Hematologic Medications
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate IV continuous infusion. The nurse should have this medication readily available for this patient in case of adverse effects.
What is calcium gluconate?
You would expect this medication to be given to a patient whose respirations are 8 breaths per minute after receiving an overdose of fentanyl for pain.
What is Naloxone (Narcan)?
A client is admitted to the substance abuse unit with tremors, hallucinations, and seizures. He is administered chlordiazepoxide. The patient is experiencing this type of withdrawal.
What is alcohol withdrawal?
With chronic use, this herbal supplement can decrease the positive effects of medications used tuberculosis.
What is Echinacea ?
A nurse is caring for a client who is receiving daily doses of oprelvekin. This is the laboratory value that the nurse should monitor to determine effectiveness of this medication.
The nurse administers meperidine to the client who is in labor. This is the primary side effect likely to affect the newborn.
A client receives midazolam, 2 mg IV, as sedation before bronchoscopy. Five minutes after he receives the drug his respiratory rate drops to 4 breaths/minute. The nurse would anticipate administering this medication.
What is Flumazenil (Romazicon)?
A nurse is providing teaching to a client who has a new prescription for amitriptyline for treatment of depression. This is a complication that this client should be warned of.
What is: Orthostatic hypotension, Anticholinergic effects, sedation, toxicity, decreased seizure threshold, or excessive sweating?
This herbal supplement can decrease feelings of nausea after surgery, and can decrease pain and stiffness from rheumatoid arthritis.
What is Ginger Root?
A nurse is planning to administer IV alteplase to a client who is demonstrating manifestations of a massive pulmonary embolism. She notices some local bleeding. This is the intervention that the nurse should plan to take.
A nurse is caring for a client who has a new prescription for oxytocin for uterine contractions. This frequency and interval of contractions would alert her to stop the infusion.
What is contractions lasting less than 1 minute or less every 2 to 3 minutes?
A client in shock is receiving dopamine hydrochloride by intravenous infusion. The nurse should have this medication for local injection if IV infiltration and medication extravasation occur.
What is phentolamine?
A nurse is caring for a client who fought in the Vietnam War and takes paroxetine (Paxil). This medication is most likely treating this mental health disease process.
What is PTSD?
This herbal supplement can be used to increase recall ability and mental processes, but can also interfere with coagulation.
What is Ginkgo biloba?
A nurse is monitoring a client who is receiving epoetin alfa for adverse effects. The nurse may identify this as an adverse effect of this medication.
A nurse is caring for a client who had no prenatal care, is Rh-negative, and will undergo an external version at 37 weeks of gestation. The nurse should plan to administer this medication prior to the version?
What is Rho(D) immune globulin?
A client is receiving methotrexate for a series of chemotherapy. This medication should be readily available to avoid toxicity.
What is Leucovorin (Folinic acid)?
A nurse is reviewing laboratory findings and notes that a client’s plasma lithium level is 2.9. This would be the priority intervention for this patient to rapidly eliminate lithium from the body.
What is dialysis? (hemodialysis or peritoneal dialysis)
This herbal supplement prevents insomnia by increasing GABA, promoting sleep over time. It should be avoided during pregnancy or while breastfeeding.
What is Valerian?
A nurse is caring for a client who has atrial fibrillation and a new prescription for dabigatran to prevent development of thrombosis. This medication should be prescribed concurrently to treat possible gastrointestinal adverse effects, such as esophageal ulceration.
A client is evaluated for infertility, and the health care provider prescribes clomiphene citrate, an ovulation inducer, 50 mg daily for 5 days. The client asks the nurse when she should start the medication. This is the best day to begin the medication.
What is the 5th day of the menstrual cycle?
Thirty minutes after administering pyridostigmine, the nurse notices that the patient is diaphoretic and having difficulty swallowing an increased amount of saliva. The nurse should administer this medication.
What is atropine ?
A patient taking risperidone has a heart rate of 200 bpm and a temperature of 100.4 F. He is pale and diaphoretic. The nurse should expect that the patient is experiencing this adverse effect of risperidone.
What is neuroleptic malignant syndrome?
This herbal supplement can be used during menopause instead of estrogen therapy. Blood sugar should be monitored in these patients for hypoglycemia.
What is Black Cohosh?