Neuro
What is the antidote for neostigmine and physostigmine?
Atropine
These are cholinergic drugs, they increase secretions in the body feeling MG patients with the muscle spasms and other anticholinergic symptoms like visual changes from dry eyes
A nurse is reinforcing teaching for a female client who has multiple sclerosis and a new prescription for dantrolene. Which of the following client statements indicates an understanding of the teaching?
I should have my ALT AST checked regularly, I should have calcium levels checked regularly, I should take this medication when my spasms are bad, I am glad this medication is safe to take if I get pregnant
I should have my ALT AST checked regularly
Hepatotoxicity! Do not take with alcohol
A nurse is reinforcing teaching with a client who is taking hydrochlorothiazide. Which of the following information should the nurse include in the teaching?
Increase daily intake of foods high in potassium, take at bedtime, take on an empty stomach, Muscle weakness is an expected side effect
Increase daily intake of food high in potassium
HTZ will prevent loss of calcium, which makes it a good diuretic for patients with hypocalcemia, or issues such as osteoporosis
Fruit that interferes with all medications
What is grapefruit?
A nurse is reinforcing medication instructions with a group of clients. Which of the following statements by a client indicates a need for further clarification?
I will take ibuprofen for arthritis, I will take morphine sulfate during sickle cell crisis, I will take propranolol to manage high blood pressure, I will take aspirin to relieve the ringing in my ears
I will take aspirin to relieve the ringing in my ears
this is sign of aspirin toxicity, stop med
This herb is used to improve memory but interferes with Warfarin
What is Gingo Biloba
Ginger and garlic can also increase bleeding
A nurse is preparing to administer bethanechol to a client who is postoperative. The nurse should explain to the client that which of the following is an expected outcome of the medication?
Relieve bladder spasms, prevent burning with urination, stimulate voiding, Treat a urinary tract infection.
Stimulate voiding
Phenazopyridine- burning, stains clothes, short term- kidney toxic
Oxybutynin- for urinary frequency spasms
Abx for infection- ciprofloxacin (complicated), nitrofurantoin
A nurse is reinforcing teaching with a client who has a prescription for lisinopril. Which of the following statements indicates an understanding of the teaching?
I can expect my voice to be hoarse while taking this medication, I should use salt substitutes while taking this medication, I should check my pulse before each dose of this medication, I will contact my provider if I become pregnant while taking this medication
I will contact my provider if I become pregnant while taking this medication
This medication can cause fetal injury including fetal death if taken in the second or third trimester
Oranges, dried fruits, tomatoes, avocados, dried peas, meats broccoli, dairy products, whole grains, potatoes
What is a source of Potassium
A nurse is teaching a newly licensed nurse about insulin storage. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
I will store unopened vials of insulin in the freezer, I will return any unused vials of insulin to the pharmacy once they have been on the unit for 1 month, I will discard the current vial of insulin after six doses, I can keep the current vial of insulin in use stored at room temperature
I can keep the current vial of insulin in use stored at room temperature
May use opened vial for 1 month, unopened keep around till expiration date
A nurse is reinforcing teaching with a client who has Parkinson’s disease. The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa. Which of the following foods should the nurse recommend the client take with the medication?
1 cup (8oz) plain low-fat yogurt, 1 oz of cheddar cheese, 1 cup (8oz) of applesauce, 1 cup (8 oz) cooked spinach
1 cup (8oz) of applesauce
The client should take levodopa/carbidopa with food to decrease nausea and vomiting but should avoid food high in protein because it interferes with absorption and decreases the therapeutic response. 1 cup of applesauce contains less than one-half a gram of protein.
A nurse is reinforcing discharge teaching with a client following an episode of status asthmaticus. The client has a prescription for two inhalations from an albuterol metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?
I will hold the inhaler with my non-dominant hand, I will tilt my head forward while inhaling the medication, I will hold my breath at least 10 seconds after inhaling the medication, I will wait 10 min between each inhalation
I will hold my breath at least 10 seconds after inhaling the medication
A nurse is collecting data from a client prior to the administration of digoxin. Which of the following findings should the nurse report to the provider?
