Nursing Medications and Contraindications

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Questions and Answers

What action should the nurse take for a client who reports a rash after taking penicillin 3 years ago?

Ask the provider to change the prescription to an oral form.

Withhold the medication. (correct)

Administer an oral antihistamine at the same time.

Administer the prescribed dose.

Which system was affected in the client who experienced permanent extrapyramidal effects from a previous medication?

Gastrointestinal

Central nervous (correct)

Cardiovascular

Immune

What is the primary concern for a client with a prosthetic heart valve who is taking warfarin?

Risk of infection.

Allergic reaction to medication.

Decreased heart function.

Increased risk of bleeding. (correct)

What interaction may occur between oral oxycodone and ibuprofen?

A decrease in blood levels of oxycodone. Signup and view all the answers

Why is the use of penicillins contraindicated for clients with an allergy to this medication?

They may lead to an allergic reaction. Signup and view all the answers

For a nursing intervention, which symptom should indicate a medication interaction for a client taking oxycodone and ibuprofen?

Decreased effectiveness of pain management. Signup and view all the answers

What should be a precaution for a client who is prescribed morphine?

Avoid use in clients with impaired respiratory function. Signup and view all the answers

What initial action should be taken for a patient suspected of being pregnant while on warfarin?

Switch to heparin or another safer alternative. Signup and view all the answers

Which client should the nurse contact the provider about a potential contraindication for medication?

A client with a fungal infection who takes prednisone. Signup and view all the answers

What characteristic is common in medications that cause extrapyramidal effects?

They often target the central nervous system. Signup and view all the answers

What instruction should the nurse prioritize when providing discharge instructions for a client on antihypertensive medication?

Limit potassium intake while taking the medication. Signup and view all the answers

What is the primary therapeutic use of gentamicin?

To treat bacterial infections Signup and view all the answers

What is an expected finding for a patient taking ibuprofen alongside oxycodone?

Reduced effectiveness of ibuprofen. Signup and view all the answers

Why should a client with chronic liver disease be cautious while taking hydrocodone/acetaminophen?

The liver may struggle to metabolize the medication safely. Signup and view all the answers

Which of the following are potential adverse effects of gentamicin?

Hearing loss and kidney damage Signup and view all the answers

What is an important instruction for a client taking OTC aluminum hydroxide?

It may interact negatively with sucralfate. Signup and view all the answers

When planning care for a client receiving gentamicin, which laboratory findings should the nurse monitor?

BUN and creatinine levels Signup and view all the answers

What nursing action is essential for a client taking both gentamicin and naproxen?

Encourage increased fluid intake Signup and view all the answers

Which client should receive a teaching point about taking positions slowly?

A client taking sucralfate for peptic ulcer disease. Signup and view all the answers

Why is it important to monitor the client’s kidney function during gentamicin therapy?

To identify risk of acute renal failure Signup and view all the answers

What might signal a need for increased medication dosage in a client on antihypertensive therapy?

Development of tachycardia. Signup and view all the answers

Which of the following statements regarding gentamicin is true?

Gentamicin can cause both therapeutic and adverse effects. Signup and view all the answers

What should a nurse include in the patient's education regarding the use of naproxen alongside gentamicin?

Monitor for increased bruising. Signup and view all the answers

What is the main concern when combining gentamicin with nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen?

Compounded risk of renal toxicity Signup and view all the answers

What can be a consequence of overheating due to decreased ability to produce sweat?

Dehydration and heat-related illnesses Signup and view all the answers

What is a common side effect of antihypertensive medications?

Orthostatic hypotension Signup and view all the answers

How can postural hypotension symptoms be minimized?

Changing position slowly Signup and view all the answers

What should patients take with NSAIDs to avoid gastrointestinal upset?

Food Signup and view all the answers

What effect do opioid analgesics have on the gastrointestinal system?

Slow peristalsis Signup and view all the answers

What can be a result of the interaction between medications and food or herbal remedies?

Increased potential for adverse effects Signup and view all the answers

Which factor can influence an individual’s response to medications?

Ethnic and genetic variations Signup and view all the answers

What is a potential complication from bone marrow suppression due to certain medications?

Relatively common and life-threatening hematologic issues Signup and view all the answers

Which medications are most commonly associated with causing angioedema?

ACE inhibitors and NSAIDs Signup and view all the answers

What is a common time frame for the onset of angioedema symptoms after medication administration?

Within 24 hours or anytime thereafter Signup and view all the answers

What type of history should be obtained to assess the risk of liver damage in a client?

Complete medical history regarding medications Signup and view all the answers

Which of the following symptoms are indicative of hepatotoxicity that nurses should monitor for?

Nausea, vomiting, and jaundice Signup and view all the answers

What is the primary nursing action to take when a client shows signs of angioedema?

Apply oxygen and maintain an open airway Signup and view all the answers

Which sign indicates the potential need for intubation or tracheostomy due to angioedema?

Stridor and inability to swallow Signup and view all the answers

How can combining hepatotoxic medications affect a client?

It significantly increases liver damage risk Signup and view all the answers

What is a key intervention for alleviating anxiety in a client experiencing angioedema?

Providing reassurance Signup and view all the answers

Study Notes

Medication Contraindications

The text discusses contraindications and precautions for different medications.
Contraindications are conditions that make administering a medication unsafe or potentially harmful.
A client with a penicillin allergy should not be given penicillin.
Morphine should be used with caution in clients with asthma or impaired respiratory function.
Medications should be used with caution during pregnancy.

Nursing Considerations

Nurses should be aware of potential contraindications in their clients.
Nurses must consider client history, conditions, and current medications to identify potential risks.
Nurses should consult with a provider for appropriate medication adjustments, especially for pregnant clients.

Adverse Effects

Penicillin can cause rash as a common side effect, so a history of rash should alert the nurse.
Morphine can depress respiratory function, so it should be used with caution for clients with asthma or impaired respiratory function.
Antihypertensive medications can cause orthostatic hypotension (dizziness upon standing).
Opioid analgesics can slow peristalsis and cause constipation.

Drug Interactions

Naproxen, an NSAID, can interact with gentamicin, an antibiotic.
Naproxen can cause GI upset, so it should be taken with food.

Nursing Interventions

Nurses should monitor clients for adverse effects of their medications, especially if they have a history of reactions.
Monitor clients for signs of orthostatic hypotension, such as dizziness upon standing.
Assess for drug interactions to avoid potentially dangerous combinations.
Perform interventions to prevent constipation and GI upset when appropriate.
Monitor laboratory values such as liver function tests.
Nurses should educate clients on potential side effects of medications and how to mitigate them.

Gentamicin

Gentamicin is a narrow-spectrum antibiotic used for treating certain infections.
Gentamicin can cause adverse effects such as ototoxicity (hearing problems) and nephrotoxicity (kidney problems).
Monitor for signs of both ototoxicity and nephrotoxicity.
Perform interventions to manage or prevent problems related to ototoxicity and nephrotoxicity.

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Description

This quiz covers the contraindications and precautions associated with various medications, emphasizing the role of nurses in identifying these risks. Key examples include allergy management and considerations for patients with respiratory issues. Understanding these concepts is crucial for ensuring patient safety in medication administration.