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1 puff MDI, 2 puff albuterol, what is the correct order - anshave pt take one puff of albuterol pt rests for one min take 2nd puff of albuterol have pt rest for 5 min have pt take one puff of fluticasone a charge nurse is orienting a newly licensed nurse to the unit-dose med system, what info should the nurse include? - ansthe pharmacist restocks the med drawer every day a nurse in ICU is monitoring a pt who has cardiogenic shock and is receiving a continuous IV infusion of dopamine. what requires an immediate intervention by the nurse? - ansinfiltration of the peripheral IV a nurse in the PACU is caring for a client who has received GA and has a manifestations of malignant hyperthermia, the nurse should expect to administer which of the following meds? - ansdantrolene a nurse in the PACU is caring for a pt who has received GA and has a manifestation of malignant hyperthermia, the nurse should expect to administer what med? - ansdantrolene a nurse is administering bumetanide to a pt who has ascites, the nurse should monitor for what as an expected therapeutic effect of this med - ansincreased urinary output (loop diuretic) a nurse is administering timolol to a pt being treated for open-angle glaucoma, after administration the nurse should monitor what AE - ansblurred vision, bradycardia, conjuntivitis a nurse is assessing a client after administering paclitaxel for the tx of ovarian cancer, the nurse should identify what findings as a priority - ansbradycardia (r/f 3rd deg HB, and MI) a nurse is assessing a client who has been using beclomethasone for 2 weeks to manage her asthma, what is the priority to report to the provider - ansbronchospasms a nurse is assessing a client who has HF is taking digoxin. the nurse should monitor the client for which of the following manifestations as an indication of digoxin toxicity to report to the provider? - ansvomiting (n/v, anorexia, blurred vision)
a nurse is assessing a client who is receiving gemfibrozil, the nurse should identify what finding as an AE of this med? - ansmuscle tenderness (--> myopathy, rhabdomyolysis) a nurse is assessing a pt who has DI and is starting intranasal desmopressin, what can indicate to the nurse that the med is effective? - ansthe client's urine output is 1.256ml/24 hours a nurse is assessing a pt who has open angle glaucoma and a new prescription for timolol, the nurse should monitor for what AE - anshypoglycemia a nurse is assessing a pt who is in preterm labor and is receiving mg sulfate via continuous IV infusion, what findings should the nurse identify as the priority - ansdeep tendon reflexes 1+ (indicates depressed CNS and possible mg sulf toxicity) a nurse is assessing a pt who is taking ondansetron, what is a therapeutic effect? - anssuppressed emesis a nurse is caring for 4 clients who have peptic ulcer disease, the nurse should recognize that misoprostol is contraindicated for which of the following clients? - ansa client who might be pregnant (category X, can cause spontaneous abortion) a nurse is caring for a client who has a prescription for metoclopramide, what outcomes should the nurse use to evaluate the effectiveness of this med? - ansreduced nausea a nurse is caring for a client who has a prescription for vancomycin 1g IV intermittent infusion over 30min every 12 hours, what should the nurse take? - anscontact the provider for prescription clarification (administer over 60min or more to reduce risk of infusion reaction--hypotension, flushing) a nurse is caring for a client who has a systemic fugal infection and is receiving IV amphotericin B deoxycholate, during previous infusions the pt developed a fever and chills, what should the nurse take - ansadminister diphenhydramine prior to administration (admin an antipyretic, corticosteroid, antihistamine, or antiemetic prior to to minimize the effects)
a nurse is caring for a pt who has a prescription for HCTZ for the initial tx of hypertension, what should the nurse recognize as the action of this med? - ansHCTZ decreases the reabsorption of sodium and water in the distal renal tubule a nurse is caring for a pt who has a prescription for ipratropium inhaler to control COPD bronchospasm, the nurse should monitor the client for which of the following manifestations as an AE of the med - ansxerostoma (anticholinergic) a nurse is caring for a pt who has chemo induced anemia, the nurse should expect to administer which of the following meds to treat the anemia - ansepoetin alfa a nurse is caring for a pt who has HIV and a prescription for delavirdine, the nurse should monitor the pt for what manifestations as an AE of the med - ansrash (steven-Johnson sndrome) a nurse is caring for a pt who has hypertension and nephropathy due to T2D, the nurse should expect to administer what med to slow the progression of nephropathy? - anslosartan (angiotensin II receptor blocker) a nurse is caring for a pt who is receiving a continuous IV of heparin, the nurse should expect to administer which of the following meds if the client experiences a heparin overdose? - ansprotamine sulfate a nurse is caring for a pt who reports using the herbal med garlic along with his prescribed warfarin, the nurse should identify what is a potential AE of taking both of these products concurrently? - ansincreased ecchymosis (antiplatelet effects can increase bleeding) a nurse is caring for a pt with hyperlipidemia, a new prescription for colesevelam, the nurse should monitor what as an AE of colesevelam? - ansconstipation (and dyspepsia) a nurse is caring for a pt with T2D and began therapy with metformin 2 days ago the client reports experiencing n/d, what should the nurse say - ansyour symptoms are common AE of metformin and should decrease with time (GI manifestations at onset of therapy)
