PAIN
After administering 2mg IV Morphine to a patient, the nurse should monitor which vital sign closely to assess for adverse reaction?
Respiratory Rate
In alternative medicine, Vitamin C intake and Cayenne pepper are used to treat?
Infections
Which class of pain management is known to cause gastric ulcers and indigestion?
NSAIDs
________ is the time it takes for the concentration of a substance in the blood (serum) to decrease by 50%
Serum Half Life
The first pass effect a phenomenon of drug metabolism in which the concentration of a drug, specifically when administered orally, is largely reduced before it reaches systemic circulation
a client consumed 2 cups of OJ with breakfast, 240ml with medications and received a 100ml dose of antibiotics. How much fluid intake did this client have?
820 ml
A patient is prescribed an opioid analgesic for chronic pain. Which information should the nurse discuss with the patient to minimize the GI adverse effects?
Increase fluid intake and fiber intake
Which culture believes that health is interactions of people and the environment?
Traditional Chinese Medicine
Opioid reversal (Narcan) is not only used on recreational drug users. Whom else is at risk for opioid overdose?
Post operative patients
those with prescribed opioids at home
those with impaired liver function
older adults
Please list the six rights
Right patient
Right drug
Right dose
Right time
Right route
Right documentation
A patient is ordered 80mg of IV Lasix, the vial reads 20mg/1ml. How much will the nurse administer?
4 ml
Carl is a 54-year-old male with a history of CKD, GERD, and osteoarthritis. He is taking acetaminophen frequently throughout the day. What is the maximum daily recommended dose of acetaminophen?
4,000mg
An older client with a hx of epilepsy on keppra began experiencing forgetfulness. His wife who wanted to avoid using more medication found a natural remedy to help his memory. But now the client is experiencing seizures which he has not had in years. What herbal remedy could be the culprit for the seizures?
Ginkgo Bilboa
A patient comes in with new liver impairment is getting their medication reconciled by the nurse. The patient confirms taking levothyroxine and a multivitamin everyday at home. He also reports taking something for a headache after nights of drinking. What pain reliever did the patient most likely take resulting in his new liver impairment?
Tylenol
drugs where small differences in dose or blood concentration may lead to serious therapeutic failures and/or adverse drug reactions that are life-threatening are drugs with a ___________________
Narrow Drug Margin
The nurse is preparing to administer 80 mg of Solu-medrol intravenously (IV) to a client with pneumonia. The vial states that it has 120 mg per 2 mL. The nurse would correctly draw up which amount? (Nearest 10th)
1.3mL
A patient is prescribed aspirin after experiencing an MI. The patient asks the nurse "why am I taking something for pain if im not having chest pain anymore". The nurse best reply is....
Prevents platelets from sticking together - reducing the risk for a second MI or stroke
A patient who is prescribed medications to help treat depression (SSRI/SNRI) is also taking St Johns Wort to help eliminate all depression symptoms. What life threatening complication can come from using St Johns Wort with psychiatric medications?
Serotonin Syndrome
agitation, confusion, seizures, hallucinations, hypertension, tachycardia, muscle rigidity
what are some nursing considerations to consider when treating a patient with pain management? Name at least two
monitor RR
monitor O2
monitor BP
Telemetry
Caution with mobility (bed alarm)
lethargy
maintain airway
A client is prescribed a drug that has a narrow drug margin, the nurse wants to measure the serum trough. When should this lab work be drawn in relation to the medication?
Before the administration of the next dose
trough- lowest point
peak- highest point
The physician orders to administer Prednisolone oral solution 0.03 g daily. The label reads Predisolone 15 mg per 5 mL. How many tsp will the patient receive?
2 tsp
When evaluating the patients drug history, the nurse notes the patient is taking an opioid twice a day for pain. Which additional drug, taken concurrently would concern the nurse?
An antihistamine, a calcium channel blockers, an MOI inhibitor, a stool softener
an MOI inhibitor
A patient who has been receiving chemotherapy in the treatment for lymphoma is ordered cannabis as part of her "as needed" medications. Which two adverse reactions from chemo does cannabis help reduce?
Nausea and vomiting
A patient who is taking ibuprofen for 8 weeks due to ankle pain after tripping off the curb is at an increase risk for which adverse reaction?
bleeding
______________ is when a higher concentration of a medication is given for the first dose reaching a therapeutic level quicker
Loading Dose
The physician orders granisetron 450 mcg IV 30 minutes prior to chemotherapy. The label reads 0.1 mg per mL. How many mL will the nurse administer to the patient?
4.5 mL