Podcast
Questions and Answers
What are the concerns related to the administration of hydrochlorothiazide?
What are the concerns related to the administration of hydrochlorothiazide?
- Increased risk of osteoporosis
- Hyperkalemia, hypoglycemia, penicillin allergy
- Hypouricemia, hyperkalemia
- Hypokalemia, hyperglycemia, sulfa allergy (correct)
Which statement indicates the need for further education for a client taking cholestyramine?
Which statement indicates the need for further education for a client taking cholestyramine?
- I'll continue my nicotinic acid from the health food store. (correct)
- Constipation and bloating might be a problem.
- I'll continue to watch my diet and reduce my fats.
- Walking a mile each day will help the whole process.
Which statement by a client indicates an understanding of the instructions regarding nicotinic acid?
Which statement by a client indicates an understanding of the instructions regarding nicotinic acid?
- It is not necessary to avoid the use of alcohol.
- Clay-colored stools are a common side effect and should not be of concern.
- Ibuprofen (Motrin) taken 30 minutes before the nicotinic acid should decrease the flushing. (correct)
- The medication should be taken with meals to decrease flushing.
What actions should the nurse take when a client with coronary artery disease still has chest pain after nitroglycerin?
What actions should the nurse take when a client with coronary artery disease still has chest pain after nitroglycerin?
What should the nurse anticipate for a client on nalidixic acid who is also taking warfarin?
What should the nurse anticipate for a client on nalidixic acid who is also taking warfarin?
What should a nurse include in discharge instructions for a client receiving sulfisoxazole?
What should a nurse include in discharge instructions for a client receiving sulfisoxazole?
Which symptom should the client report while on trimethoprim-sulfamethoxazole (TMP-SMZ)?
Which symptom should the client report while on trimethoprim-sulfamethoxazole (TMP-SMZ)?
What could indicate a side effect of phenazopyridine hydrochloride (Pyridium)?
What could indicate a side effect of phenazopyridine hydrochloride (Pyridium)?
Which disorder is a contraindication to the administration of bethanechol chloride (Urecholine)?
Which disorder is a contraindication to the administration of bethanechol chloride (Urecholine)?
Which sign indicates acute toxicity with bethanechol chloride (Urecholine)?
Which sign indicates acute toxicity with bethanechol chloride (Urecholine)?
Which sign may indicate a toxic effect of oxybutynin chloride (Ditropan XL)?
Which sign may indicate a toxic effect of oxybutynin chloride (Ditropan XL)?
What laboratory result may indicate an adverse effect of cyclosporine (Sand immune)?
What laboratory result may indicate an adverse effect of cyclosporine (Sand immune)?
What finding should the nurse verify with the health care provider before administering cinoxacin (Cinobac)?
What finding should the nurse verify with the health care provider before administering cinoxacin (Cinobac)?
Which sign indicates that a client might be in cholinergic crisis?
Which sign indicates that a client might be in cholinergic crisis?
In case of a cholinergic crisis, which medication should be readily available?
In case of a cholinergic crisis, which medication should be readily available?
What indicates a cholinergic crisis after administering edrophonium (Enlon)?
What indicates a cholinergic crisis after administering edrophonium (Enlon)?
What indicates an adverse reaction to carbidopa-levodopa (Sinemet)?
What indicates an adverse reaction to carbidopa-levodopa (Sinemet)?
What indicates a therapeutic serum drug range for phenytoin (Dilantin)?
What indicates a therapeutic serum drug range for phenytoin (Dilantin)?
When should the nurse tell the client to take ibuprofen (Advil)?
When should the nurse tell the client to take ibuprofen (Advil)?
Study Notes
Medication Administration Concerns
- Hydrochlorothiazide may lead to hypokalemia, hyperglycemia, and an increased risk of sulfa allergies.
- Increased triglyceride and cholesterol levels associated with cholestyramine therapy require careful dietary management.
Client Education on Medications
- Clients on nicotinic acid should take ibuprofen 30 minutes prior to decrease flushing.
- A second dose of nitroglycerin may be necessary if chest pain persists after initial administration.
Anticoagulant Interaction
- With nalidixic acid prescribed alongside warfarin, a decrease in warfarin dosage is anticipated to avoid excessive anticoagulation.
Hydration Importance
- Maintaining a high fluid intake is crucial when a patient is receiving sulfisoxazole to prevent crystallization.
Adverse Symptoms to Report
- Patients on trimethoprim-sulfamethoxazole should report a sore throat as it may indicate a potential adverse reaction.
Urinary Medication Effects
- Phenazopyridine can cause reddish-orange urine discoloration, which is a benign side effect.
- Bethanechol chloride usage is contraindicated in patients with urinary strictures.
Monitoring for Toxicity
- Signs of acute toxicity from bethanechol include bradycardia.
- For oxybutynin chloride, restlessness can indicate toxic effects.
Laboratory Monitoring Post-Transplant
- Elevated blood urea nitrogen levels after cyclosporine usage indicate potential kidney adverse effects.
Renal Function Considerations
- Cinoxacin should not be given to clients with renal insufficiency due to the risk of accumulation and toxicity.
Cholinergic Crisis in Myasthenia Gravis
- Signs of cholinergic crisis include hypertension and require atropine sulfate as an antidote.
- An edrophonium injection can help differentiate between cholinergic and myasthenic crises, where a temporary worsening of symptoms signifies cholinergic crisis.
Parkinson's Disease Management
- Carbidopa-levodopa can lead to impaired voluntary movements as an adverse reaction.
Phenytoin Education
- Clients on phenytoin should use a soft toothbrush to prevent gum irritation.
- Therapeutic drug levels for phenytoin range from 10 to 20 mcg/mL.
Medication Administration Recommendations
- Ibuprofen should be taken with 8 oz of milk to minimize gastrointestinal irritation.
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Description
This quiz covers essential concepts related to medication administration, focusing on potential side effects and necessary precautions. It also includes guidance on client education regarding medication interactions and the importance of hydration. Test your understanding of these critical areas in pharmacology!
