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Questions and Answers
Which of the following medications should the nurse prepare to administer?
Which of the following medications should the nurse prepare to administer?
What laboratory values should the nurse monitor for a therapeutic effect of warfarin?
What laboratory values should the nurse monitor for a therapeutic effect of warfarin?
Prothrombin time (PT)
Which food is the best source of potassium for a client who takes furosemide?
Which food is the best source of potassium for a client who takes furosemide?
bananas
Which findings should the nurse expect in a client with acute cocaine toxicity? (Select all that apply)
Which findings should the nurse expect in a client with acute cocaine toxicity? (Select all that apply)
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What adverse reaction should the nurse monitor for in a client taking propranolol?
What adverse reaction should the nurse monitor for in a client taking propranolol?
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What should the nurse do before administering phenytoin suspension to a child?
What should the nurse do before administering phenytoin suspension to a child?
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What action by a new nurse caring for a client receiving a transfusion requires intervention?
What action by a new nurse caring for a client receiving a transfusion requires intervention?
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Which IV solution should the nurse use to prime blood administration tubing?
Which IV solution should the nurse use to prime blood administration tubing?
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What allergic response should the nurse prepare for by administering diphenhydramine?
What allergic response should the nurse prepare for by administering diphenhydramine?
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What medication should the nurse plan to administer with a serum potassium level of 5.3 mEq/L?
What medication should the nurse plan to administer with a serum potassium level of 5.3 mEq/L?
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Why are both anticoagulants warfarin and heparin necessary for a client?
Why are both anticoagulants warfarin and heparin necessary for a client?
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What should the nurse evaluate before administering digoxin?
What should the nurse evaluate before administering digoxin?
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What should a client with a new prescription for lithium be taught regarding discharge?
What should a client with a new prescription for lithium be taught regarding discharge?
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How should ferrous sulfate liquid be taken to enhance absorption?
How should ferrous sulfate liquid be taken to enhance absorption?
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What action should the nurse perform first in case of dyspnea and tongue swelling after penicillin G procaine injection?
What action should the nurse perform first in case of dyspnea and tongue swelling after penicillin G procaine injection?
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What instruction should be given for taking SL nitroglycerin tablets?
What instruction should be given for taking SL nitroglycerin tablets?
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What dietary instruction should be given for a client with a new prescription for verapamil?
What dietary instruction should be given for a client with a new prescription for verapamil?
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What findings indicate fluid volume excess in an older adult client receiving IV therapy? (Select all that apply)
What findings indicate fluid volume excess in an older adult client receiving IV therapy? (Select all that apply)
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What is the priority intervention for a child experiencing status asthmaticus?
What is the priority intervention for a child experiencing status asthmaticus?
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To obtain an accurate gentamicin serum level, when should the trough and peak levels be drawn?
To obtain an accurate gentamicin serum level, when should the trough and peak levels be drawn?
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What statement indicates a client understands their angina pectoris treatment with nitroglycerin?
What statement indicates a client understands their angina pectoris treatment with nitroglycerin?
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What action should be taken when a client who is 6 weeks of gestation reports taking feverfew?
What action should be taken when a client who is 6 weeks of gestation reports taking feverfew?
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What action should the nurse take before administering digoxin to a client with atrial fibrillation?
What action should the nurse take before administering digoxin to a client with atrial fibrillation?
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What factor is of primary consideration when determining the schedule of administration for multiple medications?
What factor is of primary consideration when determining the schedule of administration for multiple medications?
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Calculate the mL/hr for heparin IV infusion at 1,200 units/hr with 25,000 units in 500 mL D5W.
Calculate the mL/hr for heparin IV infusion at 1,200 units/hr with 25,000 units in 500 mL D5W.
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What should the nurse check when a client on methotrexate reports bleeding gums?
What should the nurse check when a client on methotrexate reports bleeding gums?
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What explanation should be provided before administering cyclobenzaprine for a fractured ulna?
What explanation should be provided before administering cyclobenzaprine for a fractured ulna?
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What storage instruction should be given for nystatin suspension?
What storage instruction should be given for nystatin suspension?
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For which of the following client statements should the nurse consider administering alprazolam?
For which of the following client statements should the nurse consider administering alprazolam?
