Medication Administration and Patient Education

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Questions and Answers

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?

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?

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?

Contact the registered nurse. Signup and view all the answers

What should the nurse anticipate for a client on nalidixic acid who is also taking warfarin?

A decrease in the warfarin sodium (Coumadin) dosage Signup and view all the answers

What should a nurse include in discharge instructions for a client receiving sulfisoxazole?

Maintain a high fluid intake. Signup and view all the answers

Which symptom should the client report while on trimethoprim-sulfamethoxazole (TMP-SMZ)?

Sore throat Signup and view all the answers

What could indicate a side effect of phenazopyridine hydrochloride (Pyridium)?

That a reddish orange discoloration of the urine may occur Signup and view all the answers

Which disorder is a contraindication to the administration of bethanechol chloride (Urecholine)?

Urinary strictures Signup and view all the answers

Which sign indicates acute toxicity with bethanechol chloride (Urecholine)?

Bradycardia Signup and view all the answers

Which sign may indicate a toxic effect of oxybutynin chloride (Ditropan XL)?

Restlessness Signup and view all the answers

What laboratory result may indicate an adverse effect of cyclosporine (Sand immune)?

Elevated blood urea nitrogen level Signup and view all the answers

What finding should the nurse verify with the health care provider before administering cinoxacin (Cinobac)?

Renal insufficiency Signup and view all the answers

Which sign indicates that a client might be in cholinergic crisis?

Hypertension Signup and view all the answers

In case of a cholinergic crisis, which medication should be readily available?

Atropine sulfate Signup and view all the answers

What indicates a cholinergic crisis after administering edrophonium (Enlon)?

A temporary worsening of the condition Signup and view all the answers

What indicates an adverse reaction to carbidopa-levodopa (Sinemet)?

Impaired voluntary movements Signup and view all the answers

What indicates a therapeutic serum drug range for phenytoin (Dilantin)?

10 to 20 mcg/mL Signup and view all the answers

When should the nurse tell the client to take ibuprofen (Advil)?

With 8 oz of milk Signup and view all the answers

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!