Podcast
Questions and Answers
Which medication should the nurse prepare to administer for a client with hyperparathyroidism and a serum calcium level of 13 mg/dL?
Which medication should the nurse prepare to administer for a client with hyperparathyroidism and a serum calcium level of 13 mg/dL?
What is the most appropriate nursing action when a client complains of local discomfort and burning after applying mafenide acetate (Sulfamylon)?
What is the most appropriate nursing action when a client complains of local discomfort and burning after applying mafenide acetate (Sulfamylon)?
Which indication might suggest a systemic effect from topical mafenide acetate (Sulfamylon) treatment?
Which indication might suggest a systemic effect from topical mafenide acetate (Sulfamylon) treatment?
Which sign indicates systemic toxicity from salicylic acid prescribed for psoriasis?
Which sign indicates systemic toxicity from salicylic acid prescribed for psoriasis?
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Chemical sunscreens are most effective when applied:
Chemical sunscreens are most effective when applied:
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With which food item should oral iron supplements be administered for a child with iron deficiency anemia?
With which food item should oral iron supplements be administered for a child with iron deficiency anemia?
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Before administering isotretinoin, which laboratory test should be prescribed?
Before administering isotretinoin, which laboratory test should be prescribed?
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If a client is taking isotretinoin, which medication should the nurse contact the health care provider about?
If a client is taking isotretinoin, which medication should the nurse contact the health care provider about?
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What condition is the client likely being treated for if azelaic acid (Azelex) is prescribed?
What condition is the client likely being treated for if azelaic acid (Azelex) is prescribed?
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Which statement made by the client indicates a lack of understanding regarding silver sulfadiazine (Silvadene) treatment?
Which statement made by the client indicates a lack of understanding regarding silver sulfadiazine (Silvadene) treatment?
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Where should a topical corticosteroid be applied to monitor for increased systemic absorption?
Where should a topical corticosteroid be applied to monitor for increased systemic absorption?
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What should the nurse do if the client receiving an IV infusion of antineoplastic medication complains of pain at the insertion site?
What should the nurse do if the client receiving an IV infusion of antineoplastic medication complains of pain at the insertion site?
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Which diagnostic study should be prescribed for a client receiving bleomycin?
Which diagnostic study should be prescribed for a client receiving bleomycin?
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During treatment with busulfan (Myleran), which laboratory value should be monitored?
During treatment with busulfan (Myleran), which laboratory value should be monitored?
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When administering antineoplastic medication, which instruction is essential for the client?
When administering antineoplastic medication, which instruction is essential for the client?
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What side effect specific to vincristine (Oncovin) should the nurse monitor for?
What side effect specific to vincristine (Oncovin) should the nurse monitor for?
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What should be documented in a client's history when administering asparaginase?
What should be documented in a client's history when administering asparaginase?
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What side effect specifically associated with etoposide (VePesid) should the nurse be aware of?
What side effect specifically associated with etoposide (VePesid) should the nurse be aware of?
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What is the primary action of Tamoxifen for a client with metastatic breast carcinoma?
What is the primary action of Tamoxifen for a client with metastatic breast carcinoma?
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Which laboratory value should be monitored for a client receiving tamoxifen?
Which laboratory value should be monitored for a client receiving tamoxifen?
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In a client receiving cisplatin, which adverse effects should the nurse monitor for?
In a client receiving cisplatin, which adverse effects should the nurse monitor for?
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Why is calcium gluconate prescribed after a thyroidectomy?
Why is calcium gluconate prescribed after a thyroidectomy?
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During discharge teaching for a newly diagnosed diabetes mellitus client, what should the nurse emphasize?
During discharge teaching for a newly diagnosed diabetes mellitus client, what should the nurse emphasize?
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What action indicates the need for further teaching when mixing regular and NPH insulin?
What action indicates the need for further teaching when mixing regular and NPH insulin?
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How should unopened vials of insulin be stored?
How should unopened vials of insulin be stored?
