Podcast
Questions and Answers
Which of the following statements should the nurse identify as an indication that the client understands the teaching about diltiazem?
Which of the following statements should the nurse identify as an indication that the client understands the teaching about diltiazem?
- I will eat a high-fat diet.
- I should stop the medication if I feel dizzy.
- I will check my heart rate before I take the medication. (correct)
- I can take this medication any time of day.
Which laboratory value should the nurse monitor for a client taking atorvastatin for hyperlipidemia?
Which laboratory value should the nurse monitor for a client taking atorvastatin for hyperlipidemia?
- Creatinine kinase (correct)
- Platelets
- Hemoglobin
- Bilirubin
Which laboratory test should the nurse review before administering clozapine?
Which laboratory test should the nurse review before administering clozapine?
- Total cholesterol (correct)
- Liver function tests
- Thyroid levels
- Potassium levels
Which statement by the client taking fluoxetine indicates an understanding of the teaching?
Which statement by the client taking fluoxetine indicates an understanding of the teaching?
What adverse effect should the nurse identify for a client receiving haloperidol?
What adverse effect should the nurse identify for a client receiving haloperidol?
Which statement indicates the client understands the teaching about ciprofloxacin?
Which statement indicates the client understands the teaching about ciprofloxacin?
What adverse effect should the nurse instruct clients taking sumatriptan to monitor for?
What adverse effect should the nurse instruct clients taking sumatriptan to monitor for?
What should the nurse do first for a client who reports confusion and anxiety while taking glyburide?
What should the nurse do first for a client who reports confusion and anxiety while taking glyburide?
Which statement indicates that the client understands how to dispose of an old patch of ethinyl estradiol/norelgestromin?
Which statement indicates that the client understands how to dispose of an old patch of ethinyl estradiol/norelgestromin?
What should the nurse identify as an adverse effect of amitriptyline?
What should the nurse identify as an adverse effect of amitriptyline?
What action should the nurse take first if a client is allergic to penicillin and has a new prescription for amoxicillin/clavulanic?
What action should the nurse take first if a client is allergic to penicillin and has a new prescription for amoxicillin/clavulanic?
Which laboratory finding is a priority for the nurse to report before administering ceftazidime?
Which laboratory finding is a priority for the nurse to report before administering ceftazidime?
What finding is the priority for the nurse to report when assessing a client who is taking tamoxifen?
What finding is the priority for the nurse to report when assessing a client who is taking tamoxifen?
Which medication should the nurse instruct a client to use prior to physical activity for exercise-induced asthma?
Which medication should the nurse instruct a client to use prior to physical activity for exercise-induced asthma?
For which finding should the nurse monitor as an adverse effect of warfarin?
For which finding should the nurse monitor as an adverse effect of warfarin?
What finding should the nurse immediately notify the provider for a client taking aspirin?
What finding should the nurse immediately notify the provider for a client taking aspirin?
What mechanism of action should the nurse include when teaching about docusate sodium?
What mechanism of action should the nurse include when teaching about docusate sodium?
What should the nurse say to a client who is refusing to take their furosemide?
What should the nurse say to a client who is refusing to take their furosemide?
Which information should the nurse include for a client taking allopurinol for gout?
Which information should the nurse include for a client taking allopurinol for gout?
What finding should the nurse monitor as an adverse effect of enalapril in a client with heart failure?
What finding should the nurse monitor as an adverse effect of enalapril in a client with heart failure?
For which effect related to digoxin should the nurse instruct the client to monitor and report?
For which effect related to digoxin should the nurse instruct the client to monitor and report?
What action should the nurse plan for a client with a latex allergy scheduled for surgery?
What action should the nurse plan for a client with a latex allergy scheduled for surgery?
Which statement indicates understanding for self-administration of nitroglycerin transdermal medication?
Which statement indicates understanding for self-administration of nitroglycerin transdermal medication?
What medication should the nurse expect to administer for a client with a magnesium level of 3.1 mEq/L?
What medication should the nurse expect to administer for a client with a magnesium level of 3.1 mEq/L?
What should the nurse do for a client reporting lethargy and myalgia after taking clozapine for 6 months?
