Non-Opioids
What labs should be monitored when a patient is taking an NSAID?
BUN and Creatinine
Becky is prescribed ergotamine for her migraines. She has been taking it every day. What can occur? and what should have becky been told?
dependency, should not be taken daily. take onset of migraine
Which population is contraindicated for penicillin's and cephalosporins?
Renal dysfunction because it's excreted by the kidneys
A client on long-term warfarin therapy has an INR of 5.2. Which intervention should the nurse anticipate?
administer vitamin K
A client recently started on lisinopril reports a persistent dry cough. Which explanation by the nurse is most appropriate?
What is the max dose of acetaminophen a patient can take?
undernourished- 3g per day
3 servings of alcohol- 2g per day
antiemitc
What adverse symtpons should the nurse monitor for with Vancomycin?
Ototoxicity
Nephrotoxicity
Red Man Syndrome
Becky is transitioning to warfarin. What labs should the nurse monitor?
PT
INR
AST/ATL
A client on captopril for hypertension has serum labs drawn. Which lab(s) should the nurse focus on?
potassium-ACE can cause hyperkalemia
What is the antidote for acetminophen overdose?
acetylcysteine
A client with a history of opioid abuse is admitted after an accidental overdose. Naloxone is administered. What finding indicates the medication is working?
increased RR
Before administering the next dose of IV vancomycin, which assessment is most important?
Urine output and BUN/creatinine level
How will a nurse measure heparin therapeutic effectiveness?
APTT 60-80 seconds
no development or growth of clot
A client taking lisinopril also reports using salt substitutes. Why is the nurse concerned?
Salt substitutes often contain high potassium, increasing hyperkalemia risk
The nurse receives several prescriptions for Ketorolac from the provider. which patients should she question the medication prescription for?
peptic ulcer disorder
-bleeding disorder
-renal disease
-smoking pts
-alcholics
-geriatic pt
The nurse is completing med passes for several patients. Which patient(s) should not take Ergotamine?
Liver dysfunction
Renal dysfunction
Coronary Artery Vasospasm
Becky is diagnosed with tuberculosis. What medication does the nurse anticipate?
Rifampin
A nurse accidentally administers an excessive dose of IV heparin. Which medication should be readily available to reverse this anticoagulant effect?
Protamine Sulfate
A client is prescribed metoprolol for hypertension. Which assessment is most important before administering the medication?
Apical pulse and blood pressure
What is the antidote for Aspirin toxicity?
none but can treat symptons with activated charcoal, sodium bicarbonate, and poss dialysis
he nurse administers naloxone to a client for respiratory depression but notes that the respiratory rate decreases again about 20 minutes later. The nurse is preparing to administer a second dose of naloxone. Why did the nurse have to administer a second dose?
naloxone has a shorter half life than opioids
what labs should be monitored when taking Rifampin and why?
The nurse is teaching a client about precautions while taking enoxaparin. Which statement by the client indicates understanding?
A. “I will inject it into my thigh muscle.”
B. “If I notice any gum bleeding or unusual bruising, I will let my provider know.”
C. “I should aspirate first to ensure I’m not in a blood vessel.”
D. “I should keep this medication in the freezer.”
b-patients should monitor for signs of bleeding
A client with a history of asthma has been prescribed nonselctive beta blocker, propranolol. The nurse should question this prescription because:
Nonselective beta blockers can cause bronchoconstriction.