Pharmacology → PRIORITY ONE
A nurse is caring for a client who is taking phenytoin. For
which of the following adverse effects should the
... [Show More] nurse
monitorand report to the provider?
Tachycardia +.
c. Elevated blood pressure
d. Tinnitus
Rationale: phenytoin (Dilantin, Phenytek) : Classification: antiarrhythmics,
anticonvulsants. Pharmacologic: Hydantoins. Pregnancy category: D.
Indications: treatment/prevention of tonic-clonic (grand mal) seizures and
complex partial seizures via enhancing inhibitory effects of GABAand decreases
neuron firing. Also used as an antiarrhythmic, particularly for ventricular
arrhythmias associated with digoxin toxicity& prolonged QT interval. Adverse
effects: CNS effects (nystagmus, sedation, ataxia, double vision, cognitive
impairment) notify providersif these occur, Gingival hyperplasia (softening and
overgrowth of gumtissue, tenderness, and bleeding gums; maintain good oral
hygiene), Skin rash (stop med if this occurs), Cardiovascular effects
(dysrhythmias, hypotension), Endocrine and other effects (coarsening of focal
features, hirsutism, and interference with vitamin D metabolism), and
Interfering with vitamin K-dependent clotting factorscausing bleeding in
a.Cognitive impairment
b.
A+
NURSING 201PHARMESAN 3V EXAM REVIEW FOR NCLEX
Q& As BEST EXAM SOLUTION GUARANTEED SUCCESS 100%
VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+
SCORE
NURSING 201PHARMESAN 3V EXAM REVIEW FOR NCLEX
Q& As BEST EXAM SOLUTION GUARANTEED SUCCESS 100%
VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+
SCORE
newborns.
. A nurse is assessing a client who is receiving via continuous
IV infusion for labor augmentation. The nurse notes six
contractions ina 10-minute period with a nonreassuring FHR.
Which of the following actions should the nurse take first?
a. Administer Terbutaline 0.25 mg subcutaneously
b. Discontinue the oxytocin IV infusion
c. Turn the client on the left side
d. Apply oxygen at 10 L / min via face mask
Rationale:Pharmacology 7.0 Chapter 32 page 253:
Oxytocin (Pitocin): hormone, oxytocics, pregnancy category X.
Uterine stimulants increase the strength, frequency, and length of
uterine contractions. (contractions lasting longer than 60 secs, and
occurring more frequently than every 2 to 3 min, stop the infusion,
andnotify the provider.
Practice question from RN Pharmacology Practice Questions A:
the priority question is for the nurse to place the client in lateral
position.
. A nurse is administering Lactated Ringer solution at 100ml/hr.
Thedrop factor of the manual IV tubing is 15 gtt/ml. The nurse
shouldset the manual IV infusion to deliver how many drops per
A+
NURSING 201PHARMESAN 3V EXAM REVIEW FOR NCLEX
Q& As BEST EXAM SOLUTION GUARANTEED SUCCESS 100%
VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+
SCORE
NURSING 201PHARMESAN 3V EXAM REVIEW FOR NCLEX
Q& As BEST EXAM SOLUTION GUARANTEED SUCCESS 100%
VERIFIED ANSWERS LATEST UPDATE 2022/2023 RATED A+
SCORE
minute?Round the answer to the nearest whole number? mL/
min x drop factor (gtt/min)
1 hr. = 60 min
100 mL/60 min x 15 gtt/mL = 25 gtt/min
. A client who has active tuberculosis and is taking rifampin
reports that this urine and sweat have developed a red orange
tinge. Whichof the following actions should the nurse take?
page 376
Adverse effects: Hepatotoxic sxs (jaundice,
anorexia, fatigue, nausea vomiting, Metabolizes,
warfarin, HIV drugs. and PO contraceptives NI:
give it 1 or 2 hoursbefore or after meals.
a. Prepare the client for dialysis - no need to, orange pee
isexpected
b. Instruct the cli [Show Less]