A
What postoperative nursing action will help the patient avoid serious complications from general anesthesia?
Teach to turn, cough, and deep breathe.
While obtaining a medication history from a patient, the nurse notes that the patient is currently prescribed naltrexone. The nurse would question the patient about a previous history of which substance abuse?
Opioid
A nurse working in behavioral medicine is aware of long-term consequences from alcohol abuse. What potential vitamin deficiency can occur and potentially lead to Wernicke’s encephalopathy?
Vitamin B1
What body system will the nurse assess for known common adverse effects of traditional antihistamines?
Central nervous
The nurse would question a prescription for pseudoephedrine in a patient with a history of what condition?
Hypertension
A patient is admitted to the hospital with a diagnosis of benzodiazepine overdose. The nurse anticipates the health care provider will prescribe which antidote for benzodiazepine overdose?
Flumazenil (Romazicon)
Which instructions would the nurse include in teaching a patient to reduce the gastrointestinal (GI) adverse effects of orlistat (Xenical)?
Limit dietary intake of fat.
The nurse is reading a patient’s substance abuse history on admission to inpatient rehabilitation. The patient states to the nurse, “I have been increasing my drug dosage to get the same effect.” What is the patient experiencing?
Tolerance
A patient complains of worsening nasal congestion despite the use of oxymetazoline nasal spray every 2 to 4 hours for the past 5 days. The nurse explains this based on what knowledge?
Sustained use of nasal decongestants over several days may result in rebound congestion
The nurse receives laboratory values for a patient with a theophylline level of 14 mcg/mL. How does the nurse interpret this theophylline level?
Therapeutic
An intubated, mechanically ventilated patient in the intensive care unit (ICU) is becoming increasingly restless and anxious. The nurse expects to administer which intravenous (IV) anesthetic drug?
Propofol (Diprivan)
The nurse is providing care for a neonate diagnosed with apnea of prematurity. The prescription by the health care provider is for caffeine citrate intravenously 5 mg/kg once daily. The infant’s weight is 5.4 lb. What is the correct dosage to administer to the patient?
12.3 mg
The nurse is providing care for a patient in the emergency department who reports a headache and weakness and is noted to have cardiac dysrhythmias on the electrocardiogram. The patient is talkative, restless, anxious, and asking to leave the emergency department. The nurse suspects that the patient might be taking which abuse substance?
Stimulants
A female patient of childbearing age is prescribed isotretinoin for the treatment of severe recalcitrant cystic acne. What information is required for the nurse to include in the education of the patient ?
Use at least two forms of contraception while taking this medication.
Which herbal product, when taken with theophylline, can decrease theophylline’s serum drug levels?
St. John’s wort
The health care provider prescribes dantrolene (Dantrium) to a patient immediately after surgery. The nurse is aware this medication is used to treat what condition?
Malignant hyperthermia
A child is prescribed methylphenidate (Ritalin) to treat attention deficit hyperactivity disorder (ADHD). The parent expresses concern about using a controlled substance to treat ADHD and asks the nurse about using a noncontrolled substance. The nurse knows ADHD can be treated with which noncontrolled substance?
Atomoxetine (Strattera)
When planning care for a burn patient, the nurse would anticipate applying what topical medication?
Silver sulfadiazine
The nurse will anticipate application of what medication to treat a patient diagnosed with impetigo?
Mupirocin
Which laboratory value would the nurse assess before administering zafirlukast to a patient?
Liver enzymes
An intravenous dose of midazolam (Versed) has been prescribed for a patient before a colonoscopy. What does the nurse teach the patient is the most common adverse effect of this medication?
Amnesia
A patient reports severe back pain and asks the nurse for medication “to take the pain away.” Assessment findings on the physical examination include mydriasis, rhinorrhea, diaphoresis, lacrimation, blood pressure of 160/84 mm Hg, heart rate of 116 beats/min, and respiratory rate of 24 breaths/min. What condition would the nurse suspect?
Opioid withdrawal
A patient has been prescribed clotrimazole for the treatment of jock itch. To document this diagnosis in the patient’s medical record, the nurse would use what fungal infection name?
Tinea cruris
A nurse is providing education to a patient taking two different bronchodilator medications. The nurse identifies which characteristic as the advantage of salmeterol over other beta2 agonists such as albuterol?
Longer duration of action
What statement by a patient would best indicate an understanding of the teaching on flunisolide?
“I will rinse my mouth with water after each use.”