What should the nurse do for a client reporting lethargy and myalgia after taking clozapine for 6 months?
Which finding should the nurse identify as indicating the onset of salicylism in a client taking aspirin?
Which finding should the nurse identify as indicating the onset of salicylism in a client taking aspirin?
What should the nurse include in discharge teaching for a client starting furosemide?
What should the nurse include in discharge teaching for a client starting furosemide?
What should the nurse do if a client has a severe penicillin allergy and is administering ceftazidime?
What should the nurse do if a client has a severe penicillin allergy and is administering ceftazidime?
What action should the nurse take before administering hydrochlorothiazide?
What action should the nurse take before administering hydrochlorothiazide?
Which therapeutic outcome should be documented for a client receiving baclofen?
Which therapeutic outcome should be documented for a client receiving baclofen?
What should the nurse do first for a client who suddenly develops dyspnea and hives after receiving cefotetan?
What should the nurse do first for a client who suddenly develops dyspnea and hives after receiving cefotetan?
What action should the nurse take when contacting a client's provider to obtain a prescription for pain medication?
What action should the nurse take when contacting a client's provider to obtain a prescription for pain medication?
What instruction should the nurse provide for a client starting a prescription for extended-release verapamil?
What instruction should the nurse provide for a client starting a prescription for extended-release verapamil?
What information regarding fentanyl patches should the nurse communicate to a client receiving end-of-life care?
What information regarding fentanyl patches should the nurse communicate to a client receiving end-of-life care?
Calculate the delivery rate in gtt/min for a client receiving 0.9% sodium chloride 1,000 ml IV over 8 hr with a drop factor of 15 gtt/mL.
Calculate the delivery rate in gtt/min for a client receiving 0.9% sodium chloride 1,000 ml IV over 8 hr with a drop factor of 15 gtt/mL.
Calculate the mL/hr for a client receiving 0.9% sodium chloride 1500 mL over 8 hr.
Calculate the mL/hr for a client receiving 0.9% sodium chloride 1500 mL over 8 hr.
What should the nurse instruct a client to take with ferrous sulfate to promote absorption?
What should the nurse instruct a client to take with ferrous sulfate to promote absorption?
What action by a newly licensed nurse should prompt an incident report?
What action by a newly licensed nurse should prompt an incident report?
What finding should the nurse monitor for a client receiving epoetin alfa?
What finding should the nurse monitor for a client receiving epoetin alfa?
What statement indicates that the teaching was effective for a client who is to self-administer insulin at home?
What statement indicates that the teaching was effective for a client who is to self-administer insulin at home?
Which instructions should the nurse include for a client with multiple sclerosis who has a new prescription for methylprednisone? (Select all that apply)
Which instructions should the nurse include for a client with multiple sclerosis who has a new prescription for methylprednisone? (Select all that apply)
What action should the nurse take when administering diazepam to a client who is having a colonoscopy?
What action should the nurse take when administering diazepam to a client who is having a colonoscopy?
What finding indicates that dopamine is effective in a client with heart failure?
What finding indicates that dopamine is effective in a client with heart failure?
What medication should the nurse expect to administer for a client being treated for opioid use disorder?
What medication should the nurse expect to administer for a client being treated for opioid use disorder?
Which statement indicates that the nurse identifies the client’s understanding of taking ranitidine for peptic ulcer disease?
Which statement indicates that the nurse identifies the client’s understanding of taking ranitidine for peptic ulcer disease?
What information should the nurse include in an incident report for a medication error?
What information should the nurse include in an incident report for a medication error?
What manifestation should the nurse monitor in a client developing hypomagnesemia due to long-term therapy with lansoprazole?
What manifestation should the nurse monitor in a client developing hypomagnesemia due to long-term therapy with lansoprazole?
What adverse effect should the nurse monitor for in an older adult client receiving hydrochlorothiazide for heart failure?
What adverse effect should the nurse monitor for in an older adult client receiving hydrochlorothiazide for heart failure?
What adverse effect should the nurse expect after administering atropine eye drops during an examination?