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At which time should the nurse perform the final check before administering medication?
At which time should the nurse perform the final check before administering medication?
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Which adverse effect of cisplatin should the nurse include in the teaching?
Which adverse effect of cisplatin should the nurse include in the teaching?
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Which of the following client symptoms may indicate tardive dyskinesia?
Which of the following client symptoms may indicate tardive dyskinesia?
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What medication is contraindicated when taking sildenafil?
What medication is contraindicated when taking sildenafil?
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What should the nurse do first after realizing a medication was given to the wrong client?
What should the nurse do first after realizing a medication was given to the wrong client?
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Which menu item requires intervention for a client on a monoamine oxidase inhibitor (MAOI)?
Which menu item requires intervention for a client on a monoamine oxidase inhibitor (MAOI)?
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Which medication should be prepared for a client withdrawing from opioids?
Which medication should be prepared for a client withdrawing from opioids?
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What should the nurse say to a client who states they just took an entire bottle of amitriptyline?
What should the nurse say to a client who states they just took an entire bottle of amitriptyline?
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Which medication should the nurse anticipate administering to a newborn with respiratory depression?
Which medication should the nurse anticipate administering to a newborn with respiratory depression?
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What should be checked when a client receiving cisplatin reports fatigue?
What should be checked when a client receiving cisplatin reports fatigue?
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Which statement indicates the client understands the chemotherapy teaching?
Which statement indicates the client understands the chemotherapy teaching?
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What manifestation indicates a client is hypokalemic?
What manifestation indicates a client is hypokalemic?
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What finding indicates a therapeutic effect of dopamine in treating left ventricular failure?
What finding indicates a therapeutic effect of dopamine in treating left ventricular failure?
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What should the nurse include in the teaching about cyclobenzaprine?
What should the nurse include in the teaching about cyclobenzaprine?
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What is the priority assessment before administering meperidine?
What is the priority assessment before administering meperidine?
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Which adverse effect should the nurse monitor for when administering verapamil?
Which adverse effect should the nurse monitor for when administering verapamil?
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What instruction should be included for a client with a new prescription for clopidogrel?
What instruction should be included for a client with a new prescription for clopidogrel?
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What should the nurse say to a client concerned about a new-looking pill?
What should the nurse say to a client concerned about a new-looking pill?
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Which prescription requires clarification for a client with acute heart failure?
Which prescription requires clarification for a client with acute heart failure?
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What finding is a priority to report for a client on lisinopril?
What finding is a priority to report for a client on lisinopril?
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What instruction should be included for a client taking alprazolam for insomnia?
What instruction should be included for a client taking alprazolam for insomnia?
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What indicates a therapeutic response to epinephrine after administration?
What indicates a therapeutic response to epinephrine after administration?
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What medication should be prepared for a client on warfarin therapy with an INR of 5.2?
What medication should be prepared for a client on warfarin therapy with an INR of 5.2?
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What prescription should the nurse anticipate for a postoperative hip arthroplasty client?
What prescription should the nurse anticipate for a postoperative hip arthroplasty client?
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What information should the nurse provide about oral acetylcysteine?
What information should the nurse provide about oral acetylcysteine?
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For which condition is pseudoephedrine contraindicated?
For which condition is pseudoephedrine contraindicated?
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What medication should the nurse plan for a client with increasing intracranial pressure?
What medication should the nurse plan for a client with increasing intracranial pressure?
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How many gtt/min should the nurse set for Ringer's lactate IV at 120 mL/hr?
How many gtt/min should the nurse set for Ringer's lactate IV at 120 mL/hr?
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How many mL of diphenhydramine elixir should the nurse administer for 25 mg?
How many mL of diphenhydramine elixir should the nurse administer for 25 mg?
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What is a manifestation of digoxin toxicity?
What is a manifestation of digoxin toxicity?
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What health promotion goal should be included for a client who smokes and has hypertension?
What health promotion goal should be included for a client who smokes and has hypertension?
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Match the actions for a client with a hoarse voice and swollen lips after administering losartan:
Match the actions for a client with a hoarse voice and swollen lips after administering losartan:
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What should be included in teaching for a client on disulfiram?
What should be included in teaching for a client on disulfiram?
