Podcast
Questions and Answers
What action should the nurse take for a client who reports a rash after taking penicillin 3 years ago?
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?
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?
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?
What interaction may occur between oral oxycodone and ibuprofen?
Why is the use of penicillins contraindicated for clients with an allergy to this medication?
Why is the use of penicillins contraindicated for clients with an allergy to this medication?
For a nursing intervention, which symptom should indicate a medication interaction for a client taking oxycodone and ibuprofen?
For a nursing intervention, which symptom should indicate a medication interaction for a client taking oxycodone and ibuprofen?
What should be a precaution for a client who is prescribed morphine?
What should be a precaution for a client who is prescribed morphine?
What initial action should be taken for a patient suspected of being pregnant while on warfarin?
What initial action should be taken for a patient suspected of being pregnant while on warfarin?
Which client should the nurse contact the provider about a potential contraindication for medication?
Which client should the nurse contact the provider about a potential contraindication for medication?
What characteristic is common in medications that cause extrapyramidal effects?
What characteristic is common in medications that cause extrapyramidal effects?
What instruction should the nurse prioritize when providing discharge instructions for a client on antihypertensive medication?
What instruction should the nurse prioritize when providing discharge instructions for a client on antihypertensive medication?
What is the primary therapeutic use of gentamicin?
What is the primary therapeutic use of gentamicin?
What is an expected finding for a patient taking ibuprofen alongside oxycodone?
What is an expected finding for a patient taking ibuprofen alongside oxycodone?
Why should a client with chronic liver disease be cautious while taking hydrocodone/acetaminophen?
Why should a client with chronic liver disease be cautious while taking hydrocodone/acetaminophen?
Which of the following are potential adverse effects of gentamicin?
Which of the following are potential adverse effects of gentamicin?
What is an important instruction for a client taking OTC aluminum hydroxide?
What is an important instruction for a client taking OTC aluminum hydroxide?
When planning care for a client receiving gentamicin, which laboratory findings should the nurse monitor?
When planning care for a client receiving gentamicin, which laboratory findings should the nurse monitor?
What nursing action is essential for a client taking both gentamicin and naproxen?
What nursing action is essential for a client taking both gentamicin and naproxen?
Which client should receive a teaching point about taking positions slowly?
Which client should receive a teaching point about taking positions slowly?
Why is it important to monitor the client’s kidney function during gentamicin therapy?
Why is it important to monitor the client’s kidney function during gentamicin therapy?
What might signal a need for increased medication dosage in a client on antihypertensive therapy?
What might signal a need for increased medication dosage in a client on antihypertensive therapy?
Which of the following statements regarding gentamicin is true?
Which of the following statements regarding gentamicin is true?
What should a nurse include in the patient's education regarding the use of naproxen alongside gentamicin?
What should a nurse include in the patient's education regarding the use of naproxen alongside gentamicin?
What is the main concern when combining gentamicin with nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen?
What is the main concern when combining gentamicin with nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen?
What can be a consequence of overheating due to decreased ability to produce sweat?
What can be a consequence of overheating due to decreased ability to produce sweat?
What is a common side effect of antihypertensive medications?
What is a common side effect of antihypertensive medications?
How can postural hypotension symptoms be minimized?
How can postural hypotension symptoms be minimized?
What should patients take with NSAIDs to avoid gastrointestinal upset?
What should patients take with NSAIDs to avoid gastrointestinal upset?
What effect do opioid analgesics have on the gastrointestinal system?
What effect do opioid analgesics have on the gastrointestinal system?
What can be a result of the interaction between medications and food or herbal remedies?
What can be a result of the interaction between medications and food or herbal remedies?
Which factor can influence an individual’s response to medications?
Which factor can influence an individual’s response to medications?
What is a potential complication from bone marrow suppression due to certain medications?
What is a potential complication from bone marrow suppression due to certain medications?
Which medications are most commonly associated with causing angioedema?
Which medications are most commonly associated with causing angioedema?
What is a common time frame for the onset of angioedema symptoms after medication administration?
What is a common time frame for the onset of angioedema symptoms after medication administration?
What type of history should be obtained to assess the risk of liver damage in a client?
What type of history should be obtained to assess the risk of liver damage in a client?
Which of the following symptoms are indicative of hepatotoxicity that nurses should monitor for?
Which of the following symptoms are indicative of hepatotoxicity that nurses should monitor for?
What is the primary nursing action to take when a client shows signs of angioedema?
What is the primary nursing action to take when a client shows signs of angioedema?
Which sign indicates the potential need for intubation or tracheostomy due to angioedema?
Which sign indicates the potential need for intubation or tracheostomy due to angioedema?
How can combining hepatotoxic medications affect a client?
How can combining hepatotoxic medications affect a client?
What is a key intervention for alleviating anxiety in a client experiencing angioedema?
What is a key intervention for alleviating anxiety in a client experiencing angioedema?
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.
