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Questions and Answers
Which medication should the nurse prepare to administer for a client with hyperparathyroidism with a serum calcium level of 13 mg/dL?
Which medication should the nurse prepare to administer for a client with hyperparathyroidism with a serum calcium level of 13 mg/dL?
- Calcium gluconate
- Calcium chloride
- Calcitonin (Miacalcin) (correct)
- Large doses of vitamin D
What is the most appropriate nursing action when a client experiences local discomfort and burning from mafenide acetate (Sulfamylon)?
What is the most appropriate nursing action when a client experiences local discomfort and burning from mafenide acetate (Sulfamylon)?
- Informing the client that this is normal (correct)
- Applying a thinner film than prescribed to the burn site
- Discontinuing the medication
- Notifying the registered nurse
Which indicates that a systemic effect has occurred during treatment with topical mafenide acetate (Sulfamylon)?
Which indicates that a systemic effect has occurred during treatment with topical mafenide acetate (Sulfamylon)?
- Hyperventilation (correct)
- Elevated blood pressure
- Local rash at the burn site
- Local pain at the burn site
What indicates the presence of systemic toxicity from salicylic acid prescribed for a client with psoriasis?
What indicates the presence of systemic toxicity from salicylic acid prescribed for a client with psoriasis?
When are chemical sunscreens most effective when applied?
When are chemical sunscreens most effective when applied?
With which best food item should oral iron supplements be administered to a child with iron deficiency anemia?
With which best food item should oral iron supplements be administered to a child with iron deficiency anemia?
Which laboratory test will be prescribed before the administration of isotretinoin for severe acne?
Which laboratory test will be prescribed before the administration of isotretinoin for severe acne?
The nurse would contact the health care provider if the client prescribed isotretinoin is taking which medication?
The nurse would contact the health care provider if the client prescribed isotretinoin is taking which medication?
Azelaic acid (Azelex) is prescribed for the treatment of which condition?
Azelaic acid (Azelex) is prescribed for the treatment of which condition?
Which statement made by the client about silver sulfadiazine (Silvadene) indicates a lack of understanding?
Which statement made by the client about silver sulfadiazine (Silvadene) indicates a lack of understanding?
A topical corticosteroid is applied to which body area would increase the potential for systemic absorption?
A topical corticosteroid is applied to which body area would increase the potential for systemic absorption?
What should the nurse do if a client experiences pain and swelling at the IV site during an antineoplastic medication infusion?
What should the nurse do if a client experiences pain and swelling at the IV site during an antineoplastic medication infusion?
Which diagnostic study will be prescribed for a client receiving bleomycin intravenously?
Which diagnostic study will be prescribed for a client receiving bleomycin intravenously?
What laboratory value should the nurse specifically monitor during treatment with busulfan (Myleran)?
What laboratory value should the nurse specifically monitor during treatment with busulfan (Myleran)?
What should the nurse inform the client receiving an antineoplastic medication about immunizations?
What should the nurse inform the client receiving an antineoplastic medication about immunizations?
Which side effect indicates a specific effect of vincristine (Oncovin)?
Which side effect indicates a specific effect of vincristine (Oncovin)?
If pancreatitis is documented in a client's history, the nurse should consult regarding which medication?
If pancreatitis is documented in a client's history, the nurse should consult regarding which medication?
Etoposide (VePesid) is associated with which side effect?
Etoposide (VePesid) is associated with which side effect?
The primary action of tamoxifen for metastatic breast carcinoma is to:
The primary action of tamoxifen for metastatic breast carcinoma is to:
Which laboratory value should be specifically monitored while taking tamoxifen?
Which laboratory value should be specifically monitored while taking tamoxifen?
Select the adverse effects associated with cisplatin, that the nurse should monitor for.
Select the adverse effects associated with cisplatin, that the nurse should monitor for.
Calcium gluconate is prescribed after a thyroidectomy to treat what condition?
Calcium gluconate is prescribed after a thyroidectomy to treat what condition?
What information should be taught for the discharge of a client stabilized with daily insulin injections?
What information should be taught for the discharge of a client stabilized with daily insulin injections?
Indicate which action indicates the need for further teaching while mixing regular insulin and NPH insulin in the same syringe.
Indicate which action indicates the need for further teaching while mixing regular insulin and NPH insulin in the same syringe.
How should unopened vials of insulin be stored?
How should unopened vials of insulin be stored?
While taking glimepiride (Amaryl), the client should avoid which substance?
While taking glimepiride (Amaryl), the client should avoid which substance?
A nurse would question the prescription of sildenafil (Viagra) if the client's history includes which medication?
A nurse would question the prescription of sildenafil (Viagra) if the client's history includes which medication?
What should a nurse do if a client with type 1 diabetes mellitus is prescribed exenatide (Byetta)?
What should a nurse do if a client with type 1 diabetes mellitus is prescribed exenatide (Byetta)?
When is the most likely time for a hypoglycemic reaction to occur after administration of Humulin NPH insulin?
When is the most likely time for a hypoglycemic reaction to occur after administration of Humulin NPH insulin?
If recently diagnosed with diabetes mellitus and fasting blood glucose levels are elevated, which medication may have contributed?
If recently diagnosed with diabetes mellitus and fasting blood glucose levels are elevated, which medication may have contributed?
Which client statement indicates that further teaching is necessary regarding prednisone?
Which client statement indicates that further teaching is necessary regarding prednisone?
After administration of desmopressin acetate (DDAVP) for diabetes insipidus, the nurse monitors for which therapeutic response?
After administration of desmopressin acetate (DDAVP) for diabetes insipidus, the nurse monitors for which therapeutic response?
Select all that apply regarding instructions for a client prescribed repaglinide (Prandin) and metformin (Glucophage).
Select all that apply regarding instructions for a client prescribed repaglinide (Prandin) and metformin (Glucophage).
To monitor the effectiveness of infliximab (Remicade) for a client with Crohn's disease, the nurse should take which action?
To monitor the effectiveness of infliximab (Remicade) for a client with Crohn's disease, the nurse should take which action?
Loperamide hydrochloride (Imodium) is prescribed for what condition?
Loperamide hydrochloride (Imodium) is prescribed for what condition?
For which condition should ondansetron (Zofran) be administered to a postoperative client?
For which condition should ondansetron (Zofran) be administered to a postoperative client?
The nurse evaluates that pancrelipase (Pancrease MT) is having optimal benefit if which effect is observed?
The nurse evaluates that pancrelipase (Pancrease MT) is having optimal benefit if which effect is observed?
While taking cimetidine (Tagamet), the nurse monitors for which frequent central nervous system side effect?
While taking cimetidine (Tagamet), the nurse monitors for which frequent central nervous system side effect?
The nurse schedules sucralfate (Carafate) for which times?
The nurse schedules sucralfate (Carafate) for which times?
What indicates that misoprostol (Cytotec) is having the intended therapeutic effect?
What indicates that misoprostol (Cytotec) is having the 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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