unit 7 pharmacology
nurse educates client about using audit drops, 4 drops 4x a day in right ear for 10 days, which statement needs further edu
"I will place the bottle tip into the ear"
sure teaching client taking oral immunotherapy at home. what statement should nurse include
"lets discuss who can assist you with taking your medication"
nurse has to draw a BUN, Creatine, liver function test on client who will need estrogen replacement what is nurse best statement to client explaining the need to draw labs
"the lab test will identify you body's ability to filter and excrete medications"
doctor prescribed sipuleucel-T to client what statement does nurse include in teaching about medication
"this is intended to delay/destroy your cancer"
nurse gives veracella vaccine to female planning to start a family how long after the vaccinations should the nurse instruct client to wait on getting pregnant
12 weeks/ 3months
client ask nurse to explain how cancer cells grow what term is used to describe the process by which cancer cells develop their own blood vessels
Angiogenesis
female is receiving flocxymesterone for metastatic breast cancer is disturbed by physical changes in her body what nurse finding should cure expect
Deepening of the voice
nurse is giving albumin IV what reason is documented
Experienced hypovalemic shock due to shock
30yo pregnant woman prescribed oxytocin her history reveals she takes vasopressors what will nurse monitor for
Hypertension
oxytocin can be delivered by what route to a pregnant client in the third stage of labor
Intramuscular
client prescribed B12 following gastric bypass surgery nurse will prioritize what finding on the ongoing assessment
Pulmonary edema
nurse is giving aldesleukin doctor has ordered full vitals before, 20 min into infusion, and at completion. which best describes vital assessment
a change in BP may indicate capillary leak syndrome
child brought for MMR vaccine the nurse discovers child received anti-venom two days ago when should client return for vaccine
after 6-8 weeks
nurse preparing pharos for client which adverse reaction should nurse teach client to report
allergic reaction
nurse teaches client undergoing kidney transplant what statement will the nurse make regarding post procedure medications
anti rejection drugs are taken to prevent the body from rejecting the new kidney
client with delayed puberty is advise to undertake transdermal androgen therapy which instruction should nurse prioritize
apply immediately after removing the cover
nurse teaches client how to apply topical corticosteroid how does the client correctly apply it
apply sparingly
what is the difference between bacteriostatic and bactericidal
bacteriostatic slows and bactericidal kills bacteria
what organ is most effected by UTIs
bladder
nurse prepares gosereline to the client with prostate cancer which assessment find should nurse prioritize on the ongoing assessment
breast atrophy and sexual dysfunctions
client on drug therapy for cancer shows nurse raised red pustules that "itch terribly" what is appropriate nurse response
call the doctor to report the condition
client with anemia is taking iron supplements what info should nurse share in the teaching plan
color of stool will become darker
what is nurse recommendation to a client with constipations from taking iron supplements
consume a diet high in fiber
nurse uses clorohexadine for skin prep which finding on the ongoing assessment should the nurse prioritize
deafness
client taking basiliximab reports chills, body ache, and headache. what med does nurse anticipate giving
dephinhydromine
client with acute glycoma the nurse assess client for pain relief at which frequency
every 2 hours
client with chronic open angled glycoma is prescribed briminidine tartrate after giving what is monitored for adverse reactions
foreign body sensation
doctor has prescribed a check point inhibitor for a client with skin cancer nurse contacts doctor when discovering what medication in PT hx
glipizide
nurse teaching about preventative measures for UTIs nurse would prioritize which action as primary intervention for preventing UTIs
hand hygiene
nurse prepares to give iron nurse will obtain which info on pre administration assessment to calculate drug dose
hemoglobin level
nurse prepares presentation for women's group about oral birth control and the risk what condition would nurse include as having a high risk of developing when prescribed birth control
hepatic adenoma
nurse teaches about potassium replacement therapy that is continued at home what statement needs corrected
if I have trouble swallowing the pill I can crush it
nurse prepares teaching session to client taking antibacterial which instruction should nurse point out
increase fluid intake to at least 2000 ml a day
what additional warning or risk should a nurse include in a teaching plan of a client on estrogen
increase risk of endometrial cancer
client receives belatacept for a liver transplant nurse should inform client for increased risk of what
infection
client Is beginning terazosine therapy based on the action of the drug which nursing diagnosis should be priority
injury risk
nurse caring for cancer PT, client ask nurse to explain passive immunity what is it
involves administration of antibodies from another person or animal
client on melphalan for ovarian tumor wants to know how the drug acts. what is the nurse response
it changes to a more alkaline cell environment
client is taking birth control, reports occasional abdominal bloating which instruction should the nurse point out that may help alleviate the condition
limit fluid intake with meals
prepping to administer etoposide which assessment finding that could influence dosing should nurse prioritize in pre admission assessment
look at CBC
nurse prepares to gibe tpn to client with carcinoma what is nursing diagnosis
malnutrition risk
older adult client who is hospitalized gets uti and is prescribed antiefective what is priority in ongoing assessment
monitor vitals very 4 hrs
which topical drug is used to prevent institutional outbreaks of MRSA
mupriocin
client has spring time conjunctivitis nurse predicts which solution
nedocromil
nurse cares for client with hypertension and anemia what action would nurse include in care plan when giving epoetin alfa
note hematocrit level before each dose during therapy
client asked nurse about us of cranberry juice to treat UTI what should nurse say
nurse says its safe suggesting intake of 4-8oz of juice or 9-15 capsules a day
pregnant women at 40 weeks has been prescribed oxytocin iV what intervention would nurse prioritize before administering
obtain OB and general health history
nurse caring for client receiving meds every 6 months for MS what med does the nurse anticipate administering
ocrelizumab
nurse determines a diagnosis of imbalanced Nutrition less than body requirements for a client on chemo, what is least appropriate for nurse care plan
offer fatty foods to stimulate taste buds
nurse prepares to start iv after selecting the site what is the next step
place turnecet above selected site
client prescribed vinblastine also takes warfarin, nurse will monitor for what reaction
prolonged bleeding
nurse prepared to give IV fat immolations, cautions is exorcised to to hx of what disorder
pulmonary disorder
forrest ranger arrives at community clinic for prophylactic vaccine nurse predicts doctor will prescribe which vaccine
rabies vaccine
child recovering from chicken pox tells the nurse the child was given aspirin what is the adverse reaction
reyes syndrome
client reports blurred vision and states I almost fell yesterday what is the primary nursing diagnosis
risk for injury
nurse prepares potassium for client what reaction will monitor is client uses salt substitute
severe hyperkalemia
nurse teaching about immunosuppressive meds that work by preventing cell cycle completion of lymphocyte cells what med does the nurse expect to discuss
sirolimus
client with metastatic melanoma will receive genetically modified virus for treatment what drug does nurse anticipate will be given
talimogene laherparepvec
basiliximab teaching includes what
targets antigens on the surface of cells
nurse prepares methenamine to a client w uti nurse questions order if client has allergy to what
tartrazine
which statement about immunosuppressive medication is correct
they decrease the strength of the body's immune response
reviewing discharge instructions for tacrolimus and prednisone related to recent kidney transplant which discharge instruction is expected
to report headache, chills, fever immediately
client taking chemo is diagnosed with altered tissue integrity what is appropriate for nurse to suggest during teach
wear lose protective clothing
nurse monitors client receiving dextran IV which finding will nurse prioritize
wheezing
nurse gives nitrofurantoin to client now reporting dyspnea, chest pain, and coughing what is nursing priority
withhold next dose and contact PCP