Nurse Providing Care To Client W/ Staphylococcus Epidermis, Who's Prescribed Vancomycin. Identify Adverse Effect AssociateD W/ This Antibiotic Therapy? -
... [Show More] CORRECT ANSWER Vancomycin = Red Man Syndrome.
Red Man Syndrome: Infusion Reaction Resulting W. Rashes, Flushing, Tachycardia, And Hypotension Occurring As Adverse Reaction. For That Reason, Infused Vancomycin Over 60-Minute Period.
Nurse Offering Care For Client Prescribed Ferrous Sulfate For Treatment of Anemia. Which Instructions Should Nurse Include In Client Teaching About This Medication?
Ferrous Sulfate - CORRECT ANSWER Take Iron On Empty Stomach. Ex., Such As 1 Hour Before Meals To Maximize Absorption. Stomach Acid Increased Absorption.
Ferrous Sulfate:
1. Take On Empty Stomach
2. Expect Harmless, Dark Green Or Black Stool
3. Increased Fiber, Water: Counter Constipation Effects of Iron Therapy
4. Antacids Or Tetracyclines Reduces Absorption of Iron. Client Should Separate Use By At Least 2 Hrs.
Client Prescribed Vasopressin For Treatment of Diabetes Insipidus. What's An Expected Pharmacological Action of Vasopressin? - CORRECT ANSWER Vasopressin: Increases Reabsorption of Water In Renal Tubules of Kidneys.
Client Newly Prescribed Doxazosin Mesylate. Which Of Following Instructions Should Nurse Include In Client Education Regarding Taking First Dose of Dozazosin Mesylate (Cardura)? - CORRECT ANSWER Doxazosin Mesylate (Cardura): Change Positions Slowly, Lie Down If Dizziness Occurs.
Doxazosin Mesylate:
1. First Dose Orthostatic Hypotension Occurs W. Cardura.
2. Avoid Activities Requiring Mental Alertness For First 12-24 Hours.
3. No Need To Avoid Dairy Products Or Green Leafy Vegetables.
Client Prescribed Montelukast. Which Following Should Nurse Include In Teaching Related To This Medication? - CORRECT ANSWER Montelukast: Take Medication Once Daily At Bedtime.
Montelukast:
1. Leukotriene Modifiers: Long Term Therapy of Asthma In Adults And Children; Prevent Exercise Induced Bronchospasm.
2. Do Not Double Dose To Make Up For Missed Dose.
3. Do Not Take More Than One Dose Within 24 Hour Period.
45-Year Old Client Taking Methylprednisolone. What Pharmacological Action Should Nurse Expect? - CORRECT ANSWER Methylprednisolone: Corticosteroids: Suppress Airway Mucus Production.
1. Adverse Effect of Corticosteroids: Bone Loss.
2. Adverse Effect: Lead To Formation of Candidiasis.
3. Promote Responsiveness of Beta2 Receptors.
Contradictions of Salicylate Acid (Aspirin) Therapy - CORRECT ANSWER Salicylate Acid (Aspirin) Therapy:
1. Third Trimester Pregnancy
2. Thrombocytopenia
3. Adolescents W. Chicken Pox
4. Bleeding Disorders
5. Children, Adolescents W. Fever
Client Prescribed Propranolol. Which Client History Findings Would Require Nurse To Clarify Medication Prescription? - CORRECT ANSWER 1. Asthma: Avoid Beta2 Blockage: Bronchoconstriction Can Occur. Clients W. Asthma Need Beta1 Selective Agent.
Adverse Effects of Nitroglycerin Therapy - CORRECT ANSWER 1. Headache
2. Orthostatic Hypotension
3. Reflex Tachycardia
4. Tolerance of Medication
Contradictions of Levothyroxine - CORRECT ANSWER 1. Osteoporosis: Increased Risk of Fractures, Esp., W. Older Adults
Before Administering Blood Products: Which Action? - CORRECT ANSWER Before Administering Blood Products: Assess Client's Temperature.
1. Assess Vital Signs.
2. Obtain Consent.
3. Ensure Compatibility.
4. Prime Tubing W. 0.9% Sodium Chloride.
Infiltrated IV Site W. Dopamine Infusion - CORRECT ANSWER Action: Stop Infusion.
Reason: Necrosis Can Occur From Extravasation of High Doses of Dopamine. Treat Extravasation W. Local Injection of Alpha-Adrenergic Blocking Agent, Such As Phentolamine.
Contradictions of MMR Vaccine - CORRECT ANSWER 1. Possibility of Pregnancy Within 4 Weeks
Caution of Benzodiazepine Administration - CORRECT ANSWER 1. Clients W. Glaucoma. Rational: Benzodiazepine Increases Intraocular Pressure Due To Pupil Dilating Effects of Medication.
Signs of Possible Digitalis Toxicity - CORRECT ANSWER GI Effects of Digitalis Toxicity:
1. Anorexia
2. Nausea
3. Vomiting
4. Abdominal Pain
CNS Effects of Digitalis Toxicity:
1. Fatigue
2. Weakness
3. Vision Changes
4. Diplopia
5. Blurred Vision
6. Yellow, Green, White Halos Around Objects
7. Bradycardia
Levothyroxine Sodium - CORRECT ANSWER Taken Once During Morning To Prevent Insomnia.
Isosorbide Mononitrate - CORRECT ANSWER Isosorbide Mononitrate Use: Long Term Prophylaxis Against Anginal Attacks. Sustained Release Tablet; Not For Acute Chest Pain.
Education:
1. Swallowed Whole; No Crushing or Chewing.
2. Taken On Empty Stomach; W. 8 Oz Water.
Disulfiram - CORRECT ANSWER Disulfiram Uses: Abstinence Maintenance.
Adverse Effects of Disulfiram: Hepatotoxicity [Show Less]