Podcast
Questions and Answers
The client has a new prescription for metoclopramide (Reglan). This medication can be safely administered with which condition?
The client has a new prescription for metoclopramide (Reglan). This medication can be safely administered with which condition?
- Peptic ulcer with melena
- Vomiting following cancer chemotherapy (correct)
- Diverticulitis with perforation
- Intestinal obstruction
A nurse has reinforced instructions to a client who has been prescribed cholestyramine (Questran). Which statement by the client indicates a need for further instructions?
A nurse has reinforced instructions to a client who has been prescribed cholestyramine (Questran). Which statement by the client indicates a need for further instructions?
- A high-fiber diet is important while taking this medication.
- I will continue taking vitamin supplements.
- This medication will help lower my cholesterol.
- This medication should only be taken with water. (correct)
A health care provider has written a prescription for ranitidine (Zantac), once daily. The nurse should schedule the medication for which of the following times?
A health care provider has written a prescription for ranitidine (Zantac), once daily. The nurse should schedule the medication for which of the following times?
- After lunch
- Before breakfast
- At bedtime (correct)
- With supper
A client has just taken a dose of trimethobenzamide (Tigan). The nurse plans to monitor this client for relief of:
A client has just taken a dose of trimethobenzamide (Tigan). The nurse plans to monitor this client for relief of:
A client is taking docusate sodium (Colace). The nurse monitors which of the following to determine whether the client is having a therapeutic effect from this medication?
A client is taking docusate sodium (Colace). The nurse monitors which of the following to determine whether the client is having a therapeutic effect from this medication?
A nurse has a prescription to give a client albuterol (Proventil HFA) (two puffs) and beclomethasone dipropionate (Qvar) (nasal inhalation, two puffs), by metered-dose inhaler. The nurse administers the medication by giving the:
A nurse has a prescription to give a client albuterol (Proventil HFA) (two puffs) and beclomethasone dipropionate (Qvar) (nasal inhalation, two puffs), by metered-dose inhaler. The nurse administers the medication by giving the:
A client has begun therapy with theophylline (Theo-24). The nurse tells the client to limit the intake of which of the following while taking this medication?
A client has begun therapy with theophylline (Theo-24). The nurse tells the client to limit the intake of which of the following while taking this medication?
A client with a prescription to take theophylline (Theo-24) daily has been given medication instructions by the nurse. The nurse determines that the client needs further information about the medication if the client states that he or she will:
A client with a prescription to take theophylline (Theo-24) daily has been given medication instructions by the nurse. The nurse determines that the client needs further information about the medication if the client states that he or she will:
A client is taking cetirizine hydrochloride (Zyrtec). The nurse checks for which of the following side effects of this medication?
A client is taking cetirizine hydrochloride (Zyrtec). The nurse checks for which of the following side effects of this medication?
A client taking fexofenadine (Allegra) is scheduled for allergy skin testing and tells the nurse in the health care provider's office that a dose was taken this morning. The nurse determines that:
A client taking fexofenadine (Allegra) is scheduled for allergy skin testing and tells the nurse in the health care provider's office that a dose was taken this morning. The nurse determines that:
A client complaining of not feeling well is seen in a clinic. The client is taking several medications for the control of heart disease and hypertension. These medications include a β-blocker, digoxin (Lanoxin), and a diuretic. A tentative diagnosis of digoxin toxicity is made. Which of the following assessment data would support this diagnosis?
A client complaining of not feeling well is seen in a clinic. The client is taking several medications for the control of heart disease and hypertension. These medications include a β-blocker, digoxin (Lanoxin), and a diuretic. A tentative diagnosis of digoxin toxicity is made. Which of the following assessment data would support this diagnosis?
A client is being treated for acute congestive heart failure with intravenously administered bumetanide. After the initial dose, which of the following is the priority assessment?
A client is being treated for acute congestive heart failure with intravenously administered bumetanide. After the initial dose, which of the following is the priority assessment?
Intravenous heparin therapy is prescribed for a client. While implementing this prescription, a nurse ensures that which of the following medications is available on the nursing unit?
Intravenous heparin therapy is prescribed for a client. While implementing this prescription, a nurse ensures that which of the following medications is available on the nursing unit?
A client diagnosed with pulmonary embolism and is to be treated with streptokinase (Streptase). A nurse would report which priority data collection finding to the registered nurse before initiating this therapy?
A client diagnosed with pulmonary embolism and is to be treated with streptokinase (Streptase). A nurse would report which priority data collection finding to the registered nurse before initiating this therapy?