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What substance should be avoided by a client taking glimepiride (Amaryl)?
What substance should be avoided by a client taking glimepiride (Amaryl)?
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What should the nurse question when sildenafil (Viagra) is prescribed for a client?
What should the nurse question when sildenafil (Viagra) is prescribed for a client?
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How should exenatide (Byetta) be administered for a client with type 1 diabetes who takes insulin?
How should exenatide (Byetta) be administered for a client with type 1 diabetes who takes insulin?
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When is the most likely time for a hypoglycemic reaction to occur after administering Humulin NPH insulin?
When is the most likely time for a hypoglycemic reaction to occur after administering Humulin NPH insulin?
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Which medication may have contributed to hyperglycemia in a client previously well-controlled with glyburide?
Which medication may have contributed to hyperglycemia in a client previously well-controlled with glyburide?
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What statement indicates that further teaching is necessary for a client taking prednisone?
What statement indicates that further teaching is necessary for a client taking prednisone?
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What therapeutic response should the nurse monitor after administering desmopressin acetate (DDAVP) for diabetes insipidus?
What therapeutic response should the nurse monitor after administering desmopressin acetate (DDAVP) for diabetes insipidus?
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Which instruction should a nurse reinforce for a client with type 2 diabetes mellitus taking repaglinide and metformin?
Which instruction should a nurse reinforce for a client with type 2 diabetes mellitus taking repaglinide and metformin?
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What action will the nurse take to monitor the treatment effectiveness of infliximab (Remicade) in a client with Crohn's disease?
What action will the nurse take to monitor the treatment effectiveness of infliximab (Remicade) in a client with Crohn's disease?
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What condition is loperamide hydrochloride (Imodium) used for?
What condition is loperamide hydrochloride (Imodium) used for?
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For which condition should ondansetron (Zofran) be administered to a postoperative client?
For which condition should ondansetron (Zofran) be administered to a postoperative client?
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What effect indicates that pancrelipase (Pancrease MT) is having its intended benefit?
What effect indicates that pancrelipase (Pancrease MT) is having its intended benefit?
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Which central nervous system side effect should the nurse monitor for in a client taking cimetidine (Tagamet)?
Which central nervous system side effect should the nurse monitor for in a client taking cimetidine (Tagamet)?
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Why is sucralfate (Carafate) scheduled to be taken 1 hour before meals and at bedtime?
Why is sucralfate (Carafate) scheduled to be taken 1 hour before meals and at bedtime?
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What indicates that misoprostol (Cytotec) is having its intended therapeutic effect?
What indicates that misoprostol (Cytotec) is having its intended therapeutic effect?
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Study Notes
Hyperparathyroidism and Medications
- In hyperparathyroidism, elevated serum calcium level (13 mg/dL) requires administration of Calcitonin (Miacalcin) to lower calcium levels.
Burn Care and Topical Medications
- Mafenide acetate (Sulfamylon) may cause discomfort and burning, which is a normal reaction to local application.
- Systemic effects of topical mafenide include hyperventilation.
Psoriasis Treatment
- Salicylic acid use can lead to systemic toxicity, indicated by symptoms like tinnitus.
Sunscreen Application
- Chemical sunscreens should be applied at least 30 minutes before sun exposure for optimal effectiveness.
Pediatric Iron Supplementation
- Iron supplements for a child with iron deficiency anemia are best absorbed with orange juice, which enhances iron absorption.
Isotretinoin Administration
- Before isotretinoin treatment in severe acne, triglyceride levels must be monitored due to potential side effects.
Compatibility with Isotretinoin
- Concurrent use of Vitamin A with isotretinoin should be avoided due to increased risk of toxicity.
Azelaic Acid for Acne
- Azelaic acid is primarily used to treat acne.
Silver Sulfadiazine Understanding
- Although silver sulfadiazine is antibacterial, patients should know it does not permanently stain the skin.
Corticosteroid Monitoring
- Applying topical corticosteroids in sensitive areas (e.g., axilla) signals potential for increased systemic absorption.
