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Questions and Answers
What is the appropriate action for a nurse to take if a patient's heart rate decreases significantly?
What is the appropriate action for a nurse to take if a patient's heart rate decreases significantly?
Which liver function test is particularly important before starting atorvastatin?
Which liver function test is particularly important before starting atorvastatin?
What should a patient taking warfarin understand about contraindicated herbal medications?
What should a patient taking warfarin understand about contraindicated herbal medications?
What is a common adverse effect that a nurse should monitor in a patient taking clopidogrel?
What is a common adverse effect that a nurse should monitor in a patient taking clopidogrel?
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How is the effectiveness of sucralfate in treating a duodenal ulcer assessed?
How is the effectiveness of sucralfate in treating a duodenal ulcer assessed?
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Which method should be used for intramuscular injection of vitamin K in newborns?
Which method should be used for intramuscular injection of vitamin K in newborns?
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What symptoms may indicate acute acetaminophen toxicity in a patient?
What symptoms may indicate acute acetaminophen toxicity in a patient?
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What is the most appropriate instruction for a patient taking ibuprofen for chronic pain management?
What is the most appropriate instruction for a patient taking ibuprofen for chronic pain management?
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Which of the following is the correct method to administer the hepatitis B vaccine into the deltoid muscle?
Which of the following is the correct method to administer the hepatitis B vaccine into the deltoid muscle?
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What essential information should be obtained from a client prior to administering a vaccine?
What essential information should be obtained from a client prior to administering a vaccine?
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If a patient presents with acute toxicity, what physical sign might you expect?
If a patient presents with acute toxicity, what physical sign might you expect?
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What is the recommended antidote for opioid toxicity caused by fentanyl overdose?
What is the recommended antidote for opioid toxicity caused by fentanyl overdose?
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What abnormality should a nurse expect to find in a patient undergoing chemotherapy for squamous cell carcinoma?
What abnormality should a nurse expect to find in a patient undergoing chemotherapy for squamous cell carcinoma?
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What is the correct time frame for the peak effect of NPH insulin after administration?
What is the correct time frame for the peak effect of NPH insulin after administration?
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When should a patient administer their insulin detemir injection if prescribed to take it once daily?
When should a patient administer their insulin detemir injection if prescribed to take it once daily?
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What sequence should a nurse follow when preparing to administer regular insulin and NPH insulin from the same vial?
What sequence should a nurse follow when preparing to administer regular insulin and NPH insulin from the same vial?
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What is an important instruction for a patient prescribed levothyroxine to manage hypothyroidism?
What is an important instruction for a patient prescribed levothyroxine to manage hypothyroidism?
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What precaution should a nurse emphasize to a patient receiving radioactive iodine treatment?
What precaution should a nurse emphasize to a patient receiving radioactive iodine treatment?
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What nursing intervention is essential for a patient taking propylthiouracil (PTU) for hyperthyroidism who presents with granulocytosis?
What nursing intervention is essential for a patient taking propylthiouracil (PTU) for hyperthyroidism who presents with granulocytosis?
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What should a nurse communicate to a patient with rheumatoid arthritis regarding the effectiveness of prednisone treatment?
What should a nurse communicate to a patient with rheumatoid arthritis regarding the effectiveness of prednisone treatment?
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What is the recommended duration for holding an albuterol metered dose inhaler after taking medication?
What is the recommended duration for holding an albuterol metered dose inhaler after taking medication?
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What is a primary benefit of using albuterol for patients with asthma?
What is a primary benefit of using albuterol for patients with asthma?
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Which of the following instructions should be emphasized for a patient prescribed methotrexate?
Which of the following instructions should be emphasized for a patient prescribed methotrexate?
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What is a known side effect of diphenhydramine (Benadryl)?
What is a known side effect of diphenhydramine (Benadryl)?
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Which condition contraindicates the use of lisinopril?
Which condition contraindicates the use of lisinopril?
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What should be monitored if a patient on spironolactone has a potassium level of 6.8?
What should be monitored if a patient on spironolactone has a potassium level of 6.8?
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When taking verapamil, which food should patients avoid?
When taking verapamil, which food should patients avoid?
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What should a nurse do if a patient taking digoxin shows blurred vision?
What should a nurse do if a patient taking digoxin shows blurred vision?
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What is the significance of a heart rate of 54 in a patient taking digoxin?
What is the significance of a heart rate of 54 in a patient taking digoxin?
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What side effect is associated with fluconazole for patients with asthma?
What side effect is associated with fluconazole for patients with asthma?
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Study Notes
Medication Toxicity and Patient Education
- Acetaminophen (Tylenol) Toxicity: Symptoms include vomiting.
