Questions and Answers
What adverse effect should the nurse include when providing client education about newly prescribed medication for a client in a mental health clinic in terms of genitourinary?
changes in libido
Which client statement indicates an understanding of the teaching?
What assessment finding indicates an adverse effect of the client's prescribed medication?
muscle weakness
What action should the nurse plan to take when administering PO sodium polystyrene sulfonate to a client who has hyperkalemia?
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What intervention should the nurse include in the plan of care for a client who has HTN and is to start taking metoprolol?
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What finding should the nurse identify as an adverse effect of heparin that requires notification of the provider?
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What finding indicates that the client is ready for discharge after an outpatient endoscopy procedure using midazolam?
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What finding should the nurse report to the provider immediately when administering donepezil (Aricept) to a client who has Alzheimer's disease?
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What finding indicates that proplythiouracil has been effective for a client with Grave's disease?
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What over-the-counter medication should the nurse identify as needing to be discontinued by the client who has a new prescription for lithium?
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What manifestation should the nurse monitor for in a client who has developed hypomagnesemia due to long-term therapy with lansoprazole?
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What should the nurse instruct the client to take with ferrous sulfate to promote absorption?
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What finding indicates that the client is experiencing an adverse effect of neostigmine?
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What instruction should the nurse include in the teaching plan for a client who has a new prescription for simvastatin?
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What action should the nurse plan to take when caring for a client who reports lethargy and myalgia after taking clozapine for 6 months?
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What adverse effect should the nurse identify when teaching a client who is taking bupropion for smoking cessation?
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What should the nurse instruct the client to do when teaching about polyethylene glycol-electrolyte solution and bisacodyl?
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What finding indicates that digoxin immune Fab was effective?
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What response should the nurse make when a client asks if they can take aspirin while taking warfarin?
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How many mL/hr should the nurse set the IV pump to deliver?
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What finding is a contraindication to receiving propranolol?
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What action should the nurse plan to take when administering IV midazolam for moderate sedation?
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What medication should the nurse anticipate administering to a client who has taken large amounts of diazepam?
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What adverse effect should the nurse instruct the client to monitor for when taking acetazolamide?
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What adverse effect should the nurse instruct the client to monitor for when taking sumatriptan?
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What finding should the nurse identify as an adverse effect of heparin therapy?
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What adverse effect of morphine can be minimized by taking daily docusate sodium?
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What statement should the nurse make to a client who refuses to take their scheduled morning furosemide?
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Study Notes
Adverse Effects of Medications
- Genitourinary: Changes in libido are a common adverse effect of certain medications.
- Gastrointestinal: Constipation is frequently associated with various medications.
- Metabolic: Weight loss may occur with some prescribed treatments.
Client Understanding in Medication Education
- Client demonstrates understanding by agreeing to notify the provider if feeling ill and stating the preference for acetaminophen over ibuprofen for headaches.
- Need for further education indicated when clients mention consuming high potassium foods or expectant coughing when it’s not a normal side effect.
Assessment Findings for Adverse Effects
- Urine characteristics should be monitored to identify GI or genitourinary effects.
- Muscle weakness may indicate musculoskeletal or integumentary adverse effects.
- Dizziness can be a neurological side effect linked to medications prescribed.
Sodium Polystyrene Sulfonate Administration
- Monitor for constipation when administering sodium polystyrene sulfonate to treat hyperkalemia.
Metoprolol Administration
- Measure apical pulse before administering metoprolol to monitor heart rate effectively.
Heparin Monitoring
- Report findings such as generalized petechiae to the provider as potential adverse effects of heparin therapy.
Midazolam Recovery Monitoring
- Client readiness for discharge post-endoscopy is indicated by capnography returning to baseline.
Donepezil for Alzheimer's Disease
- Dyspnea in a client taking donepezil should be reported to the provider immediately as a significant finding.
Propylthiouracil Effectiveness
- Effective treatment for Grave's disease may be indicated by an increased ability to focus.
Lithium and OTC Medications
- Advise discontinuation of ibuprofen for clients starting lithium due to potential side effects.
Hypomagnesemia Monitoring
- Watch for disorientation in patients with hypomagnesemia related to lansoprazole therapy.
Iron Supplementation
- Ferrous sulfate should be taken with orange juice to enhance absorption.
Myasthenia Gravis and Neostigmine
- Miosis can indicate an adverse effect of neostigmine in myasthenia gravis patients.
Simvastatin Teaching Plan
- Clients should report muscle pain, avoid grapefruit juice, and be aware of ongoing therapy when taking simvastatin.
Clozapine and Lethargy
- Obtain a WBC with absolute neutrophil count for clients experiencing lethargy on clozapine for 6 months.
Bupropion Adverse Effects
- Insomnia is a recognized adverse effect of bupropion used for smoking cessation.
Colonoscopy Prep Instructions
- Advise clients to drink 2 liters of bowel cleanser solution before colonoscopy.
Effectiveness of Digoxin Antidote
- Restoration of sinus rhythm indicates the effectiveness of digoxin immune Fab after a medication error.
