Pharmacology and Treatments for Common Conditions

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Questions and Answers

What should the client do after applying Lindane cream for scabies?

Leave the cream on for 8 to 12 hours and then remove by washing. (correct)

Apply to the entire body and scalp, excluding the face.

Apply the cream as prescribed for 2 days in a row.

Apply a thick layer of cream to the entire body.

What is the appropriate method for administering eardrops to an infant?

Pull up and back on the ear lobe and direct the solution toward the wall of the canal.

Pull down and back on the ear and direct the solution onto the eardrum.

Pull up and back on the ear and direct the solution onto the eardrum.

Pull down and back on the ear and direct the solution toward the wall of the canal. (correct)

Which herbal supplement is the client likely taking for the treatment of varicose veins?

Evening primrose

Ginseng

Bilberry (correct)

Feverfew

Why is codeine sulfate used instead of a stronger opioid for post-craniotomy medication?

Does not alter respirations or mask neurological signs as do other opioids. Signup and view all the answers

What condition is indicated when a client improves in muscle strength after receiving edrophonium?

Myasthenia gravis Signup and view all the answers

How should acetylcysteine (Mucomyst) be administered for an acetaminophen overdose?

Mixing the medication in a flavored ice drink and allowing the client to drink the medication through a straw Signup and view all the answers

What is a potential side effect of baclofen (Lioresal)?

Slurred speech Signup and view all the answers

What indicates the presence of myasthenia gravis after the administration of edrophonium?

An increase in muscle strength Signup and view all the answers

What indicates a myasthenic crisis when administering edrophonium?

A temporary improvement in the condition Signup and view all the answers

What side effect might a client experience while taking diazepam (Valium)?

Drowsiness Signup and view all the answers

What specific blood study is important for a client taking Dantrolene (Dantrium)?

Liver function studies Signup and view all the answers

What symptom might indicate elevated phenytoin (Dilantin) levels?

Slurred speech Signup and view all the answers

How does mannitol (Osmitrol) demonstrate its therapeutic action?

Induces diuresis by raising the osmotic pressure of glomerular filtrate, thereby inhibiting tubular reabsorption of water and solutes Signup and view all the answers

Which symptom would indicate aspirin intoxication?

Tinnitus Signup and view all the answers

What measure can help prevent nausea while taking carbidopa/levodopa (Sinemet)?

Taking the medication with food will help to prevent the nausea. Signup and view all the answers

What is the expected daily dose of acetylsalicylic acid (aspirin) for a client with rheumatoid arthritis?

4 g daily Signup and view all the answers

Which food should be avoided by a client with gout taking colchicine?

Scallops Signup and view all the answers

What symptom would indicate toxicity from auranofin (Ridaura)?

Complaints of a metallic taste in the mouth Signup and view all the answers

What initial instruction should a nurse provide to a client having difficulty swallowing diflunisal tablets?

Swallow the tablets with large amounts of water or milk. Signup and view all the answers

What is the normal adult dose of ibuprofen (Motrin) for a client with rheumatoid arthritis?

400 mg orally three times a day Signup and view all the answers

Study Notes

Scabies Treatment

Linadane is prescribed for scabies; apply a thick cream layer to the entire body.
Leave the cream on for 8 to 12 hours before washing it off.

Eardrop Administration to Infants

For infants, pull the ear down and back; direct the eardrop solution toward the canal wall.

Herbal Supplements for Varicose Veins

Bilberry is commonly used as an herbal supplement for treating varicose veins.

Codeine Sulfate in Pain Management

Codeine does not alter respirations or mask neurological signs, making it suitable post-craniotomy.

Edrophonium Test for Myasthenia Gravis

Improvement in muscle strength after edrophonium injection indicates myasthenia gravis.

Acetylcysteine Administration

Administer acetylcysteine for acetaminophen overdose mixed in a flavored ice drink with a straw.

Side Effects of Baclofen

Slurred speech is a noted side effect of baclofen, prescribed for muscle spasms.

Diagnosing Myasthenic Crisis

A temporary improvement in condition after edrophonium indicates a myasthenic crisis.

Side Effects of Diazepam

Drowsiness is a common side effect associated with diazepam, a muscle relaxant for multiple sclerosis.

Dantrolene and Liver Function Monitoring

Dantrolene requires follow-up liver function studies due to potential hepatotoxicity.

Phenytoin Blood Level Symptoms

A phenytoin level of 35 mcg/ml may result in slurred speech; this indicates toxicity.

Mannitol for Intracranial Pressure

Mannitol induces diuresis by raising osmotic pressure, counteracting high intracranial pressure.

Aspirin Intoxication

Symptoms of aspirin intoxication include tinnitus; ongoing use may indicate toxicity.

Managing Nausea from Carbidopa/Levodopa

Taking carbidopa/levodopa with food helps mitigate nausea, a common side effect.

Aspirin Dosage for Rheumatoid Arthritis

Clients should generally take about 4 g of aspirin daily for rheumatoid arthritis management.

Dietary Considerations for Gout

While on colchicine, clients should avoid high-purine foods like scallops.

Auranofin Toxicity Symptoms

Complaints of a metallic taste in the mouth can indicate toxicity from auranofin in rheumatoid arthritis treatment.

Administering Diflunisal Tablets

Instruct clients having trouble swallowing diflunisal tablets to take them with plenty of water or milk.

Ibuprofen Dosage for Arthritis

The standard adult dosage for ibuprofen in treating rheumatoid arthritis is 400 mg orally three times a day.

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Description

This quiz covers essential pharmacological treatments for various conditions, including scabies, myasthenia gravis, and pain management. Test your understanding of medication administration, herbal supplements, and potential side effects. Perfect for nursing students and healthcare professionals.