Don't want to hurt no more
A client is prescribed the opioid analgesic oxycodone after surgery. They ask the nurse what side effects does they need to be watchful for. The nurse responds...
What are constipation, nausea, drowsiness, sedation, respiratory depression, sweating, urinary retention, and orthostatic hypotension?
A client with diabetes is in the hospital. The client knows that they will potentially receive a dose of rapid-acting insulin based on the blood sugar reading taken right before each meal and at bedtime. The client asks the nurse how they will determine the dose of insulin to give?
What is the use of an insulin sliding scale?
A client was put on a medication to help prevent tissue rejection from a lung transplant. The client received patient teaching about possibly having some feelings of euphoria and/or rage/mood swings, some weight gain, an increased blood sugar, and that they need to take precautions against infections. The drug class of medication the client was put on was
What is a corticosteroid?
A client is trying to increase their calcium level as it was found to be low during a routine blood test. The client knows that there is a certain vitamin that can help to improve the absorption of calcium but doesn't remember what that vitamin is...
What is vitamin D?
A client is wondering what the difference is between Cushing syndrome and Addison's disease. The client tells the nurse they have been given this information before but is hoping the nurse will go over it again. The nurse informs the client that the difference between the two is....
What is the overproduction of corticosteroid hormones vs the underproduction of hormones - cortisol and sometimes aldosterone?
An elderly client is brought into the Emergency Department. They were recently started on opioid pain medications for chronic lower back pain. The partner found the client unresponsive, pale, and breathing at a rate of 6 breathes/min. The nurse needs to know if which medication was given to the client while in the ambulance
What is Naloxone?
A client is in the hospital with a blood sugar in the 800's. The provider orders an IV insulin drip to help bring down the blood sugar levels slowly. The nurse knows the type of insulin that will be ordered and hung by the RN will have to be?
What is Regular insulin - the only type of insulin that can be given in the IV form?
A client who is newly diagnosed with Addison's disease reports that they will be on a hormone replacement program for a few weeks. The nurse realizes that additional patient teaching is necessary because...
What is a lifetime of treatment is required?
A parent of a 2 year old child calls the office. The parent reports that their daughter has a fever of 101.2 degrees. They are asking if it is safe to give the child aspirin for the fever. The nurse knows what response will be given to this parent...
What is no, it is not safe because of the risk of Reye's disease?
A client was diagnosed with type II diabetes. The client reports that they went through Diabetic Education but would like to go over what the difference is between type I and type II. The nurse informs the client that...
What is that type I diabetes is a genetic disorder that often shows up early in life, and type II is largely diet-related and develops over time. In type I diabetes, the immune system is attacking and destroying the insulin-producing cells in your pancreas until they are no longer producing any insulin. In type II, the body doesn't respond to insulin as it should (insulin resistance).
A client returns from surgery for a hemicolectomy. As the nurse is setting up the PCA pump with an opioid analgesic medication, the client reports having a pain level of 8/10. The client wants to know if the pump will give them enough, but not too much pain medication. The nurse responds to the questions by reinforcing the teaching of...
What is: the pump is preset to an ordered dose so you cannot give yourself too much and you should be the only one using it?
A diabetic client is being sent home with prescriptions for both a long-acting and a short-acting insulin. The client wants to know what is the difference between the two kinds of insulin
What is different onsets, peaks, and durations?
A client reports understanding that corticosteroids are usually tapered down before stopping, but now that they are having increased stress in their life which is making their symptoms worse, they may have to....
What is be prescribed a higher dose temporarily?
A client with chronic neck pain called the office reporting that hydrocodone doesn't seem to be helping the pain like it used to. The client is tearful and asking why this is happening to them. The nurse knows this may be occurring because....
What is they may have built a tolerance to the opioid analgesic?
A client was diagnosed with Cushing disease. The client was informed that they will routinely have to have their liver enzymes: AST, ALT, and GGT monitored because of the medication started on. This medication is...
What is Ketoconazole (antifungal)?
A client tells the nurse, "I know that I should take my medication for my elbow pain with food to protect my stomach from upset. I am not always good about doing that. This morning I had pain in my stomach and vomited some blood, so now I am here". The nurse suspects the class of medication the client was taking is...
What is NSAIDs?
Ibuprofen, Naproxen, Acetylsalicylic acid (ASA)
A client is told that they will have to start taking glipizide in addition to metformin. After receiving education on the two medications, the client knows that they must now watch out for a certain side effect that they didn't have to worry about while just on metformin. This side effect is...
What is hypoglycemia?
A client diagnosed with osteoporosis and was started on Alendronate. The client teaches back the adverse effects they should watch for which include....
What are esophagitis, dysphagia, esophageal ulcers/erosions, and severe musculoskeletal pain?
A client is brought into the ED with an altered level of consciousness. Upon a skin assessment, the nurse found four fentanyl patches on the client. The client was only supposed to have one patch on. The nurse knew which vital signs were important to assess...
What is respiratory rate, oxygen level, blood pressure, and pulse?
A client comes in complaining of a fast heart rate and elevated blood pressure; abdominal cramping and diarrhea; trouble sleeping and hyperactivity. The medication the client is put on to inhibit the production of new thyroid hormone in the thyroid gland is?
What is Propylthiouracil (PTU)?
A client comes into the ED with skin and eyes that appear yellowish, abdominal pain and swelling, swelling in the legs and ankles, itchy skin, and reports of pale stool color. The client reports that his knee has been hurting from an old injury and he has been taking a lot of OTC pain reliever. The nurse suspects what may have occurred?
What is an overdose of Acetaminophen (non-opioid analgesic) which caused hepatotoxicity?
An oral diabetes medication class that can be given to a client with type II diabetes, but not to a client with type I diabetes (specifically thinking about how type I differs from type II) is?
What is Glipizide (Sulfonylureas)?
Mechanism of action: lowers blood glucose by stimulating the release of insulin from the pancreas, which is dependent on functioning beta cells in the pancreatic islets.
Possibly Metformin (Biguanides)
MOA: Decreases hepatic glucose production.
Decreases intestinal glucose absorption.
Increases sensitivity to insulin.
A nurse checks the client's blood sugar before giving a scheduled dose of Lispro insulin and finds that it is 50. The client reports feeling nauseated, looks diaphoretic, and is making some confused statements. The nurse knows to...
What is hold the insulin dose, provide an appropriate source of glucose, and call the provider?
A client came into the ED per ambulance after falling off a ladder. After the radiology exams were completed, the client reports having muscle spams in his back that are a 10/10. The client is restless and near tears. The client reports he needs an opioid analgesic for the pain ASAP. The nurse explains to the client that the best medication for this type of pain is...
What is Baclofen (skeletal muscle relaxant)?
The nurse just completed reinforcing patient teaching about levothyroxine. They reinforced how the client should take this medication. The nurse knows the teaching was effective when the client teaches back that....
What is: I need to take it on an empty stomach - at least 30-60 minutes before breakfast or 3-4 hours after eating dinner and that I cannot take at the same time as an antacid because I will not absorb enough of the medication?