What adverse effect should the nurse expect after administering atropine eye drops during an examination?
What finding indicates that digoxin immune Fab was effective after an incorrect dose of digoxin was given?
What finding indicates that digoxin immune Fab was effective after an incorrect dose of digoxin was given?
When is pregnancy a contraindication for receiving which medication?
When is pregnancy a contraindication for receiving which medication?
What finding should the nurse identify as a contraindication for receiving propranolol?
What finding should the nurse identify as a contraindication for receiving propranolol?
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Study Notes
Medication Administration and Client Education
- Clients should check heart rate before taking diltiazem.
- Monitoring creatinine kinase is essential for clients on atorvastatin.
- Review total cholesterol levels before administering clozapine for schizophrenia.
- Clients on fluoxetine should use acetaminophen instead of ibuprofen for headaches.
- Identify akathisia as an adverse effect of haloperidol.
- Clients on ciprofloxacin must report tendon pain or swelling.
- Monitor for chest pressure in clients taking sumatriptan.
- Perform capillary blood glucose tests for clients with diabetes reporting confusion and anxiety.
Parental and Medication Management
- Clients using ethinyl estradiol/norelgestromin should fold patches before disposal.
- Dry mouth is a common adverse effect of amitriptyline.
- Nurses should withhold amoxicillin/clavulanic for clients with penicillin allergies.
- Report elevated creatinine levels before administering ceftazidime.
- Leg tenderness in clients taking tamoxifen indicates a need for prompt reporting.
- Instruct clients with exercise-induced asthma to use cromolyn prior to activity.
Monitoring Adverse Effects and Therapeutic Outcomes
- Monitor for bleeding gums in clients on warfarin.
- Hyperventilation should be reported for clients taking aspirin regularly.
- Docusate sodium decreases stool surface tension to aid bowel movements.
- For furosemide non-compliance, inform clients about potential fluid retention.
- Gout patients on allopurinol should drink at least 2 liters of water daily.
- Hyperkalemia monitoring is crucial for clients receiving enalapril.
Recognizing Complications and Interventions
- Yellow-tinged vision is a sign to watch for in clients taking digoxin.
- Clients with latex allergies require special precautions during surgery.
- Nitroglycerin patches should be removed after 14 hours.
- Administer calcium gluconate for clients with a magnesium level of 3.1 mEq/L.
- Follow up with WBC count for clients on clozapine reporting lethargy.
- Tinnitus may indicate salicylism in clients taking aspirin.
Teaching and Discharge Planning
- Instruct clients on furosemide to consume potassium-rich foods and monitor for muscle weakness.
- Reconstitute dantrolene with sterile water without bacteriostatic agents for malignant hyperthermia.
- Monitor WBC counts for clients on carbamazepine.
- Clients on zolpidem should use the medication short-term.
- Encourage hydration (8-10 glasses of water) for clients on trimethoprim/sulfamethoxazole.
- Decreased paresthesia indicates therapeutic effects in clients receiving calcium citrate.
Important Precautions and Emergency Protocols
- Urinary retention can occur with amitriptyline use.
- Significant lab findings for sickle cell anemia patients on hydroxyurea include low hemoglobin.
- Ensure the availability of flumazenil when administering diazepam for sedation.
- Increased blood pressure should be monitored in clients receiving epoetin alfa.
- Store unopened insulin bottles in the refrigerator.
- Grapefruit juice may elevate blood levels of methylprednisone; monitor closely.
Medication Interactions and Contraindications
- Propranolol is contraindicated in clients with asthma.
- Report signs of adverse effects promptly, including dyspnea and hives during IV medication administration.
- Blood pressure should be obtained before administering hydrochlorothiazide.
- Verify effective outcomes for baclofen by assessing spasticity.
- Toxicity from incorrect digoxin doses may improve with digoxin immune Fab therapy.
Understanding Drug Effects and Use
- Expect adverse effects like blurred vision from atropine eye drops.
- Monitor for orthostatic hypotension after hydrochlorothiazide administration.
- Document any errors, such as administering propranolol without a prescription.
- Educate about common side effects and necessary precautions for each prescribed medication.
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