Questions
A client with an exacerbation of chronic obstructive pulmonary disease (COPD) has been on oral glucocorticoids and is currently being weaned to triamcinolone by inhalation. The nurse determines that the client understands the potential adverse effects to watch for during this medication change when the client states the need to report which signs and symptoms?
1.Chills, fever, and generalized rash 2.Vomiting, diarrhea, and increased thirst 3.Blurred vision, headache, and insomnia 4.Anorexia, nausea, weakness, and fatigue Answer: 4✓ Rationale:The client being changed from oral to inhalation glucocorticoids could experience signs of adrenal insufficiency. The nurse teaches the client to report anorexia, nausea, weakness, and fatigue. Other signs that can be detected and are objective include hypotension and hypoglycemia.
The home care nurse visits a client with a diagnosis of unstable angina. The client is taking acetylsalicylic acid (aspirin) on a daily basis to reduce the risk of myocardial infarction (MI). Which medication dose would the nurse expect the client to be taking? Rationale:Acetylsalicylic acid (aspirin) may be used to reduce the risk of recurrent transient ischemic attacks (TIAs) or stroke or reduce the risk of MI in clients with unstable angina or a history of previous MI. The normal dose for clients being treated with acetylsalicylic acid to decrease thrombosis and MI is 300 to 325 mg daily, and some primary health care providers may prescribe an even lower dose. Clients taking aspirin to prevent TIAs usually are prescribed 1.3 g daily in 2 to 4 divided doses. Clients with rheumatoid arthritis may be treated with 3.2 to 6 g daily in divided doses.Client Needs: Physiological IntegrityCognitive Ability: ApplyingContent Area: Pharmacology: Pain Medications: Nonopioid AnalgesicsHealth Problem: Adult Health: Cardiovascular: Coronary Artery DiseaseIntegrated Process: Nursing Process/ImplementationPriority Concepts: Perfusion, SafetyStrategy(ies): Subject 1.3 g daily 2.1.3 g daily 3.650 to 700 mg daily 4.300 to 325 mg daily
300-325
HomeHelpCalculatorStudy ModeQuestion 41 of 46ID: 5863 | Pharmacology_Pain Medications_final.htm #2519PreviousGoNextStopBookmarkRationale Strategy Reference LabsSubmitThe nurse is caring for a client receiving morphine sulfate for pain. Because this medication has been prescribed for this client, which nursing action should be included in the plan of care?Rationale:Morphine sulfate suppresses the cough reflex. Clients need to be encouraged to cough and deep breathe to prevent pneumonia. The remaining options are not associated specifically with the use of this medication.Client Needs: Physiological IntegrityCognitive Ability: ApplyingContent Area: Pharmacology: Pain Medications: Opioid AnalgesicsHealth Problem: Adult Health: Neurological: PainIntegrated Process: Nursing Process/PlanningPriority Concepts: Pain, SafetyStrategy(ies): ABCs-Airway, Breathing, Circulation 1.Encourage fluids. 2.Monitor the client's temperature. 3.Maintain the client in a supine position. 4.Encourage the client to cough and deep breathe.CorrectCorrect Answer: 4✓ Terms and Conditions | Privacy Policy | Contact Us | Copyright © 2020 Elsevier Inc. All rights reserved.Evolve® is a registered trademark of Elsevier Inc. in the United States and other jurisdictions.For problems or suggestions regarding this service, submit a ticket at http://evolvesupport.elsevier.com/.