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What finding should the nurse investigate further for a client on metoprolol?
What finding should the nurse investigate further for a client on metoprolol?
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What symptoms should a client with chemotherapy-induced peripheral neuropathy report?
What symptoms should a client with chemotherapy-induced peripheral neuropathy report?
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What manifestation indicates an acute hemolytic reaction during a blood transfusion?
What manifestation indicates an acute hemolytic reaction during a blood transfusion?
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What should the nurse say to a client experiencing a headache after nitroglycerin?
What should the nurse say to a client experiencing a headache after nitroglycerin?
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What condition might the nurse suspect for a client with shortness of breath and swelling in lower extremities?
What condition might the nurse suspect for a client with shortness of breath and swelling in lower extremities?
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What dietary element should a client on lithium ensure adequate intake of?
What dietary element should a client on lithium ensure adequate intake of?
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What condition is a client with agranulocytosis at increased risk for?
What condition is a client with agranulocytosis at increased risk for?
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What finding should prompt the nurse to withhold atenolol?
What finding should prompt the nurse to withhold atenolol?
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What statement indicates the need for further teaching for a client on warfarin?
What statement indicates the need for further teaching for a client on warfarin?
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What IV solution should the nurse use to prime blood administration tubing?
What IV solution should the nurse use to prime blood administration tubing?
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What action should the nurse take with expired medication?
What action should the nurse take with expired medication?
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What medication is expected for a client with prostate cancer?
What medication is expected for a client with prostate cancer?
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What technique should be used when administering heparin subcutaneously?
What technique should be used when administering heparin subcutaneously?
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What should the nurse plan to administer after phenytoin IV injection?
What should the nurse plan to administer after phenytoin IV injection?
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What laboratory value should be monitored for a client receiving furosemide?
What laboratory value should be monitored for a client receiving furosemide?
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What should the nurse provide information on for a client receiving fluphenazine?
What should the nurse provide information on for a client receiving fluphenazine?
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What assessment indicates circulatory overload for a client after RBC transfusion?
What assessment indicates circulatory overload for a client after RBC transfusion?
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What adverse effect should be instructed for rifampin therapy?
What adverse effect should be instructed for rifampin therapy?
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What adverse effect of diphenhydramine should the nurse explain to clients?
What adverse effect of diphenhydramine should the nurse explain to clients?
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What finding in history should be reported for a client on propranolol?
What finding in history should be reported for a client on propranolol?
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Study Notes
Schizophrenia and Anxiety Management
- Alprazolam 0.25 mg can be administered for anxiety when the client reports symptoms like a pounding heart.
Medication Administration
- Final medication checks should occur at the client’s bedside right before administration.
Adverse Effects Knowledge
- Teaching about cisplatin should include tinnitus as a significant adverse effect.
Tardive Dyskinesia Indicators
- Signs include tongue thrusting, lip smacking, facial grimacing, eye blinking, pelvic rocking, and hip thrusting movements, indicating potential tardive dyskinesia from haloperidol.
Sildenafil Contraindications
- Isosorbide is a contraindication for clients requesting sildenafil for erectile dysfunction.
Medication Error Response
- Upon administering nifedipine to the wrong client, the first step is to check the client’s vital signs.
MAOI Dietary Restrictions
- Bologna sandwiches require intervention for clients taking monoamine oxidase inhibitors (MAOIs).
Opioid Withdrawal Treatment
- Methadone is the medication of choice for clients withdrawing from opioids.
Crisis Intervention
- If a client reports an amitriptyline overdose, the nurse should arrange for emergency medical assistance.
Neonatal Respiratory Management
- Naloxone is anticipated for newborns experiencing respiratory depression.
Monitoring during Chemotherapy
- Clients on cisplatin should have their CBC results monitored when fatigue is reported.
Breast Cancer Chemotherapy Education
- Clients should be advised to report any unusual menstrual bleeding during chemotherapy.
Diuretic Assessment
- Symptoms of hypokalemia include fatigue for clients on daily diuretics.
Dopamine Therapeutic Effects
- Increased systolic blood pressure indicates a therapeutic response to dopamine in treating left ventricular failure.
Cyclobenzaprine Use
- Patients should be instructed to avoid driving until they are aware of how cyclobenzaprine affects them.
