A
The nurse will monitor a patient taking an aluminum-containing antacid, such as aluminum hydroxide, for what adverse effect?
Constipation
Related to its mechanism of action, what is an additive effect of lactulose?
Reducing ammonia levels
A patient who has been taking antiparkinson medications for years begins to have increased symptoms on a constant basis. In documenting these symptoms, what term will the nurse use?
Wearing-off phenomenon
Patients prescribed sildenafil would be instructed regarding the potential life-threatening drug interaction with what medication?
Nitroglycerin
The nurse would suspect a patient is taking too much levothyroxine when the patient exhibits which adverse effect?
Irritability
For a patient with chronic renal failure, the nurse will question a prescription for what type of antacid?
Magnesium-containing antacids
The nurse would question the prescription of bismuth subsalicylate as an antidiarrheal medication for a patient prescribed aspirin daily because of what potential adverse effect?
Increased bleeding
To decrease the skin flushing adverse effect reaction of niacin (nicotinic acid), which action should the nurse take?
Administer aspirin 30 minutes before each dose.
The nurse would question a prescription for somatropin in a patient with which condition?
Acromegaly
The combined continuous administration of progestin and estrogen reduces the risk of which cancer?
Endometrial
What condition will the nurse monitor for with a patient using sodium bicarbonate to treat gastric hyperacidity?
Metabolic alkalosis
When teaching a patient about carbidopa-levodopa (Sinemet), what information would the nurse include about this medication?
Carbidopa decreases levodopa’s conversion in the periphery, increasing the levodopa available to cross the blood–brain barrier.
To assess for a potentially serious adverse effect to HMG–CoA reductase inhibitors, the nurse should monitor which laboratory results?
Liver function studies
Which is a priority nursing diagnosis for a patient receiving desmopressin (DDAVP)?
Excess fluid volume
The nurse would question a prescription for estrogen replacement therapy in a patient with a history of which condition?
Deep vein thrombosis
PPIs have the ability to almost totally inhibit gastric acid secretion. Because of this possibility, the use of the medication can lead to what condition?
Achlorhydria
Which antiparkinson drug causes an increase in the levels of dopaminergic stimulation in the central nervous system (CNS) and therefore allows a decreased dose of other medications?
Selegiline (Eldepryl)
The nurse is providing discharge teaching for a patient about potential serious adverse effects to simvastatin. Which symptom may indicate the patient is experiencing a serious adverse effect to this medication?
Muscle pain
The nurse admitting a patient with acromegaly anticipates administering which medication?
Octreotide
Which laboratory test would the nurse anticipate the health care provider to order to monitor a patient for adverse effects related to progestin medications?
Liver function tests
To avoid fecal impaction, psyllium would be administered with at least how many ounces of fluid?
8
The nurse is caring for a patient with Parkinson’s disease who has been taking entacapone (Comtan) for the past week to treat an on–off phenomenon. The patient expresses concern over brown-orange urine. What information will the nurse provide to the patient?
This is a normal adverse effect of entacapone (Comtan) and is not harmful.
What possible common adverse effect would the nurse include in the discharge teaching for a patient prescribed finasteride?
Ejaculatory dysfunction
The nurse is teaching a patient taking an antithyroid medication to avoid food items high in iodine. Which food item would the nurse instruct the patient to avoid?
Seafood
During a postpartum patient assessment, the nurse notes a boggy uterus and increased vaginal bleeding. Based on this assessment data, the nurse prepares to administer which medication?
Oxytocin