4
HomeHelpCalculatorStudy ModeQuestion 17 of 75ID: 5858 | Pharmacology_Pain Medications_final.htm #2450PreviousGoNextStopBookmarkRationale Strategy Reference LabsSubmitA client with suspected opioid overdose has received a dose of naloxone hydrochloride. The client subsequently becomes restless, starts to vomit, and complains of abdominal cramping. The blood pressure increases from 110/72 mm Hg to 160/86 mm Hg. The nurse provides emotional support and reassurance while administering care to the client, knowing which piece of information?Rationale:Signs of opioid withdrawal include increased temperature and blood pressure, abdominal cramping, vomiting, and restlessness. Time of onset may be anywhere from a few minutes to a few hours after administration of naloxone hydrochloride, depending on the opioid involved, the degree of dependence, and the dose of naloxone. The remaining options are incorrect interpretations.Client Needs: Psychosocial IntegrityCognitive Ability: SynthesizingContent Area: Pharmacology: Respiratory: Opioid AntagonistsHealth Problem: Mental Health: AddictionsIntegrated Process: Nursing Process/AssessmentPriority Concepts: Addiction, Clinical JudgmentStrategy(ies): Data in the Question 1.The client may next become suicidal. 2.These are signs of opioid withdrawal. 3.These effects will last only a few moments. 4.The client may otherwise sign out against medical advice.CorrectCorrect Answer: 2✓ Terms and Conditions | Privacy Policy | Contact Us | Copyright © 2020 Elsevier Inc. All rights reserved.Evolve® is a registered trademark of Elsevier Inc. in the United States and other jurisdictions.For problems or suggestions regarding this service, submit a ticket at http://evolvesupport.elsevier.com/.
Abstinence syndrome: nausea, cramping, alnagesic reverisal, hypetension
HomeHelpCalculatorStudy ModeQuestion 50 of 75ID: 6043 | Pharmacology_Respiratory Medications_final.htm #2985PreviousGoNextStopBookmarkRationale Strategy Reference LabsSubmitA client with a prescription to take theophylline daily has been given medication instructions by the nurse. What statement by the client indicates the need for further education regarding the prescription?Rationale:The client taking a single daily dose of theophylline, a xanthine bronchodilator, should take the medication early in the morning. This enables the client to have maximal benefit from the medication during daytime activities. In addition, this medication causes insomnia. The client should take in at least 2 L of fluid per day to decrease viscosity of secretions. The client should check with the primary health care provider (PHCP) before changing brands of the medication because levels of bioavailability may vary for different preparations. The client also should check with the PHCP before taking over-the-counter cough, cold, or other respiratory preparations because they could have interactive effects, increasing the side and adverse effects of theophylline and causing dysrhythmias.Client Needs: Physiological IntegrityCognitive Ability: EvaluatingContent Area: Pharmacology: Respiratory: Restrictive Airway Disease AgentsIntegrated Process: Teaching and LearningPriority Concepts: Client Education, SafetyStrategy(ies): Negative Event Query, Strategic Words 1."I will take the daily dose at bedtime." 2."I need to drink at least 2 liters of fluid per day." 3."I know to avoid changing brands of the medication without my primary health care provider's approval." 4."I'll avoid over-the-counter cough and cold medications unless approved by my health care provider."IncorrectCorrect Answer: 1✓ Terms and Conditions | Privacy Policy | Contact Us | Copyright © 2020 Elsevier Inc. All rights reserved.Evolve® is a registered trademark of Elsevier Inc. in the United States and other jurisdictions.For problems or suggestions regarding this service, submit a ticket at http://evolvesupport.elsevier.com/.
