Nursing
Interventions
Interventions
A client receiving diazepam becomes difficult to arouse. What assessment should the nurse perform first?
Respiratory Rate
A client uses albuterol more frequently than prescribed and develops palpitations. What adverse effects should the nurse suspect?
Tachycardia
Which laboratory value should the nurse monitor for a client receiving IV heparin?
aPTT
What should the nurse teach a client taking zolpidem to avoid?
Alcohol
A client taking metoprolol has a heart rate of 44/min before the scheduled dose. What should the nurse do?
Hold the medication it will lower heart rate more
then call provider
A client with diarrhea is prescribed this medication to slow intestinal motility. What medication is it?
Lopermide
A client is receiving heparin develops bleeding gums and hematuria. What should the nurse do with the next dose?
Hold heparin
A client taking prednisone has increased thirst and frequent urination. What adverse effect should the nurse suspect?
Hyperglycemia
A client receiving amphotericin B is at risk for a decrease in what electrolyte that can contribute to cardiac dysrhythmias?
Potassium
What should the nurse instruct a client to drink when taking psyllium?
Full glass of water
A client receiving diazepam has a respiratory rate of 8/min. What should the nurse do first? why?
Hold the dose as this will lower respiratory rate more
Then call provider
A client receiving chemotherapy is given this medication before treatment to prevent nausea and vomiting. What medication is it?
Ondansetron
A client receiving acyclovir has impaired renal function. What interventions should the nurse implement to decrease further renal injury?
Encourage fluids
A client taking donepezil reports dizziness and has a heartbeat of 48/min. What adverse effect should the nurse identify?
Bradycardia
What other electrolyte should the nurse closely monitor during amphotericin B therapy?
Magnesium
What should the nurse teach a client with COPD or asthma to carry with them at all times?
Rescue inhaler
A client taking a newly prescribed medication develops a blistering rash and oral lesions. What should the nurse do? Why?
Hold the medication possible allergic reaction
A client with nasal congestion receives a medication that causes vasoconstriction of nasal blood vessels. What medication is it?
Pseudoephedrine
A client receiving amphotericin B has decreasing urine output. What laboratory value should the nurse monitor for evidence of worsening kidney function?
Creatinine
A client taking neostigmine develops excessive salivation and tearing. What adverse effect should the nurse suspect?
Cholinergic excess
Which assessment is especially important before administering digoxin?
Heartrate
A parent asks when to give a child prescribed montelukast chewable tablets. What should the nurse instruct?
Every evening
A client who received amphotericin B slowly is has developed decreased urine output. What should the nurse do?
Notify provider as this can lead to renal failure
Pseudoephedrine
$400: A client with Parkinson's disease receives this medication with levodopa to increase the amount of levodopa available to the brain. What medication is it?
Carbidopa
A client receives rocuronium during a procedure. What is the nurse's priority intervention?
Monitor respirations
A client develops fever, a blistering rash, and painful oral lesions after beginning a new medication. What serious adverse reaction should the nurse suspect?
Stevens-Johnson syndrome
What organ function requires priority monitoring during amphotericin B therapy?
Renal function
A client taking docusate asks how to help the medication work effectively. What should the nurse encourage?
Increased water intake
A client receiving rocuronium develops respiratory paralysis. What intervention should the nurse anticipate will be needed?
Mechanical ventilation
A client with a fungal infection is receiving a medication associated with nephrotoxicity, hypokalemia, and hypomagnesemia. What medication is it?
Amphotericin B