a nurse is caring for an OA client who is confirmed positive for HIV and will begin med therapy, what instruction should the nurse give the client - ansyou will be prescribed more than one medication to fight the virus your medication plan can also include an antibiotic medication you will need to take the medication for the rest of your life a nurse is caring for apt with difficulty voiding following surgery, nurse notes a palpable bladder distention, what med should the nurse administer - ansbethanechol (for nonobstructive urinary retention) a nurse is completing an admission assessment for a client who has been taking st. john's wort, the nurse should identify that which of the following meds can interact with St. John's wort? - anscitalopram (causing serotonin syndrome when combined with antidepressants, dec effect of BC, warfarin, cyclosporine, digoxin, CCB, steroids, HIV PI, and some chemo agents) a nurse is discussing AE with a pt who has non-Hodgkin's lymphoma and it is starting to take methotrexate, what should the nurse provide? - ansmethotrexate can increase the risk for bleeding a nurse is in the ICU and caring for a pt with sudden onset of sustained SVT, what med should the nurse prepare? - ansadenosine (decreases electrical conduction through the AV node) a nurse is planning a staff education session on AE of meds, what info should the nurse discuss about anticholinergic adverse effects? - ansblurred vision tachycardia constipation a nurse is planning care for a client who has neutropenia, what meds should the nurse anticipate administering? - ansfilgrastin (leukopoietic growth factor) a nurse is preparing to admin meds to a client who has type 1 diabetes mellitus, the client receives multiple oral meds, takes lispro insulin, he is starting to take pramlintide, what actions should the nurse take? - ansmonitor for hypoglycemia for 3 hours after pramlintide administration (take before meals along with lispro insulin)
a nurse is providing teaching for a pt with a prescription for oral metronidazole, what is the priority teaching point? - ansyou should report a rash to your provider (fatal disorder Stevens-Johnson syndrome) a nurse is providing teaching to a client who has a duodenal ulcer and is starting to take sucralfate, what instruction should the nurse include in the teaching? - ansincrease fluid intake while taking med (incr fluid and dietary fiber to prevent constipation) a nurse is providing teaching to a client who has a neuropathic pain and a new prescription for amitriptyline once per day, what should the nurse include? - ansincrease fluids while on this med (urine turns blue/green, sedation is an AE) a nurse is providing teaching to a client who has a new prescription for beclomethasone inhaler to use with an albuterol inhaler for asthma maintenance, what should the nurse instruct? - ansyou should gargle with water after each use of this inhaler a nurse is providing teaching to a client who has a new prescription for calcitonin, what statements by the client indicates an understanding of the meds AE - ansthe med can cause nausea a nurse is providing teaching to a client who has a new prescription for guaifenesin, what info regarding the action of guaifenesin should the nurse include in the teaching? - ansguaifenesin increases cough production a nurse is providing teaching to a client who has a new prescription for levothyroxine, which statement indicates understanding of the teaching? - ans"i might not realize the full effect of the medication for several weeks" take on empty stomach with glass of water, first thing in the morning 30-60min prior to breakfast a nurse is providing teaching to a client who has a new prescription for oxybutynin, what statements by the client indicates an understanding of the teaching? - ansi need to avoid jogging on warm days (suppression of sweating by the anticholinergic effects by oxybutynin can result in hyperthermia)
a nurse is providing teaching to a client who has angina and a new prescription for sublingual nitroglycerin tablets, what info should the nurse include - ansstore unused tablets at room temp (take one tablet every 5 mins, up to 3 tablets until pain resolves, call 911 after 1st tablet) a nurse is providing teaching to a client who has fibromyalgia and a new prescription for pregabalin. which of the following instructions should the nurse include in the teaching?