CNS effect: insomia and restlessness
HomeHelpCalculatorStudy ModeQuestion 18 of 75ID: 5932 | Pharmacology_Renal and Urinary Medications_final.htm #726PreviousGoNextStopBookmarkRationale Strategy Reference LabsSubmitA client who has a cold is seen in the emergency department with an inability to void. Because the client has a history of benign prostatic hyperplasia, the nurse determines that the client should be questioned about the use of which medication?Rationale:In the client with benign prostatic hyperplasia, episodes of urinary retention can be triggered by certain medications, such as decongestants, anticholinergics, and antidepressants. These medications lessen the voluntary ability to contract the bladder. The client should be questioned about the use of these medications if he has urinary retention. Diuretics increase urine output. Antibiotics and antilipemics do not affect ability to urinate.Client Needs: Physiological IntegrityCognitive Ability: AnalyzingContent Area: Pharmacology: Respiratory: Nasal DecongestantsHealth Problem: Adult Health: Renal and Urinary: Obstructive ProblemsIntegrated Process: Nursing Process/AssessmentPriority Concepts: Elimination, SafetyStrategy(ies): Subject 1.Diuretics 2.Antibiotics 3.Antilipemics 4.DecongestantsIncorrectCorrect Answer: 4✓ Terms and Conditions | Privacy Policy | Contact Us | Copyright © 2020 Elsevier Inc. All rights reserved.Evolve® is a registered trademark of Elsevier Inc. in the United States and other jurisdictions.For problems or suggestions regarding this service, submit a ticket at http://evolvesupport.elsevier.com/.
Decongestant is your sympathominetic drug ( we dont study any drug for this one)
HomeHelpCalculatorStudy ModeQuestion 56 of 75ID: 6049 | Pharmacology_Respiratory Medications_final.htm #2991PreviousGoNextStopBookmarkRationale Strategy Reference LabsSubmitA home care nurse has observed a client self-administer a dose of an adrenergic bronchodilator via metered-dose inhaler. Within a short time, the client begins to wheeze loudly. The nurse understands that this is the result of which occurrence?Rationale:The client taking adrenergic bronchodilators may experience paradoxical bronchospasm, which is evidenced by the client's wheezing. This can occur with excessive use of inhalers. Further medication should be withheld, and the PHCP should be notified. The remaining options are incorrect interpretations.Client Needs: Physiological IntegrityCognitive Ability: AnalyzingContent Area: Pharmacology: Respiratory: Restrictive Airway Disease AgentsIntegrated Process: Nursing Process/AnalysisPriority Concepts: Clinical Judgment, Gas ExchangeStrategy(ies): Data in the Question 1.Insufficient dosage of the medication, which needs to be increased 2.Probable interaction of this medication with an over-the-counter cold remedy 3.Tolerance to the medication, indicating a need for a stronger type of bronchodilator 4.Paradoxical bronchospasm, which must be reported to the primary health care provider (PHCP)IncorrectCorrect Answer: 4✓ Terms and Conditions | Privacy Policy | Contact Us | Copyright © 2020 Elsevier Inc. All rights reserved.Evolve® is a registered trademark of Elsevier Inc. in the United States and other jurisdictions.For problems or suggestions regarding this service, submit a ticket at http://evolvesupport.elsevier.com/.
Excessive wheezing is basically having excessive dose of inhaler
HomeHelpCalculatorStudy ModeQuestion 52 of 75ID: 6045 | Pharmacology_Respiratory Medications_final.htm #2987PreviousGoNextStopBookmarkRationale Strategy Reference LabsSubmitCromolyn sodium is prescribed for the client with allergic asthma. What goal does the nurse expect to achieve by administration of this medication?Rationale:Cromolyn sodium is an antiasthmatic, antiallergic, and mast cell stabilizer that inhibits the release of mediators from mast cells after exposure to an antigen. It can also interrupt the migration of eosinophils into the inflammatory site and decrease the number of eosinophils. These actions decrease airway hyperresponsiveness in some clients with asthma. It has no bronchodilating action.Client Needs: Physiological IntegrityCognitive Ability: ApplyingContent Area: Pharmacology: Respiratory: Restrictive Airway Disease AgentsHealth Problem: Adult Health: Respiratory: AsthmaIntegrated Process: Nursing Process/PlanningPriority Concepts: Clinical Judgment, Gas ExchangeStrategy(ies): Comparable or Alike Options 1.Dilation of the bronchi 2.Increase in the number of eosinophils 3.Promotion of the migration of eosinophils into the inflammatory site 4.Inhibition of the release of mediators from mast cells after exposure to an antigenCorrectCorrect Answer: 4✓ Terms and Conditions | Privacy Policy | Contact Us | Copyright © 2020 Elsevier Inc. All rights reserved.Evolve® is a registered trademark of Elsevier Inc. in the United States and other jurisdictions.For problems or suggestions regarding this service, submit a ticket at http://evolvesupport.elsevier.com/.