Meperidine Injection Priorities
- Assessing the respiratory rate is crucial before administering an intramuscular injection of meperidine.
IV Verapamil Administration
- Blood pressure should be monitored for hypotension when administering verapamil for cardiac dysrhythmias.
Pre-Surgery Clopidogrel Instructions
- Clients should plan to stop clopidogrel five days prior to any scheduled surgeries.
Identifying Medication Errors
- When a client expresses concern about a different-appearing medication, the nurse should ask for a description of the pill.
Clarification of Medical Orders
- Clarification is needed if normal saline is prescribed for a client with acute heart failure.
Hypertension Management with Lisinopril
- A dry cough is a concerning side effect of lisinopril therapy.
Alprazolam and Alertness
- Clients using alprazolam should avoid activities requiring alertness, such as driving.
Therapeutic Response to Epinephrine
- Unlabored respirations indicate a therapeutic response after receiving epinephrine for angioedema.
Warfarin Therapy Management
- Vitamin K should be administered when a client on warfarin has an INR of 5.2.
Postoperative Medication Needs
- Expect prescriptions for enoxaparin for clients after hip arthroplasty.
Acetylcysteine Instruction
- Inform clients that oral acetylcysteine has an unusual odor.
Pseudoephedrine Contraindications
- Pseudoephedrine should not be used by clients with hypertension.
Medication for Increased ICP
- Mannitol 25% is indicated for clients with signs of increasing intracranial pressure.
IV Infusion Rate Calculation
- For a continuous IV infusion of Ringer's lactate at 120 mL/hr, set the rate to 120 gtt/min using 60 gtt/mL tubing.
Child Dosage Calculation for Diphenhydramine
- Administer 10 mL of diphenhydramine elixir at 12.5 mg/5 mL for a 25 mg dosage.
Digoxin Toxicity Signs
- Anorexia is a key indicator of digoxin toxicity.
Health Promotion in Smoking Clients
- Goal: Increase physical activity to 30 minutes, 5 days a week for clients who smoke and have hypertension.
Emergency Procedures for Allergic Reactions
- Conduct a thorough airway assessment, call emergency services, apply oxygen, initiate IV access, and administer epinephrine and antihistamines in that order for severe reactions.
Disulfiram Patient Education
- It’s critical clients understand they should not drink alcohol while taking disulfiram.
Assessing Heart Failure Medication History
- Investigate any history of left-sided heart failure for clients starting metoprolol.
Monitoring Chemotherapy Effects
- Clients with peripheral neuropathy may describe a tingling sensation in their extremities.
Acute Hemolytic Reaction Signs
- Symptoms such as low back pain may indicate an acute hemolytic reaction during blood transfusion.
Nitroglycerin Therapeutic Effects
- A headache following sublingual nitroglycerin administration is considered a normal side effect and not a cause for alarm.
Hypervolemia Signs in Renal Clients
- Symptoms like shortness of breath and crackles in the lungs may suggest hypervolemia in clients with end-stage kidney disease.
Lithium Dietary Consideration
- Clients prescribed lithium should ensure adequate sodium intake.
Risk of Infection with Agranulocytosis
- Agranulocytosis as a side effect of propylthiouracil increases susceptibility to infections.
Atenolol Administration Caution
- A heart rate of 46/min should lead to withholding atenolol.
Warfarin Patient Teaching
- Advise clients to avoid ginger root due to its interaction with warfarin.
Blood Transfusion priming Solutions
- Use 0.9% sodium chloride for priming blood administration tubing.
Expired Medication Protocol
- Expired medications should be returned to the pharmacy for disposal.
Prostate Cancer Medication
- Leuprolide is commonly prescribed for clients with prostate cancer.
Heparin Administration Technique
- Aseptic technique is essential when administering subcutaneous heparin for deep vein thrombosis.
Post-Injection Protocol for Phenytoin
- A saline flush should be administered following an IV injection of phenytoin.
Furosemide Potassium Monitoring
- The nurse should monitor potassium levels in clients receiving furosemide.
Schizophrenia Medication Education
- Clients taking fluphenazine should be informed that sleepiness is typical and should resolve within a week.
