Podcast
Questions and Answers
What is an adverse effect a nurse should include in teaching for a patient prescribed cipro?
What is an adverse effect a nurse should include in teaching for a patient prescribed cipro?
Phototoxicity.
What action should a nurse take when giving diclofenac sodium to a patient with chronic bursitis?
What action should a nurse take when giving diclofenac sodium to a patient with chronic bursitis?
- Double the dose for pain relief
- Administer on an empty stomach
- Give the medication with food (correct)
- Give with milk only
What action should be taken for a patient with a latex allergy scheduled for surgery?
What action should be taken for a patient with a latex allergy scheduled for surgery?
Place monitoring cords and tubes in a stokinette.
Which of the following increases the patient's risk for developing an aspirin-induced ulcer?
Which of the following increases the patient's risk for developing an aspirin-induced ulcer?
What is raloxifene used for?
What is raloxifene used for?
What should a nurse include in teaching for a patient with a history of DM who has a new prescription for hydrochlorothiazide?
What should a nurse include in teaching for a patient with a history of DM who has a new prescription for hydrochlorothiazide?
What should the nurse monitor for a patient taking acetazolamide?
What should the nurse monitor for a patient taking acetazolamide?
What should be included in teaching for a patient taking zidovudine?
What should be included in teaching for a patient taking zidovudine?
What is the function of allopurinol?
What is the function of allopurinol?
What should be reported to the provider when a patient is taking codeine?
What should be reported to the provider when a patient is taking codeine?
What is the nurse's immediate priority in post-op care?
What is the nurse's immediate priority in post-op care?
What is an adverse effect of pseudoephedrine for allergic rhinitis?
What is an adverse effect of pseudoephedrine for allergic rhinitis?
What should be assessed for when administering acyclovir?
What should be assessed for when administering acyclovir?
What should a nurse report for a patient taking clopidogrel after coronary artery stenting?
What should a nurse report for a patient taking clopidogrel after coronary artery stenting?
Which labs should be used to determine the effectiveness of epoetin alpha?
Which labs should be used to determine the effectiveness of epoetin alpha?
What is an adverse effect of spironolactone?
What is an adverse effect of spironolactone?
What is an adverse effect of danazol for endometriosis?
What is an adverse effect of danazol for endometriosis?
What should be done after using beclomethasone?
What should be done after using beclomethasone?
What are signs and symptoms of a toxic amount of acetaminophen ingested?
What are signs and symptoms of a toxic amount of acetaminophen ingested?
What is an adverse effect for a patient taking ethinyl estradiol and norethindrone for contraception?
What is an adverse effect for a patient taking ethinyl estradiol and norethindrone for contraception?
What is the antidote for warfarin?
What is the antidote for warfarin?
What are signs and symptoms of a patient receiving paclitaxel for ovarian cancer treatment?
What are signs and symptoms of a patient receiving paclitaxel for ovarian cancer treatment?
What should be included in teaching for ondansetron to control nausea and vomiting during chemo?
What should be included in teaching for ondansetron to control nausea and vomiting during chemo?
What is a contraindication for prescribing pregabalin for diabetic nerve pain?
What is a contraindication for prescribing pregabalin for diabetic nerve pain?
What should the nurse do after giving clonidine instead of clonazepam after checking BP?
What should the nurse do after giving clonidine instead of clonazepam after checking BP?
Which routine diagnostic screen should be done for a patient with chronic RA taking hydroxychloroquine?
Which routine diagnostic screen should be done for a patient with chronic RA taking hydroxychloroquine?
What are the signs of anaphylaxis to antibiotics?
What are the signs of anaphylaxis to antibiotics?
What should be monitored for in a patient taking oral albuterol?
What should be monitored for in a patient taking oral albuterol?
What is a contraindication for sumatriptan?
What is a contraindication for sumatriptan?
What is a contraindication for metformin?
What is a contraindication for metformin?
Which medication is a common cause of orthostatic hypotension?
Which medication is a common cause of orthostatic hypotension?
What should be done for a patient taking amiodarone?
What should be done for a patient taking amiodarone?
What lab should be monitored for heparin?
What lab should be monitored for heparin?
What lab is important to monitor with corticosteroids?
What lab is important to monitor with corticosteroids?
What adverse effect should be monitored with ipratropium inhaler?
What adverse effect should be monitored with ipratropium inhaler?
What is the instruction for taking esomeprazole?
What is the instruction for taking esomeprazole?
What should be assessed before giving meperidine?
What should be assessed before giving meperidine?
What nursing action should be taken when giving alteplase?
What nursing action should be taken when giving alteplase?
What should a patient taking cromolyn for asthma be taught?
What should a patient taking cromolyn for asthma be taught?
What medication should be given if a patient taking levodopa carbidopa has tremors and twitching?
