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Questions and Answers
What medication-related effect is an older adult client with an elevated serum creatinine level at greatest risk for?
What medication-related effect is an older adult client with an elevated serum creatinine level at greatest risk for?
Toxicity
Why should a four-month pregnant client avoid exposure to chemical or industrial vapors?
Why should a four-month pregnant client avoid exposure to chemical or industrial vapors?
Exposure could damage the immature nervous system of the fetus.
What type of toxicity is a client experiencing if they have tonic-clonic seizure activity after receiving an antineoplastic medication?
What type of toxicity is a client experiencing if they have tonic-clonic seizure activity after receiving an antineoplastic medication?
Neurotoxicity
What potential risk of drug therapy should a nurse educate a 22-year-old female client about?
What potential risk of drug therapy should a nurse educate a 22-year-old female client about?
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What assessment should the nurse perform for a client experiencing numbness, tingling, and muscle cramps?
What assessment should the nurse perform for a client experiencing numbness, tingling, and muscle cramps?
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What should the nurse be concerned about regarding an elderly client who has been taking a new medication for 2 months?
What should the nurse be concerned about regarding an elderly client who has been taking a new medication for 2 months?
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What assessment should the nurse prioritize when determining a client's risk for an excessive drug response due to impaired excretion?
What assessment should the nurse prioritize when determining a client's risk for an excessive drug response due to impaired excretion?
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For which client should the nurse emphasize the risk of teratogenic drug effects?
For which client should the nurse emphasize the risk of teratogenic drug effects?
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What is most important for the nurse to do when a client develops bone marrow suppression related to a drug's effects?
What is most important for the nurse to do when a client develops bone marrow suppression related to a drug's effects?
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What has occurred with a client who reports a ringing sound in the ears and dizziness after taking ibuprofen?
What has occurred with a client who reports a ringing sound in the ears and dizziness after taking ibuprofen?
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What are examples of congenital defects associated with drug exposure in the developing fetus? (Select all that apply)
What are examples of congenital defects associated with drug exposure in the developing fetus? (Select all that apply)
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What should the nurse include in the teaching plan for a client receiving a drug associated with anticholinergic effects?
What should the nurse include in the teaching plan for a client receiving a drug associated with anticholinergic effects?
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What is the nurse's priority action after a client begins gasping for breath during antibiotic infusion?
What is the nurse's priority action after a client begins gasping for breath during antibiotic infusion?
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What should be included to help improve client compliance and safety when instructing about a new drug?
What should be included to help improve client compliance and safety when instructing about a new drug?
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What should a client on antibiotic therapy for an abscess be told about a rash developed from sun exposure?
What should a client on antibiotic therapy for an abscess be told about a rash developed from sun exposure?
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What are correct responses about food reactions after an anaphylactic reaction?
What are correct responses about food reactions after an anaphylactic reaction?
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Study Notes
Toxicity in Older Adults
- Elevated serum creatinine indicates risk for medication-related toxicity in older clients.
- Monitor renal function to prevent adverse drug effects.
Risks of Chemical Exposure During Pregnancy
- Pregnant clients should avoid chemical or industrial vapors.
- Exposure may harm fetal nervous system development.
Neurotoxicity from Antineoplastic Medications
- Tonic-clonic seizures can signal neurotoxicity in clients undergoing cancer treatment.
- Immediate assessment and intervention are crucial in such cases.
Teratogenicity Risks
- Young female clients on new medications must be educated about potential teratogenic risks.
- Understanding the impact on embryo/fetus is essential for reproductive health planning.
Assessment of Potassium Levels
- Numbness, tingling, and muscle cramps can indicate electrolyte imbalance.
- Review recent potassium levels to assess the risk of adverse effects.
Memory Loss in Elderly Clients
- Memory issues may be due to aging or medication side effects.
- Discuss concerns with the client and family; consider further evaluation.
Monitoring for Drug Response in Infections
- Blood urea nitrogen and creatinine clearance are important in assessing antibiotic efficacy.
- Impaired renal function increases the risk of excessive drug response.
Client Education on Teratogenic Effects
- Focus on women of childbearing age regarding risks of congenital defects from medications.
- Highlight the importance of discussing all medications with healthcare providers.
Laboratory Monitoring for Bone Marrow Suppression
- Regular monitoring of blood values is crucial for clients with bone marrow suppression due to drugs.
- Early detection of adverse effects can lead to timely interventions.
Ototoxicity from NSAIDs
- Ringing in the ears and dizziness can indicate ototoxicity from ibuprofen.
- Encourage clients to report such symptoms immediately.
Examples of Congenital Defects
- Skeletal and limb abnormalities, central nervous system alterations, and heart defects can result from teratogenic drugs.
- Awareness of potential risks is vital for pregnant patients.
Hydration to Prevent Anticholinergic Effects
- Instruct clients on the importance of staying hydrated when on anticholinergic medications.
- Dehydration can exacerbate side effects and impair therapeutic efficacy.
Priority Actions in Acute Reactions
- In cases of acute adverse reactions, protecting airway patency is crucial.
- Timely action can prevent serious respiratory complications.
Improving Client Compliance
- Discuss measures to alleviate discomfort associated with medication side effects during counseling.
- Reinforcing knowledge can enhance adherence to prescribed regimens.
Photosensitivity Reactions
- Clients on certain antibiotics may experience photosensitivity, leading to rashes with sun exposure.
- Advise protective measures against UV exposure to prevent skin reactions.
Understanding Anaphylactic Reactions
- Anaphylaxis involves antibody-mediated release of histamines, leading to respiratory distress.
- Educate clients on recognizing signs of food allergies and the importance of immediate interventions.
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Test your knowledge with these Pharmacology Chapter 3 flashcards. Each card presents crucial concepts such as toxicity and its implications in medical cases, especially in vulnerable populations. Perfect for both students and professionals in the field of pharmacology.