Infection
hyperglycemia, suppressed immune system, electrolyte imbalance, give with good, cushingoid effects, mood instability, osteoporosis
A client is prescribed an albuterol inhaler, what are some known side effects?
Tachycardia, restlessness, anxiety
A patient is vomiting and request something to help stop it, what would the nurse anticipate on giving?
What are some nursing considerations?
prolonged qtc, cardiac dysthymia's, ringing in the ears
When mixing two types of insulin, which do you mix first?
Clear then cloudy
A patient is prescribed morphine sulfate, what will the nurse monitor before and after the drug being given?
List 3
BP, respiratory rate, oxygen, level of consciousness, fall risk, reassess pain
What lab is required for someone receiving IV Vancomycin (3 labs)?
BUN, Creatinine, and Vanco trough
Why do physicians prescribe two puffs for an inhaler?
First puff is to open bronchioles
second to reach the lungs
When administering finasteride what is one important safety parameter?
The nurse must wear gloves, especially if pregnant
If a patients blood sugar is 50, what are some options the nurse could administer?
If awake and asymptomatic - juice
If symptomatic - IM Glucagon, D50W (50% Dextrose)
A patient is taking over the counter pain relief medications for a twisted ankle, she now presents with yellowing of the eyes. which OTC drug are they using?
Tylenol
swelling, redness, fever, tenderness, discharge, elevated WBC
When should montelukast be taken?
once a day, preferable in the evening
A client with BPH is on sildenifil, what medication should this individual avoid using while on his BPH medication? Why?
Nitrates - vaso dilator
Drops BP dangerously low
A client is having a tonic clonic seizure, what can the nurse anticipate on giving?
What is a therapeutic range and why is it important?
A serum blood level measuring the concentration of a drug. below range the drug is not working fully, above the range the drug may become toxic
Cephalosporin
A nurse is assessing a client who is taking lisinopril, list some monitor parameters
Blood pressure, dry cough, dizziness, orthostatic hypotension, angioedema, hyperkalemia
A client is taking Senna, which adverse reaction could occur while taking Senna?
Diarrhea, dehydration, drop in BP
A patient is complaining of 6/10 pain but does not appear to be in pain. What should the nurse do?
Treat the pain
What should a nurse educate the patient on regardless of the antibiotic given? why?
stopping may result in resistant bacteria
Clients with a history of asthma should not take which antihypertensive medication?
Propranolol, nadolol, timolol, stool
A patient is prescribed lactulose. What are two reasons someone may be prescribed lactulose?
Severe constipation or Liver failure to remove ammonia
Which anti seizure medication is associated with thrombocytopenia?
Carbamazepine
The nurse is unsure about a medication order - what can he/she do to verify?
Contact pharmacy, contact physician, use facility drug index, ask supervisor/charge