RN VATI Pharmacology 2019 - Answered with Rationales A nurse is teaching a newly licensed nurse about didanosine therapy. Which of the following client
... [Show More] conditions should the nurse identify as an indication for treatment with didanosine? O Tuberculosis O Human immunedeficiency virus O Bacterial meningitis O Syphilis Didanosine is a non-nucleoside reverse transcriptase inhibitor that treats human immunodeficiency virus (HIV) infection. It reduces HIV infection's cognitive manifestations by inhibiting DNA synthesis and viral replication; however, clients must take it simultaneously with other antiretroviral medications to reduce the risk for the development of resistance to this medication. A nurse is planning care for a client who has a prescription for acetazolamide. Which of the following findings should the nurse plan to monitor for as an adverse effect of this medication? O Bronchospasm O Constipation O Diplopia O Electrolyte imbalance A nurse is caring for a client who reports an increase in migraine headaches over the past 2 weeks and asks if sumatriptan might be helpful. Which of the following conditions from the client's medical history should the nurse recognize as a contraindication for this medication? O Gastrointestinal reflux O Angina pectoris O Routine acetylsalicylic acid use O Eczema A nurse is providing teaching to a client about the adverse effects of spironolactone. Which of the following adverse effects should the nurse include in the teaching? O Ocularerythema O Diarrhea O Muscle weakness O Feeling depressed
Muscle weakness is an indication of hyperkalemia, an adverse effect of potassium-sparing diuretics. The client should report any indications of hyperkalemia to the provider immediately because it can progress to life-threatening dysrhythmias and cardiac arrest. A nurse on a telemetry unit is caring for a client who has a new prescription for digoxin. The nurse should identify that which of the following cardiac rhythms is a contraindication for administration of the medication? O Atrial flutter O Second-degree heart block O Atrial fibrillation O Narrow QRS complexes A second-degree heart block results when there is a problem in the atrioventricular conduction system. Each atrial impulse takes progressively longer to go from the AV node to the ventricles until a QRS complex drops. Digoxin slows atrioventricular conduction and can cause progression to a complete heart block; therefore, the nurse should identify second-degree heart block as a contraindication for digoxin therapy. A nurse is providing teaching to a client who has a history of diabetes mellitus and a new prescription for hydrochlorothiazide to treat uncontrolled hypertension. Which of the following information should the nurse include in the teaching? O "Blood glucose monitoring is likely to be inaccurate while taking hydrochlorothiazide." Q "You might need to decrease your insulin dosage while taking hydrochlorothiazide." O "Hydrochlorothiazide therapy can elevate blood glucose levels in clients who have diabetes." O "Reducing sodium in your diet while taking hydrochlorothiazide will help control your blood glucose." Hydrochlorothiazide can cause hyperglycemia and other electrolyte imbalances. The nurse should remind the client of this adverse effect and instruct the client to report elevated glucose levels to the provider. A nurse is providing teaching to a client who has a new prescription for ciprofloxacin. Which of the following adverse effects should the nurse include in the teaching? O Constipation O Weight gain O Phototoxicity O Bradycardia Most fluoroquinolones cause phototoxicity. -The nurse should instruct the client to avoid direct sunlight and to wear sunglasses, sunscreen, and protective clothing. -The nurse should also inform the client that effects can occur even after applying sunscreen and from indirect light sources. The client should stop taking ciprofloxacin immediately if phototoxicity occurs. A nurse is caring for a client who is postoperative following orthopedic surgery and is receiving IV ketorolac. Which of the following findings should the nurse identify as the priority to report to the provider? O Dry mouth O Oliguria O Nausea O Altered taste -greatest risk of this drug is renal insufficiency or renal tox A nurse is reviewing the laboratory report for a client who has been taking sodium polystyrene sulfonate. Which of the following findings indicates a therapeutic response to the medication? O Magnesium 1.5 mEq/L O Calcium 9.2 mg/dL O Sodium 140 mEq/L O Potassium 4.8 mEq/L this medication is used to treat hyperkalemia A nurse is caring for a client who has a ventricular dysrhythmia and a new prescription for amiodarone. Which of the following interventions should the nurse include in the client's plan of care? O Schedule the client for a hearing screening twice per year. O Remind the client to report an increase in appetite. O Instruct the client to have liver enzyme testing periodically. O Monitor the client for the development of manic behavior. anti-arrhythmic A nurse accidently removes celecoxib from an automated medication dispensing system (AM DS) instead of citalopram and almost administers the wrong medication to a client. Which of the following actions should the nurse take? [Show Less]