- Naproxen: Patients taking enteric-coated naproxen should not crush or swallow the medication.
- Ibuprofen: Patients taking ibuprofen should have regular eye exams.
- Morphine: Nurses should report suspicions of another nurse improperly administering morphine to the charge nurse.
- Priority Data for Morphine Administration: The nurse needs to recognize respiratory rate as a priority data point before administering the medication.
- Fentanyl Antidote: Naloxone is the antidote for fentanyl.
Emergency Room Management
- Acute Toxicity: Patients presenting to the emergency room with acute toxicity may experience pupillary dilation.
Patient Teaching
- Codeine: Patients taking codeine should be instructed to change positions slowly.
Vaccination Administration
- Hepatitis B Vaccine: When administering the Hepatitis B vaccine in the deltoid muscle, place one finger over the acromion process and measure 3 finger-breadths below for injection site.
- Gardasil Vaccine: The vaccine protects against HPV.
- Vaccine Safety: Before administering a vaccine, the nurse should ask the patient about any allergies.
Laboratory Values and Abnormalties
- Acute Leukemia and Chemotherapy: A client with acute leukemia and recent aggressive chemotherapy will likely exhibit decreased platelet counts, white blood cell and red blood cell counts.
- Squamous Cell Carcinoma Chemotherapy: Chemotherapy for squamous cell carcinoma is typically administered topically because the target area is skin.
- Insulin Peak Time: NPH insulin peaks in 4-14 hours after administration.
Medication Administration and Side Effects
- Insulin Administration: Regular insulin should be administered before breakfast at 7:30 if a client is getting regular insulin prior to 8:30 breakfast.
- NPH/Regular Insulin Sequence: Regular insulin, then NPH insulin administration is the correct sequence.
- Levothyroxine (Hypothyroidism): Clients with hypothyroidism should take their levothyroxine before a meal or several hours after a meal.
- Radioactive Iodine: Patients undergoing radioactive iodine therapy need to avoid close contact with others for a period of time.
- Lisinopril Contraindication: Pregnant women should not take lisinopril as it can cause congenital defects.
- Granulocytosis: Granulocytosis, a condition related to high white blood cell counts, may require treatment with medication such as propylthiouracil.
- Prednisone (Rheumatoid Arthritis): Clients taking prednisone should inform nurses/doctors if improvement in symptoms occurs.
- Albuterol: Albuterol helps decrease coughing episodes, open airways, prevent wheezing.
- Fluconazole: Fluconazole can cause oral thrush or oral candidiasis.
- Omeprazole: Effectiveness of Omeprazole is demonstrated by a decrease in stomach acid symptoms.
- Sucralfate: It protects against stomach acid erosion.
- Metoclopramide: Monitor patients for sedation.
- Buspirone: Patients taking this drug may experience headaches.
- Iron Supplement Interaction: Best absorbed with citrus (orange) juice.
- Vitamin K Injection Site: The Vastus lateralis is the recommended site for vitamin K injection in newborns.
- Hypomagnesemia Management Symptoms include mood changes, mobility challenges and visual problems.
- Magnesium Toxicity: Prolonged PR interval on an EKG can indicate magnesium toxicity
- Omeprazole Effectiveness: The effectiveness of Omeprazole is judged by self-report of reduced stomach acid symptoms.
- Digoxin Administration: Hold digoxin and report to a provider if there are blurred visions or lowered heart rates.
- Warfarin Antidote: Vitamin K is the antidote for warfarin.
- Herbal Medications: Avoid saw palmetto, glucosamine, and glycosylation while taking warfarin.
- Clopidogrel (Plavix) Adverse Effect: Bloody or black stools can be an adverse effect.
- Potassuim Levels: Monitor potassium levels of patients taking spironolactone closely.
- Intravenous Potassium Replacement: Important to maintain a urine output of 1 mL/kg per hour.
- Cephalexin and Anaphylaxis: A patient with a history of anaphylaxis to penicillin and prescribed Cephalexin requires a different antibiotic.
- Azithromycin: Patients taking azithromycin should inform their providers of any sore throat or fever.
- Alendronate and Milk: Alendronate should not be taken with milk.
- Sulphamethoxazole/Trimethoprim: Patients taking this medication may experience photosensitivity.
Other Important Information
- Patient Education: Patient education should occur to ensure patients understand their medications and potential side effects, as well as steps to take during times of illness, injury, infection, or concern.
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Description
This quiz covers essential information related to medication toxicity, including specific medications like acetaminophen, naproxen, and morphine. It emphasizes patient education and nursing responsibilities in monitoring and administering these drugs for safety. Assess your knowledge on emergency management and proper teaching protocols for various medications.