Circulatory Overload Assessment
- Dyspnea may indicate circulatory overload for clients receiving transfusions of packed RBCs.
Rifampin Adverse Effects
- Body secretions turning a red-orange color is a known side effect of rifampin therapy for tuberculosis.
Fall Risk Factors in Older Adults
- The use of alprazolam may contribute to increased fall risk in older adults.
Purpose of Pancuronium
- Pancuronium is utilized to suppress respiratory effort in patients needing mechanical ventilation.
Post-Nitroglycerin Administration
- If pain relief occurs but still persists, the nurse should administer another nitroglycerin tablet.
Potassium Chloride Administration Instruction
- Clients should swallow extended-release potassium chloride tablets whole for safe ingestion.
Monitoring for Fluid Overload During Transfusion
- Signs such as dyspnea, jugular vein distention, and confusion should be monitored to prevent fluid overload during blood transfusion.
Warfarin Contraindications Education
- Educate clients on the risks of warfarin during pregnancy.
Monitoring Epoetin Alfa Effectiveness
- Review hematocrit levels for indications of therapeutic effects while on epoetin alfa therapy.
Methotrexate Instructions
- Patients should refrain from alcohol consumption, report unexplained bruising, and avoid crowded spaces while taking methotrexate.### Sodium Chloride
- 0.9% sodium chloride is an isotonic saline solution commonly used for intravenous therapy or as a diluent for medications.
Allergic Reactions and Transfusions
- Administer diphenhydramine before transfusion for patients with a history of urticaria during previous transfusions.
Potassium Levels
- A serum potassium level of 5.3 mEq/L requires administration of furosemide to help manage potassium levels.
Anticoagulant Therapy
- Heparin and warfarin can be prescribed simultaneously; warfarin takes days to reach therapeutic levels, necessitating heparin for immediate anticoagulation.
Digoxin Administration
- Evaluate for symptoms of nausea, vomiting, and anorexia before administering digoxin in patients with heart failure to ensure safe dosage.
Lithium Management
- Clients prescribed lithium should be instructed to monitor daily weight to detect water retention or signs of toxicity.
Iron Supplementation
- Ferrous sulfate should be taken with orange juice to enhance iron absorption due to the vitamin C content.
Anaphylaxis Response
- In case of dyspnea and tongue swelling after penicillin injection, administer epinephrine subcutaneously as the first action.
Angina Treatment
- For angina pectoris, instruct clients to take nitroglycerin tablet at the first sign of chest pain.
Dietary Considerations for Angina
- Advise clients on verapamil to increase dietary fiber intake to prevent constipation, a common side effect.
Fluid Volume Excess Indicators
- Signs of fluid volume excess include a bounding pulse, pitting edema, and crackles upon auscultation.
Asthma Management
- Administer a short-acting ß2-agonist (SABA) as the priority intervention for a child experiencing status asthmaticus.
Gentamicin Administration
- For accurate gentamicin serum levels, draw a trough level before the next dose and a peak level 30 minutes after administration.
Emergency Response for Angina
- If one nitroglycerin tablet does not relieve chest pain, call 911 and take up to two more tablets five minutes apart while waiting.
Herbal Supplement Caution
- Advise pregnant clients against taking feverfew, an herb that may pose risks during pregnancy.
Apical Pulse Measurement
- Before administering digoxin, measure the client’s apical pulse to ensure it is within safe limits.
Medication Administration Schedule
- Consider specific characteristics of medications when determining their administration schedule.
Heparin Infusion Calculation
- For a heparin continuous IV infusion of 1,200 units/hr, set the IV pump to deliver 24 mL/hr.
Platelet Count Monitoring
- For clients on methotrexate presenting with bleeding gums, check the current platelet count to assess bleeding risk.
Cyclobenzaprine Use
- Explain that cyclobenzaprine is prescribed to relieve muscle spasms associated with fractures.
Nystatin Storage Instructions
- Nystatin suspension should be stored at room temperature to maintain its effectiveness.
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Prepare for the Pharmacology Proctored ATI Exam with these flashcards. Each card presents a scenario involving medication administration and patient assessment, helping to reinforce critical nursing concepts. This resource is essential for nursing students looking to excel in their pharmacology knowledge.
