Adverse
What is a concern with taking amoxicillin?
What should you look out for to identify it?
What is clostridium difficile (C-Diff)-Diarrhea
C-diff is a concern with ANY antibiotic
How do you know Levadopa-Carbidopa is working?
Allows client to do ADL's (washing face) and move freely.
chew nicotine polaxcrilex gum for at least how many mins?
chew for 30 mins. takes effect in 15-30 mins
What is the normal range of potassium?
3.5-5 mEq/L
Sumatriptan is used to treat migraines, possible adverse effects are chest pain/tightness, vision changes, drowsiness, and wheezing.
True, causes pain/tightness in chest
drowsiness-NOT INSOMNIA
vision changes-not photosensitive
wheezing- not respiratory depression
propylthiouracil is used to treat hyperthyroidism, agranulocytosis (lowered WBC) is an adverse effect, what simple sign may a nurse watch out for?
Sore throat, early indications of lowered white blood cells. (think getting sick, cold/flu, sore throat)
What is risperdone for and it's intended response?
for schizophrenia, improves social interactions, decreases hallucinations.
bradycardia, respiration less than 12, hyporeflexia (muscle weakness/paralysis), and urine output less than 30 are all toxicity signs of which enzyme?
Magnesium, too much can lead to suppressed heart rate, respiration, urine output, and weakness in muscles
Acyclovir is an anti viral medication, reduces the symptoms/rate of viral shedding. what virus may it be used for?
Genital herpes
An immunocompromised 12 month infant should receive hepatitis A (Hep A) and their measles, mumps, and rubella (MMR) vaccine.
False, the MMR vaccine has live virus which is a contraindication for an immune suppressed infant.
They can receive their HepA
hydromorphone is an opioid, opioids can cause urinary retention, constipation, lethargy, and respiratory depression.
can a patient with benign prostatic hyperplasia take an opioid for pain?
No, patients with benign prostatic hyperplasia are at risk for acute urinary retention while taking opioids which also increase urine retention.
you can expect to find what therapeutic effect in a kidney failure client taking epoetin alfa.
increased Hgb, epoetin alfa is used to elevate erythrocyte counts.
consuming alcohol while taking disulfiram can cause what life threatening reaction?
Respiratory depression
enalapril is a hypertensive medication, name two adverse effects.
dry cough, hyperkalemia, nausea/dirrahea, rash/itching.
clients who have benign prostatic hyperplasia (urinary retention) are safe to take dimenhydrinate (motion sickness drug).
False, dimenhydrinate is an anticholinergenic drug (which treats overactive bladder), the patient would not be able to urinate at all.
baclofen is a muscle relaxant, what are adverse effects to look out for? (name 2)
Drowsiness, dizziness, fatigue, and weakness
"I should monitor for edema, tachycardia, tinnitus while taking metoprolol for my hypertension"
does the patient need further teaching or is he correct? why?
yes, the patient is incorrect, edema is an adverse effect but bradycardia (not tachycardia) and blurred vision (not ringing in ears "tinnitus")
Patient needs to watch for edema while taking metoprolol
"take a slow deep breath for 3-5 seconds" is good client teaching for what type of drug?
Metered dose inhalers (MDI)
patients allergic or sensitive to neomycin should not have which vaccine?
Chicken pox (varicella)
vomiting, hypertension, and wheezing are early toxicity signs of digoxin.
False, only vomiting is an early toxicity sign.
Hypotension not hypertension
no wheezing
Name 2 adverse reactions to amphotericin B (this is a high alert drug)
hypotension, nephrotoxicity, hypokalemia, and cardiac dysrhythmias.
You should monitor which lab values for methylprednisolone. (steroid treats inflammation)
White blood cell count
serum potassium
blood glucose
Causes low glucose, hypokalemia, and lowers WBC
a nurse should expect the doctor to recommend aspirin be taken with niacin (for hyperlipidemia) to minimize what side effect.
facial flushing, (warmth and redness) after taking niacin dose.
Patient should take aspirin 30 mins prior to taking niacin.
patients with a history of Hepatitis B should avoid which OTC drug (or take lower doses of it)
Tylenol. Hep B causes liver damage and Tylenol also affects the liver, patients should take lower does or avoid it all together.
When taking vitamin B12 intranasally, the patient who suffers from malabsortion syndrome should message their nose after administration.
True, this patient would message the medication in to increase absorption.