Warfarin and Aspirin Interaction
- Clarify that aspirin increases the bleeding risk for patients on warfarin.
IV Infusion Calculations
- For a 1500 mL IV delivery over 8 hours, the rate should be set at 188 mL/hour.
Vaccination Timeline for Newborns
- The first DTaP vaccine should be administered to newborns at 2 months of age.
Fluoxetine Adverse Effects
- Sexual dysfunction is a noted adverse effect of fluoxetine used in depression treatment.
Amitriptyline Teaching
- Urinary retention is an adverse effect that should be communicated to those taking amitriptyline.
Proper MAR Entries for Morphine
- Correct format for morphine administration record includes "Morphine 5mg subcut every 4 hr PRN severe pain."
Propranolol Contraindications
- Asthma is a contraindication for propranolol usage in hypertensive clients.
Midazolam and Patient Response
- Clients receiving IV midazolam should be expected to respond to simple commands.
Diazepam Overdose Treatment
- In cases of diazepam toxicity, flumazenil should be administered.
Acetazolamide Monitoring
- Advise clients on acetazolamide to report tingling of fingers as a potential adverse effect.
Sumatriptan Adverse Effects
- Chest pressure should be closely monitored and reported to the provider after sumatriptan administration.
Heparin and Urine Monitoring
- Blood in the urine is a concerning finding in clients receiving heparin therapy.
Morphine and Constipation Management
- Educate clients that taking docusate sodium can prevent constipation caused by oral morphine.
Furosemide and Fluid Retention
- Warn clients who refuse furosemide of potential fluid retention and swelling.
Documentation of IV Administration Errors
- Document incident of administering 1L sodium chloride over 4 hours instead of 8 hours with stable vitals and provider notification.
Gentamicin Adverse Effects
- Tinnitus should be reported as an adverse effect for patients receiving gentamicin via IV.
Atorvastatin Lab Monitoring
- Monitor creatinine kinase levels in clients prescribed atorvastatin for hyperlipidemia.
Contraindications for Ceftazidime
- Allergy to cephalosporins is a contraindication for receiving ceftazidime.
Cefotetan Allergic Reactions
- In case of dyspnea and hives during cefotetan infusion, discontinue the IV infusion immediately.
Trimethoprim/Sulfamethoxazole Teaching
- Patients should be instructed to consume 8-10 glasses of water daily while on this medication.
Penicillin Allergy and Ceftazidime
- Report shortness of breath as a significant concern for clients with a penicillin allergy receiving ceftazidime.
Enalapril and Hyperkalemia
- Monitor for hyperkalemia as an adverse effect in clients with heart failure taking enalapril.
Carbamazepine Adverse Effects
- Report decreased WBC count as an adverse effect of carbamazepine in seizure disorder management.
Glyburide and Hypoglycemia Monitoring
- First action for a confused client on glyburide is to perform a capillary blood glucose test.
Heroin Toxicity Treatment
- Naloxone should be administered to clients exhibiting signs of heroin toxicity.
Famotidine and Smoking Effect
- Clients should be cautioned that smoking reduces the effectiveness of famotidine.
Tamoxifen Priority Assessment
- Leg tenderness in clients on tamoxifen necessitates immediate reporting to the provider.
Amoxicillin/Clavulanate and Allergies
- Withhold amoxicillin/clavulanate if the client has a known penicillin allergy.
Baclofen Therapeutic Outcome
- Document a decrease in spasticity as a therapeutic effect of baclofen for spinal cord injury clients.
Furosemide Discharge Teaching
- Instruct clients to take a glass of milk with each dose of furosemide for better tolerance.
Ciprofloxacin Pediatric Dosage
- Administer 300 mg of ciprofloxacin by calculating 15 mg/kg for a child weighing 20 kg.
Captopril and Sore Throat Monitoring
- Clients should report any development of a sore throat while on captopril.
Acetaminophen Toxicity Treatment
- Anticipate administering acetylcysteine for acute acetaminophen toxicity.
Manual IV Infusion Calculations
- Set manual IV infusion of sodium chloride 1000 mL over 8 hours to 31 gtt/min based on drop factor.
Digoxin Administration Monitoring
- Withhold digoxin for a heart rate under 60 bpm and notify the provider.
Methylprednisolone Teaching Plan
- Monitor blood glucose levels, avoid infectious contacts, and warn about grapefruit juice interactions during methylprednisolone use.
Calcium Citrate Therapeutic Response
- Therapeutic response to calcium citrate is indicated by decreased paresthesia in clients with hypocalcemia.
Ergotamine Administration Instructions
- Advise clients to take one ergotamine tablet at the onset of migraine symptoms.
Ethinyl Estradiol/Norelgestromin Disposal
- Clients should fold the sticky sides of old patches together before disposal to ensure safe handling.
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Description
This quiz covers the adverse effects of medications on various body systems, client education, and assessment findings. It also touches on medication administration and side effects monitoring.