What medication should be given if a patient taking levodopa carbidopa has tremors and twitching?
Which medication is given to control adverse effects of topotecan?
Which medication is given to control adverse effects of topotecan?
What heart rhythm can be expected for a patient taking digoxin?
What heart rhythm can be expected for a patient taking digoxin?
What is an adverse effect of atenolol?
What is an adverse effect of atenolol?
What is the medication for hydromorphone toxicity?
What is the medication for hydromorphone toxicity?
What is a medication for alcohol withdrawal?
What is a medication for alcohol withdrawal?
What is an adverse effect of long-term prednisone use?
What is an adverse effect of long-term prednisone use?
Which lab does a nurse monitor for statins?
Which lab does a nurse monitor for statins?
What is didanosine therapy used for?
What is didanosine therapy used for?
What is the expected outcome of mannitol therapy?
What is the expected outcome of mannitol therapy?
What are the side effects of Tamoxifen?
What are the side effects of Tamoxifen?
What is the therapeutic effect of somatropin?
What is the therapeutic effect of somatropin?
What is an adverse effect of haloperidol?
What is an adverse effect of haloperidol?
What is the teaching point regarding rifampin?
What is the teaching point regarding rifampin?
Study Notes
Adverse Effects and Patient Education
- Cipro can cause phototoxicity; advise patients to avoid direct sunlight and to discontinue if symptoms occur. Tendon rupture is also a risk.
- Diclofenac sodium should be taken with food to minimize gastric irritation.
- Hydrochlorothiazide may elevate blood sugar levels in patients with diabetes.
- Potent adverse effects of pseudoephedrine include hypertension.
- Amiodarone is liver toxic; monitor liver enzymes and report any jaundice.
Medication Use and Contraindications
- Raloxifene is prescribed to prevent breast cancer and reduce fracture risk in postmenopausal women.
- Zidovudine is an antiviral for HIV and hepatitis B; limit exposure to infections during treatment.
- Allopurinol decreases uric acid production; patients should increase fluid intake to prevent kidney injury.
- Metformin is contraindicated in patients with a history of alcohol use disorder.
- Sumatriptan, a vasoconstrictor, is contraindicated in patients with angina pectoris.
Monitoring and Assessments
- Monitor electrolyte imbalances in patients taking acetazolamide.
- In patients taking heparin, monitor PTT levels to assess anticoagulation efficacy.
- Patients on corticosteroids require regular glucose level monitoring.
- During post-op care, focus on monitoring respiratory status as a priority.
- Assess respiratory rate before administering meperidine to avoid complications.
Drug Interactions and Complications
- Inform patients taking clopidogrel to avoid ginkgo biloba due to possible interaction.
- Long-term use of prednisone can lead to osteoporosis; monitor for bone health.
- Patients taking atorvastatin should have their ALT levels monitored for potential liver damage.
- Naloxone is the antidote for hydromorphone toxicity; it counters the effects of opioid overdose.
General Nursing Actions
- Provide teaching on the use of cromolyn for asthma, emphasizing daily use and pre-exercise dosing.
- For coping with chemotherapy side effects, granisetron is used to control nausea from topotecan.
- Advise patients taking warfarin to maintain an INR of 2-3; vitamin K is the antidote if needed.
- Patients on opioids, like codeine, experiencing agitation must be monitored for neurotoxicity symptoms.
- Ensure proper hydration in patients on mannitol, as improved urine output is expected.
Specific Treatment Considerations
- During treatment with hydroxychloroquine for chronic RA, routine eye exams are necessary to monitor for retinal damage.
- Education on tamoxifen includes monitoring calcium levels due to hypercalcemia risk and awareness of pulmonary emboli signs.
- Patients receiving paclitaxel for ovarian cancer may experience bradycardia that requires monitoring.
- For patients on levodopa and carbidopa, consider using amantadine if they exhibit tremors and twitching.
Symptoms and Risk Factors
- Anaphylaxis to antibiotics presents with angioedema and can lead to respiratory distress; immediate action is essential.
- Signs of acetaminophen toxicity include diaphoresis, abdominal discomfort, and increased ALT levels.
- Monitor for muscle weakness in patients taking spironolactone as it is a common adverse effect.
- Establish that cigarette smoking raises the risk of gastric ulcers in patients receiving aspirin therapy due to altered gastric secretions.
These summarized points focus on the critical information regarding patient education, adverse effects, monitoring protocols, and nursing actions related to various medications and treatments.
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Description
This quiz consists of flashcards related to pharmacology for nurses, focusing on adverse effects of medications like cipro and the appropriate nursing actions for medications such as diclofenac sodium. It is designed to enhance understanding of key pharmacological concepts and safe practices. Review these flashcards for efficient test preparation.