- ansyou should notify your provider if you experience blurred vision (dizziness, difficulty with coordination, n, ha) a nurse is providing teaching to a client who has osteoporosis and is starting to take oral ibandronate, what instruction should the nurse include? - anstake one tablet of med on the same date each month (maintain med level) a nurse is providing teaching to a client who has T2D, and is starting to take immediate release exenatide, what statement is an understanding of the teaching - ansi will take this med 1 hour before morning and evening meals a nurse is providing teaching to a male client who has a new prescription for folic acid, the client tells the nurse he heard that the medication is prescribed for women during pregnancy, what statements should the nurse make? - ansfolic acid is important for the building of blood cells for adults and children (tx megaloblastic and macrocytic anemias) a nurse is providing teaching to a pt who has a new prescription for allopurinol to treat gout, what should the nurse include? - ansincrease your fluid intake a nurse is providing teaching to a pt who has a new prescription for montelukast, what statement by the pt indicates understanding - ansi will take the med every day to control my exercise-induced asthma a nurse is providing teaching to a pt who has a new prescription for oral extended release potassium chloride tablets, what instructions should the nurse include in the teaching? - ansdo not crush this medication a nurse is providing teaching to a pt who has a new prescription for ranitidine for the tx of Zollinger-Ellison syndrome. the nurse should explain to the client that ranitidine treats ulcers by which of the following actions? - ansit reduces gastric acid production (H2 antagonist)
a nurse is reviewing the lab findings for a client who is taking zidovudine to treat HIV, which should the nurse report to the provider - ansneutrophil count 650/mm (normal is 1500-8000) a nurse is reviewing the med history of a pt who has MG and is asking about starting neostigmine, the nurse should identify what pt condition as a ptoential contraindication to cholinesterase inhibitor therapy - anspeptic ulcer disease (r/f erosion and perforation) a nurse is reviewing the medical record of a client who received his medications 1 hour ago, the pt reports chest pain, this can be an AE of what med? - ansalbuterol (beta2agonist, controls bronchospasm for asthma--can cause tremors, chest pain, tachycardia, dysrhythmias) a nurse is taching a pt who has prostate cancer and a new prescription for leuprolide, explain how it treats prostate cancer - ansdecreases the production of testosterone (initial increase, then desensitization and decrease in testosterone production) a nurse is teaching a client who has a new prescription for alprazolam to treat an anxiety disorder, what should the nurse include? - ansavoid taking this med with GFJ (take with food to reduce gastric distress) a nurse is teaching a client who has a new prescription for isoniazid to tx TB, what info should the nurse include? - ansyou will have frequent sputum tests to monitor the effectiveness of this medication (sputum species every 2-4 weeks to monitor the effectiveness, 3 negative tests, continue for 6-12 mo) a nurse is teaching a client who has a seizure disorder and is starting to take phenytoin, what statement should indicate understanding? - ansi will have my blood checked to monitor the med levels (10-20) a nurse is teaching a client who is starting to take benzonatate, which of the following statements by the pt indicates understanding? - ansi should not drive while taking this medication
(AE is sedation and dizziness) a nurse is teaching a pt to use TD nitroglycerin patches to treat angina pectoris, what instructions should she include? - ansapply a new patch every morning (effects begin 30-60 min after application and last 14 hours) a nurse is teaching a pt who has a new prescription for brimonidine to treat open-angle glaucoma, what indicates an understanding of the instructions? - ansi can expect to feel some irritation when i put these drops in my eyes a nurse is teaching a pt who has a new prescription for nitrofurantoin, what info should the nurse include in the teaching? - ansyou should stop taking the med if you develop a cough (pulmonary reactions) a nurse is teaching a pt who has ED and starting to take tadalafil, what statement by the pt indicates and understanding of the teaching? - ansthis medication can decrease my BP a nurse is teaching a pt who is starting subq leuprolide for treatment of prostate cancer. what info should the nurse include? - ansincrease calcium intake (can cause bone loss) a nurse is teaching a pt who is taking methyldopa for the tx of htn, what info should the nurse include? - ansthe med can cause dizziness a nurse is teaching a pt who will start methimazole for hyperthyroidism, what indicates understanding? - ansi will contact the provider if my throat becomes sore (potential for agranulocytosis, notify provider immediately if fever, sore throat, or other indications of infection) a nurse is teaching the partner of a pt who has DM how to manage episodes of sever hypoglycemia, when the pt is unresponsive, what action should the nurse instruct the pt to do first? - ansadminister glucagon IM to the client acetylcysteine is prescribed for what med - ansacetaminophen overdose the nurse is providing teaching to a female pt for ciprofloxacin, what statement indicates understanding of the teaching - ansi should wear protective clothing when I go outdoors (and sunscreen to prevent sunburn bc r/f photosensitivity)