NO BRONCHODIALTION effect
A client with pulmonary edema has a prescription to receive morphine sulfate intravenously. The nurse should determine that the client is experiencing an intended effect of the medication as indicated by which assessment finding? Rationale:Morphine sulfate reduces anxiety and dyspnea in the client with pulmonary edema. It also promotes peripheral vasodilation and causes blood to pool in the periphery. It decreases pulmonary capillary pressure, which reduces fluid migration into the alveoli. The client receiving morphine sulfate is monitored for signs and symptoms of respiratory depression and extreme drops in blood pressure, especially when it is administered intravenously. The findings in the remaining options are unrelated to the action of morphine sulfate.Client Needs: Physiological IntegrityCognitive Ability: EvaluatingContent Area: Pharmacology: Pain Medications: Opioid AnalgesicsHealth Problem: Adult Health: Cardiovascular: Pulmonary EdemaIntegrated Process: Nursing Process/EvaluationPriority Concepts: Anxiety, Clinical JudgmentStrategy(ies): Subject 1.Increased pulse rate 2.Relief of apprehension 3.Decreased urine output 4.Increased blood pressure
Relief of apprehension
HomeHelpCalculatorStudy ModeQuestion 72 of 75ID: 6065 | Pharmacology_Respiratory Medications_final.htm #3009PreviousGoNextStopBookmarkRationale Strategy Reference LabsSubmitThe primary health care provider prescribes cromolyn for the client with asthma. The nurse identifies that the client correctly understands the purpose of this medication when the client states that the medication will produce which effect?Rationale:Cromolyn is a first-line therapy for prophylactic treatment of asthma; it is a mast cell stabilizer, antiasthmatic, and antiallergic. The medication acts in part by stabilizing the cytoplasmic membrane of mast cells, thereby preventing release of histamine and other mediators. It is not a bronchodilator. It does not decrease the risk of infection. It does not eliminate the need for the rescue inhaler.Client Needs: Physiological IntegrityCognitive Ability: EvaluatingContent Area: Pharmacology: Respiratory: Restrictive Airway Disease AgentsHealth Problem: Adult Health: Respiratory: AsthmaIntegrated Process: Nursing Process/EvaluationPriority Concepts: Client Education, Gas ExchangeStrategy(ies): Subject 1.Promote bronchodilation 2.Decrease the risk of infection 3.Suppress an allergic response 4.Eliminate the need for a rescue inhalerCorrectCorrect Answer: 3✓ Terms and Conditions | Privacy Policy | Contact Us | Copyright © 2020 Elsevier Inc. All rights reserved.Evolve® is a registered trademark of Elsevier Inc. in the United States and other jurisdictions.For problems or suggestions regarding this service, submit a ticket at http://evolvesupport.elsevier.com/.
anything inflammatory would concern your allergic response
HomeHelpCalculatorStudy ModeQuestion 17 of 87ID: 5365 | Pharmacology_Gastrointestinal Medications_final.htm #619PreviousGoNextStopBookmarkRationale Strategy Reference LabsSubmitA client who uses nonsteroidal anti-inflammatory drugs (NSAIDs) has been taking misoprostol. The nurse determines that the misoprostol is having the intended therapeutic effect if which finding is noted? 1.Resolved diarrhea 2.Relief of epigastric pain 3.Decreased platelet count 4.Decreased white blood cell count Terms and Conditions | Privacy Policy | Contact Us | Copyright © 2020 Elsevier Inc. All rights reserved.Evolve® is a registered trademark of Elsevier Inc. in the United States and other jurisdictions.For problems or suggestions regarding this service, submit a ticket at http://evolvesupport.elsevier.com/.
epigastric pain