Side Effects
A client who takes naproxen for inflammation of arthritis complains of indigestion that requires them to take an antacid. Why is this concerning?
Naproxen is an NSAID. Serious adverse GI reactions like bleeding, ulcers and perforation can occur. This requires follow up by the nurse.
Vasopressin given for diabetes insipidus is considered effective if the patient experiences a (an) ______________ in their urine output.
Decrease
The client has a new order to begin taking Fluoxetine to treat depression. When should the client take this medication?
In the morning (to reduce the risk of insomnia)
A client received 1 sublingual nitroglycerin tablet five minutes ago after reporting a 6/10 pain in their chest. The client is still reporting pain of a 2/10 in their chest. What is the appropriate action by the nurse?
Administer another nitroglycerin tablet.
(No further intervention necessary at this time since the client's chest pain did decrease with the first tablet)
The nurse should use caution in administering this intervention to a patient who is experiencing acute heart failure following a myocardial infarction (MI).
0.9% normal saline IV at 50mL/hour continuously
This isotonic solution will not cause the fluid shift needed to reduce circulatory overload
Which of the following is a sign of lithium toxicity?
A. Loss of appetite B. Increased flatulence (gas) C. Vomiting D. Headaches
Vomiting--
an early sign of lithium toxicity.
Skip the next dose and call your provider.
Enoxaparin should be administered in the post surgical phase to a patient recovering from hip surgery to prevent what complication?
Venous thromboembolism
Foods that contain __________ should be eliminated from a client's diet. Examples include: __________ ________ _________
Tyramine
Bologna, salami, aged cheeses
Respiratory depression can be caused by Meperidine. What is the nurses priority assessment when administering this medication?
Airway, breathing (respiratory rate)
Which of the following is a penicillin medication? A. amoxicillin-clavulanate B. Gentamicin C. Erythromycin D. Amphotericin B
Amoxicillin-clavulanate
Magnesium sulfate is known to cause a decreased or loss of urinary output if given in excess amounts. What is the appropriate reversal agent for this medication?
Calcium gluconate
A client is diagnosed with open angle glaucoma and receives a prescription for timolol eye drops. The nurse instructs the client these drops will be required to be used for how long?
For the rest of the client's life
A client who takes Carbamazepine for seizure disorder presents with bruises all over their body. Which complication of carbamazepine toxicity is the client experiencing?
Thrombocytopenia (decreased platelets)
The client is 1 day post operative from a hip open reduction with internal fixation. Physical therapy will work with the patient in 30 minutes. Which medication should the nurse prioritize administering?
Analgesia / Pain medication
The client reports taking bisacodyl for the last three years due to chronic constipation. What is the nurse's top concern related to injury with this information?
Loss of bowel tone from prolonged laxative use
Methylphenidate is being administered to a client. They should use caution in ___________ until they know how this medication will effect them.
Driving/operating heavy machinery
True or false: regular and NPH insulin are allowed to be drawn up together in the same syringe?
True- regular insulin drawn up first, followed by NPH
The nurse educates a client on taking zolpidem for the first time. Which is the most important? A. daytime sleepiness B. Nighttime sweating 3. change in taste 4. double vision
A. Daytime sleepiness
The nurse needs to administer three different liquid medications through a nasogastric (NG) tube. What action should the nurse take to ensure these medications are given appropriately?
Flush the NG tube with 30mL of water after administering the medications.
The client is receiving valproate for management of bipolar disorder. The nurse knows the _______ needs to be monitored. (which organ?)
Liver
The nurse is educating the mother of a patient with cystic fibrosis about administration of pancreatic enzymes. This medication is required to be administered when for this patient?
With every meal and snack (not between meals)
The nurse finds an open vial of morphine lying on top of the cabinet in a client's room. Which action by the nurse is appropriate?
Report the discrepancy immediately
Report the incident per facility policy and then waste the med with another RN
The nurse instructs a client with a prescription for ferrous sulfate tablets to take this medication between meals. This will help to increase the ____________ of the medication.
Absorption
Conjunctival sac
A client is prescribed propranolol for angina pectoris. Which of the following history findings should be questioned by the nurse? A. Hypothyroidism B. Bronchial asthma C. Hypertension D. Migraines
B. Bronchial asthma
Beta-adrenergic blockers can cause bronchospasm in asthma patients, this is contraindicated