B/P 130/80, Potassium level of 3.0, digoxin level of 1.2, HR 66 bpm
Potassium level of 3.0
Low potassium = high digoxin (Toxicity)
Table salt, added salts , processed foods
What is source of Sodium
A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse plan to take?
Check the client for hypoglycemia 4 hr after the insulin lispro injection, Inject insulin lispro 15 min before a meal, Monitor the client for polyuria after the insulin lispro injection, Administer insulin lispro in the same syringe as a short-acting insulin
Inject insulin lispro 15 min before a meal
A nurse is reinforcing teaching a client who has a new prescription for phenytoin. The nurse should instruct the client to monitor and report which of the following adverse effects of this medication?
Diarrhea, skin rash, metallic taste, muscle pain
Skin rash - Stevens Johnson Syndrome
We EXPECT- low HR/BP, gingival hyperplasia, decreased effectiveness of oral contraceptives
we STOP the med- Suicidal ideation, ataxia tremor slurred speech, skin rash
A nurse is reinforcing discharge instructions for a client who has asthma and is about to start using beclomethasone MDI. For which of the following findings should the nurse instruct the client to monitor and report to the provider as an adverse effect of the medication?
Nausea, Tremors, Dry mucous membranes, White coating in the mouth
White coating in the mouth
Tremors- Albuterol
Nausea/diarrhea- Theophylline
Dry- anticholinergic
A nurse is reinforcing teaching with a client who has a prescription for simvastatin. Which of the following instructions should the nurse provide?
Follow each tablet with an antacid tablet, swallow the tablet with glass of grapefruit juice, Take the medication in the evening hours, only take with a meal
Take the medication in the evening hours
Statins are most effective if taken at bedtime or with the evening meal because this is when the peak production of cholesterol takes place
May be given with or without food, do not give antacids with meds or grapefruit juice with meds
Carrots, eggs, dark green vegetables
Enteric coated medications
What is they cannot be crushed
A nurse is caring for a client who has a new diagnosis of primary open-angle glaucoma and a prescription for timolol ophthalmic drops. For which of the following adverse effects should the nurse monitor the client?
Hypertension, bradycardia, seizures, anemia
Bradycardia
Timolol can absorb into systemic system, causing bradycardia and hypotension, like PO betablockers
After instilling drops, ask the client to close his eye gently. If the client is to receive more than one eye medication to the same eye, wait at least 5 min before administering the next medication.
A nurse is reinforcing teaching with a client about taking high doses of oral glucocorticoids for an extended period of time to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching?
Plan to check blood glucose levels for hypoglycemia once each year, Glucocorticoids will boost immunity, Limit the intake of calcium rich foods while taking the medication, Monitor for compression fractures of the back and neck
Monitor for compression fractures of the back and neck
Long term use decreases absorption of calcium- increasing risk of fractures and osteoporosis
A nurse is reinforcing discharge teaching with a client who has hyperlipidemia and a prescription for niacin. Which of the following statements should the nurse include in the teaching?
Take this medication 30 min before you eat breakfast, You might experience flushing of the face after taking this mediation, Your blood work will be monitored weekly for the first 3 months of treatment, Store this medication in your refrigerator in a dark container
You might experience flushing of the face after taking this mediation
Take with meals for GI upset
Monthly monitoring
dark container, room temperature
Aged Cheeses, cured or processed meats, pickled vegetables , citrus fruits, beer, red wine, liqueurs
cannot have MAO inhibitors
What are foods that contain Tyramine.
A nurse is reinforcing discharge teaching with a client who has pulmonary tuberculosis and is to start taking rifampin. Which of the following information should the nurse include?
Purified protein derivative skin test results will improve in 3 months, Expect to have insomnia while taking this medication, Take the medication with meals, Urine and other secretions will turn orange
Urine and other secretions will turn orange
the client should take rifampin 1 hr before or 2 hr after meals, it make cause fatigue, and this patient will always have a positive PPD test