A nurse is reinforcing dietary instructions to a client who has been prescribed cyclosporine (Sandimmune). Which food item would the nurse instruct the client to avoid?
A nurse is reinforcing dietary instructions to a client who has been prescribed cyclosporine (Sandimmune). Which food item would the nurse instruct the client to avoid?
Mycophenolate mofetil (CellCept) is prescribed for a client as prophylaxis for organ rejection following an allogeneic renal transplant. Which of the following instructions does the nurse reinforce regarding administration of this medication?
Mycophenolate mofetil (CellCept) is prescribed for a client as prophylaxis for organ rejection following an allogeneic renal transplant. Which of the following instructions does the nurse reinforce regarding administration of this medication?
A nurse is reviewing the laboratory results for a client receiving tacrolimus (Prograf). Which laboratory result would indicate to the nurse that the client is experiencing an adverse effect of the medication?
A nurse is reviewing the laboratory results for a client receiving tacrolimus (Prograf). Which laboratory result would indicate to the nurse that the client is experiencing an adverse effect of the medication?
A client receiving nitrofurantoin (Macrodantin) calls the health care provider's office complaining of side effects related to the medication. Which side effect indicates the need to stop treatment with this medication?
A client receiving nitrofurantoin (Macrodantin) calls the health care provider's office complaining of side effects related to the medication. Which side effect indicates the need to stop treatment with this medication?
A client with chronic renal failure is receiving epoetin alfa (Epogen, Procrit). Which laboratory result would indicate a therapeutic effect of the medication?
A client with chronic renal failure is receiving epoetin alfa (Epogen, Procrit). Which laboratory result would indicate a therapeutic effect of the medication?
A nurse is caring for a client receiving morphine sulfate subcutaneously for pain. Because morphine sulfate has been prescribed for this client, which nursing action would be included in the plan of care?
A nurse is caring for a client receiving morphine sulfate subcutaneously for pain. Because morphine sulfate has been prescribed for this client, which nursing action would be included in the plan of care?
Study Notes
Medication Administration and Patient Care
- Metoclopramide (Reglan) is appropriate for managing vomiting following cancer chemotherapy.
- Cholestyramine (Questran) requires further instruction if the patient thinks it should only be taken with water; it's not limited to water.
- Ranitidine (Zantac) is best administered at bedtime to enhance effectiveness.
- Trimethobenzamide (Tigan) is monitored primarily for relief of nausea and vomiting.
- Docusate sodium (Colace) therapeutic effects are indicated by regular bowel movements.
Inhaled Medications
- For albuterol (Proventil HFA) and beclomethasone dipropionate (Qvar), administer albuterol first, as it acts as a bronchodilator.
- When taking theophylline (Theo-24), patients should limit intake of coffee, cola, and chocolate due to increased side effects.
Patient Education and Monitoring
- Patients on theophylline require clarification if they plan to take the daily dose at bedtime; it should be taken consistently at the same time each day.
- Possible side effects of cetirizine hydrochloride (Zyrtec) include drowsiness, which needs monitoring.
- If a patient has taken fexofenadine (Allegra), they must reschedule allergy skin testing as it can affect results.
Digoxin and Heart Failure Management
- Signs of digoxin toxicity include double vision, loss of appetite, and nausea.
- In managing acute congestive heart failure with bumetanide, blood pressure monitoring is crucial, especially after initial doses.
Drug Safety and Interactions
- Protamine sulfate should be readily available during intravenous heparin therapy for potential anticoagulant reversal.
- In patients receiving streptokinase (Streptase), a blood pressure of 198/110 mm Hg must be reported prior to therapy initiation.
Dietary Considerations for Medications
- Cyclosporine (Sandimmune) patients should avoid grapefruit juice due to potential interactions.
- Mycophenolate mofetil (CellCept) instructions include contacting a healthcare provider if a sore throat occurs.
Monitoring Adverse Effects
- An elevated blood glucose of 200 mg/dL indicates an adverse effect in patients receiving tacrolimus (Prograf).
- Patients can stop nitrofurantoin (Macrodantin) if they experience cough and chest pain, as these are concerning side effects.
Epoetin Alfa and Patient Outcomes
- Epoetin alfa (Epogen, Procrit) should show therapeutic effects with a hematocrit level of 32% in patients with chronic renal failure.
- When administering morphine sulfate, encourage the patient to cough and deep breathe to enhance lung function and prevent complications.
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Description
Test your knowledge on the nursing management of medications such as metoclopramide and cholestyramine. This quiz will assess your understanding of the safe administration of these drugs in various clinical scenarios. Enhance your pharmacology skills for effective patient care!
