Questions and Answers
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?
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?
Neurotoxicity
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?
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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?
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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?
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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?
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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)
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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?
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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?
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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.
