Test B- Pharmacology
A nurse is reinforcing teaching about lithium. Which of the following instructions should the nurse include in the teaching?
maintain a consistent sodium intake because a decrease in sodium will lead to increase in lithium toxicity. This is due to the lithium excretion to decline.
Nurse is caring for a client who is prescribed disulfiram and consumed alcohol 12 hours ago. Which of the following adverse reactions is the priority to tell provider?
Any respiratory depression.
Is regular insulin clear or cloudy>
Clear
A nurse is collecting data from a client who has been taking levodopa/carbidopa. which of the following findings should indicate to the nurse that the medications was effective?
Client will be able to wash their face because levodopa activates dopamine receptors and restores nerve transmission in clients with parkinson's disease.
A nurse is reinforcing teaching with a client who has a new prescription for theophylline. The nurse should instruct the client that which of the following is an expected outcome of this medication?
Dilates bronchioles. It is a bronchodilator and loosens up smooth muscles in the airways.
What allergy would you need to nix the varicella vaccine? Eggs, latex, gelatin or yeast.
Gelatin.
Which of the following actions should the nurse take to counteract the adverse effects of chlorpromazine.
Help the client apply sunblock before going outside. This is because the meds increase sun sensitivity.
Chronic renal failure with new medication of epoetin alfa and has been taking for 2 weeks. What is the therapeutic effect
Hemoglobin rises 0.5 G/Dl. This means the hemoglobin levels with reach target levels in 2-3 months.
A nurse is collecting data from a client who is asking about taking celecoxib for treatment of joint pain. The nurse should recognize which of the following is a contraindication of receiving celecoxib?
History of myocardial infarction because it increases the risk of heart attack secondary to vasoconstriction and normal platelet aggregation. (also Heart disease)
What statement would you need to nix out the use of ipratropium.
I am allergic to peanuts or soybeans
phenylephrine can cause what symptom
Increased heart rate
A nurse is reinforcing teaching to a client that has NPH and Regular insulin. What instructions would you give a homie
Keep the open vial of insulin a room temperature (R). This will minimize tissue injury and minimize the development of lipodystrophies. These together are compatible to mix.
A nurse is collecting data from a client who has been taking ibuprofen. After discussing medications, which med would the nurse need to discuss with the provider
Lisinopril because it decreases the hypertension medications effectiveness.
A nurse is reinforcing teaching with a client who is to start therapy with nitroglycerin transdermal patch. Which of the following statements by the client indicates an understanding of the teaching?
Making sure to rise slowly form chairs and beds due to side effects of hypotension (causes dizziness)
A client who is pregnant is safe to have what vaccines
Tetanus and Diphtheria
A nurse is reinforcing teaching about metronidazole. Which should the nurse include in teaching
The urine may turn a reddish brown due to the medication.
Client is taking sumatriptan and has a prescription for fluoxetine. Why would you question these meds together?
These together overestimate serotonin receptors and may may the client has tremors, confusion and hallucinate
nurse is caring for a client who is receiving methylprednisolone sodium succinate. Which of the following laboratory values should the nurse monitor for?
White blood cells because medications can increase infection risk, Sodium potassium because it can cause hypokalemia along with retention of sodium and fluid and blood glucose is correct because it can cause an increase in blood sugars.