IV Infusion Complications
- Pain or swelling at an IV site during antineoplastic infusion necessitates notifying the registered nurse.
Bleomycin and Pulmonary Function
- Clients receiving bleomycin for squamous cell carcinoma should undergo pulmonary function studies due to risk of pulmonary toxicity.
Monitoring Uric Acid Levels
- Uric acid levels are monitored in clients treated with busulfan for acute myelocytic leukemia due to high risk of hyperuricemia.
Antineoplastic Medication Guidance
- Clients on antineoplastic medications should consult HCPs before receiving immunizations to prevent adverse effects.
Vincristine Side Effects
- Nerve damage from vincristine may present as numbness and tingling in extremities.
Asparaginase Caution
- History of pancreatitis in clients receiving asparaginase requires careful administration consideration.
Etoposide and Orthostatic Hypotension
- Orthostatic hypotension is a specific side effect associated with etoposide administration.
Tamoxifen Mechanism
- Tamoxifen competes with estradiol for binding in tissues with high estrogen receptors, making it useful for metastatic breast cancer.
Calcium Monitoring with Tamoxifen
- Calcium levels should be monitored in patients receiving tamoxifen due to potential shifts in calcium metabolism.
Cisplatin Adverse Effects
- Cisplatin therapy should be monitored for tinnitus, ototoxicity, nephrotoxicity, and hypomagnesemia.
Calcium Gluconate Post-Thyroidectomy
- Calcium gluconate is administered post-thyroidectomy to treat hypocalcemic tetany.
Insulin Injection Practices
- Insulin vials should be rotated systematically to prevent tissue damage and ensure efficacy.
Mixing Insulin
- Regular insulin must always be withdrawn before NPH insulin to avoid contamination and ensure correct dosing.
Storing Insulin
- Unopened insulin vials must be refrigerated to maintain effectiveness.
Glimepiride and Alcohol
- Clients taking glimepiride should avoid alcohol to prevent adverse reactions.
Sildenafil Contraindications
- Sildenafil should not be used by clients who are also on nitroglycerin due to the risk of severe hypotension.
Exenatide with Type 1 Diabetes
- Exenatide is not recommended for type 1 diabetes; consult HCP if prescribed.
Hypoglycemia Risk with NPH Insulin
- Hypoglycemic reactions with NPH insulin usually occur 4 to 12 hours post-administration.
Medications Causing Hyperglycemia
- Prednisone can raise blood glucose levels, complicating diabetes management.
Prednisone Teaching Points
- Clients should avoid aspirin and antihistamines with prednisone due to increased bleeding risk.
Desmopressin for Diabetes Insipidus
- The therapeutic effect of desmopressin is indicated by decreased urinary output.
Medications for Type 2 Diabetes
- Metformin can cause diarrhea; repaglinide should not be taken if a meal is skipped. Carrying simple sugars for hypoglycemia is also recommended.
Infliximab Effectiveness
- Effectiveness of infliximab for Crohn's disease can be monitored through the frequency and consistency of bowel movements.
Loperamide Use
- Loperamide is administered for episodes of diarrhea, providing symptomatic relief.
Ondansetron Administering
- Ondansetron is effective for managing postoperative nausea and vomiting.
Pancrelipase Effectiveness
- A reduction in steatorrhea indicates effective pancreatic enzyme replacement with pancrelipase.
Cimetidine CNS Monitoring
- Confusion is a common CNS side effect in older adults taking cimetidine.
Sucralfate Dosing Schedule
- Sucralfate should be given one hour before meals and at bedtime for optimal effectiveness.
Misoprostol Therapeutic Effect
- Relief of epigastric pain indicates that misoprostol is effectively protecting the gastric mucosa.
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Description
Test your knowledge with this nursing pharmacology quiz focused on medications for hyperparathyroidism and burn injuries. Questions include drug selection and patient care considerations. Perfect for nursing students and practitioners alike.
