Podcast
Questions and Answers
Which product should the client take for a headache while on lansoprazole?
Which product should the client take for a headache while on lansoprazole?
Why are both hydrochlorothiazide and triamterene required for the client?
Why are both hydrochlorothiazide and triamterene required for the client?
What should the nurse check before administering amlodipine?
What should the nurse check before administering amlodipine?
Which common side effect should the nurse monitor for in a client receiving ferrous sulfate?
Which common side effect should the nurse monitor for in a client receiving ferrous sulfate?
Signup and view all the answers
Which vital sign is most important to check before administering digoxin?
Which vital sign is most important to check before administering digoxin?
Signup and view all the answers
Which adverse effects should the nurse recognize as potential from furosemide? (Select all that apply)
Which adverse effects should the nurse recognize as potential from furosemide? (Select all that apply)
Signup and view all the answers
Which statement indicates that the client needs further teaching regarding lisinopril?
Which statement indicates that the client needs further teaching regarding lisinopril?
Signup and view all the answers
Which statement indicates understanding of anticonvulsant medication instructions?
Which statement indicates understanding of anticonvulsant medication instructions?
Signup and view all the answers
Which diagnosis in the client's history should prompt the nurse to contact the registered nurse while prescribing megestrol acetate?
Which diagnosis in the client's history should prompt the nurse to contact the registered nurse while prescribing megestrol acetate?
Signup and view all the answers
Which laboratory value indicates massive cell destruction from chemotherapy in a client with leukemia?
Which laboratory value indicates massive cell destruction from chemotherapy in a client with leukemia?
Signup and view all the answers
What should the nurse advise regarding cyclophosphamide intake?
What should the nurse advise regarding cyclophosphamide intake?
Signup and view all the answers
Which symptom indicates to the nurse that a client is experiencing a toxic effect from daunorubicin?
Which symptom indicates to the nurse that a client is experiencing a toxic effect from daunorubicin?
Signup and view all the answers
Which adverse effect should the nurse monitor for while administering desmopressin acetate?
Which adverse effect should the nurse monitor for while administering desmopressin acetate?
Signup and view all the answers
When is the best time for the client to take prednisone?
When is the best time for the client to take prednisone?
Signup and view all the answers
What change should the nurse anticipate in a client with diabetes mellitus taking prednisone?
What change should the nurse anticipate in a client with diabetes mellitus taking prednisone?
Signup and view all the answers
Study Notes
Pharmacological Interventions and Patient Management
-
Lansoprazole (Prevacid) is used for Zollinger-Ellison syndrome; acetaminophen (Tylenol) is recommended for headache relief due to its safety profile.
-
Hydrochlorothiazide and triamterene: A combination therapy where triamterene acts as a potassium-sparing diuretic while hydrochlorothiazide is a potassium-losing diuretic, helping to prevent hypokalemia.
-
Fosinopril (Monopril) may cause impaired taste; this side effect is often temporary, resolving within 2 to 3 months.
-
Check blood pressure and heart rate before administering amlodipine (Norvasc) to ensure safety and efficacy.
-
Ferrous sulfate (Feosol) can lead to constipation, a common side effect that requires monitoring, especially in chronic renal failure clients.
-
Prior to administering digoxin (Lanoxin) for heart failure, checking the heart rate is critical to avoid potential complications.
Adverse Drug Reactions and Monitoring
-
Furosemide (Lasix) can cause adverse effects like tinnitus, hypotension, and hypokalemia; monitoring for these symptoms is essential.
-
Clients on lisinopril (Prinivil, Zestril) should not skip doses; consistent administration is key for hypertension management.
-
An understanding of seizure management emphasizes the importance of avoiding alcohol while on anticonvulsants.
Oncology and Chemotherapy
-
Megestrol acetate (Megace) contraindicated in clients with a history of thrombophlebitis due to increased risk of complications.
-
Following chemotherapy, an increased uric acid level is noted due to massive cell destruction, an important laboratory value for consideration.
-
Clients receiving cyclophosphamide (Neosar) must increase their fluid intake to 2000 to 3000 mL daily to prevent complications.
-
Signs of daunorubicin (DaunoXome) toxicity include the presence of crackles in lung auscultation, indicating pulmonary complications.
Hormonal and Endocrine Therapies
-
Clients on desmopressin acetate (DDAVP) should be monitored for drowsiness, a potential adverse effect.
-
Levothyroxine (Synthroid) should be taken on an empty stomach for optimal absorption, and clients must report tremors as a sign that may necessitate dosage reevaluation.
-
History of Graves’ disease is suggested by the use of propylthiouracil (PTU), indicating hyperthyroidism management.
-
Intranasal DDAVP may cause a runny nose as a side effect, which should be communicated to the client.
Corticosteroid Therapy
-
Prednisone is best taken in the early morning to align with natural cortisol rhythms and minimize side effects.
-
Increased dosing of Humulin NPH insulin may be required during prednisone therapy to manage blood glucose levels effectively in diabetic patients.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz focuses on the pharmacological management of conditions such as Zollinger-Ellison syndrome and the use of medications like lansoprazole and hydrochlorothiazide. Test your knowledge on appropriate headache medications and the reasons for combining diuretics. Enhance your understanding of nursing implications and patient care related to these drugs.
