of the following client statements indicates an understanding of the teaching? A. I should take this medication when i experience active symptoms. B. I should take this medication before bedtime. C. This medication may cause excess salivation. D. I might experience weight loss while taking this medication.

B. I should take this medication before bedtime.

__________ ___________ that is given to a patient with peptic. ulcer diease that can assist by eliminating the bacteria Helicobacter pylori. (H. pylori).

Bismuth subsalicylate

What is the major thing the nurse needs to monitor before administering epoetin alfa to a client who has chronic kidney failure?

Blood pressure. Can cause hypertension.

______ is a glucocorticoid that works by supressing the immune system. Is used to treat crohns disease by preventing inflammation. Glucocorticoids inhibit the action of prostaglandins and leukotrienes.

Budesonide.

A nurse is teaching a client with a new diagnosis of peptic ulcer disease (PUD) who has a prescription for bismuth subsalicylate. The client asks the nurse, "How will this medication help my ulcer?" Which of the following statements should the nurse make? A. This medication will decrease prostanglandins. B. The amount of bicarbonate in your body will be increased. C. This medication can decrease the bacteria in the GI tract. D. This medication acts by increasing blood flow to the stomach.

C. This medication can decrease the bacteria in the GI tract.

A nurse is assessing a client who has heart failure and is receiving digoxin. Which of the following findings should indicate to the nurse the client is experiencing digoxin toxicity? A. Supression of dysrhythmias. B. Increased AV conduction. C. Visual disturbances. D. Weight gain.

C. Visual disturbances.

A nurse is providing teaching to a client who has TB and a prescription for isoniazid. Which of the following instructions should the nurse include? A. You'll need to take this medication for the rest of your life to prevent recurrence. B. Your provider will monitor your thyroid function while you are taking this medication. C. You should take this medication on an empty stomach. D. you should take this medication with an antacid.

C. You should take this medication on an empty stomach.

________ is an antibiotic that affects vitamin K levels, which can result in bleeding and epistaxis.

Cefotetan

A nurse is administering a medication parenterally to a client. Which of the following techniques should the nurse use to reduce fluctuations in plasma medication levels? A. Gradually increasing the dose with the dosing interval. B. Administer a single loading IM dose. C. Using a large fluid-volume IV dose. D. Administering a continuous infusion of the dose.

D. Administering a continuous infusion of the dose. (by administering a medication by continuous infusion, plasma levels stay nearly constant, thus reducing flunctuations in plasma levels.)

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 reaction? A. Hypotension B. Tinnitus C. Urinary retention D. Chest pressure

D. Chest pressure

________ is a glucocorticoid that decreases inflammation by affecting the clients immune system. As a result, the client is susceptible to infection and should avoid large crowds and people that are ill. It can also increase blood glucose levels.

Dexamethasone

Common manifestations of ______ ______ include nausea, vomiting, abdominal discomfort, fatigue, and visual disturbances.

Digoxin Toxicity

________ is an antiarrhythmic agent that reduces the ventricular rate in afib.

Diltiazem

______ is a medication that is used to reduce the plasma cholesterol by blocking the absorption of cholesterol in the intestinal tract. It is indicated for clients who have hyperlipedema. Adverse effects include: myopathy, hepatitis, pancreatitis, and therombocytopenia.

Ezetimibe

An allergy to _______ is a contraindication to receiving the varicella vaccine.

Gelatin

A serious adverse effect of ______ ______ is anaphylaxis caused by hypersensitivity to the medication. A small test dose should be administered over 5 minutes before giving the full dose. This med can cause hypotension. Should be given as IV infusion over 10 to 15 minutes. And the antidote is Deferoxamine.

Iron Dextran.

_______ to treat TB should be taken on an empty stomach, you need to monitor liver function due to it causing hepatotoxicity, and should not be taken with antacids.

Isoniazid

Side effects of ________ which is for the treatment of cluster headaches includes chest pressure, arm heaviness, transient hypertension, and alterations in vision.

Sumatriptan

_______ is a vasopressor agent that is administered to treat cardiac arrest and asystole.

Vasopressin