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client with Ulcerative Colitis being treated with Cortef- at risk for infection you should monitor
THE TEMPERATURE inflam process is masked by the Cortef
football QB suffered injuries and given methocarbamol. nurse is most concerned for which symptom?
Nasal Congestion
client with hypertension and arthritis. takes aspirin everyday for pain. clients eyes look yellow. whats appropriate?
contact health care provider to obtain an order for lab work to determine why you are jaundiced. – increased ALT, AST and bilirubin may indicate liver damage
HCP orders digoxin 0.125 for client. instructs on how to take it what would need further teaching?
if my pulse is under 60 bpm, i should take digoxin and then take my pulse again in 1 hour. -WITHHOLD digoxin if rate is less than 60 bpm
nurse instructs a client taking lansoprazole for first time. Further teaching is needed when client states:
I should take the medication on a full stomach. – it is a proton pump inhibit and is used for GERD; take before meals
Nurse cares for abdominal gunshot wound on patient. history shows client has been on methadone for past 2 years. no orders to continue methadone. nurse anticipates which activity may occur?
The client will experience N&V, and abdominal cramps – withdrawal symptoms!
client with symptoms of overwhelming anxiety related to job loss, moving, sibling with cancer. client says “i used to cope but ever since I’ve been going to those AA meetings i have been able to remain sober.” Which med will doctor give?
Buspirone -minimal abuse potential; episodic or acute anxiety, for previous addictions, client can drink while taking this
which med is NOT used to treat asthma?
Hydrocodone
HCP prescribes clonidine patch for pt with high blood pressure. whats most important teaching?
rotate the sites you apply the patch to, avoiding scarred or irritated areas
The nurse cares for a pt taking zidovudine for 1 week. client complains about insomnia
the insomnia should resolve after taking the medication for 3-4 weeks its only temporary
nurse knows that which side effect of prednisone use in a client diagnosed with systemic lupus erythematous (SLE)
alteration in mental status -CNS side effects. can even cause psychosis and seizures, mood swings, behave changes
if metered dose inhaler sinks to bottom of bowl of water it is
FULL
client taking fosamax most important instruction to prevent esophageal ulceration?
swallow the medication with a full glass of water and remain upright for 30 min
nurse cares for a client taking quinine sulfate. further teaching is needed if client states?
i enjoy a glass of wine in the evening with dinner -drug is used for leg cramps and malaria, tonic water contains quinine and may cause danger for overdosing.
nurse on post surgical unit tells another nurse that both potassium chloride injectable concentrate and IV promethazine are “high alert” meds. Nurse understands that high alert has which meaning
meds can pose a risk to clients if extra care is not used in their storage and administration
client diagnosed with VTE for discharge. HCP prescribes warfarin. most important for nurse to include which statement with discharge instructions?
client will require routine blood testing.
nurse cares for pt taking venlafaxine for 2 months. he is unable to maintain erection and wants to stop the med to see if its causing the problem. whats nurses best response?
I’ll contact the HCP so he can gradually reduce the dosage of medication.
client with inflammatory bowel disease. client states an allergy to cephalosporins. nurse is concerned if physician orders what?
Penicillin
client taking ranitidine (zantac) and still smokes and is experiencing gastric pain about 1 hour after meals- best response by nurse?
smoking interferes with the drugs effectiveness and you are no longer receiving the drugs full effect
food containing least amount of vitamin b12
chocolate -has natural caffeine but no b12
which foods should be avoided when taking phenelzineu sulfate (nardil)
aged cheeses, lunch meats, tofu, chocolate
which med is not used for pulmonary emboli?
streptomycin
the nurse receives verbal orders for administer naloxone hydrochloride to a client, which action does the nurse take first
immediately administer the medication
nurse in the mental health clinic understands which foods must be avoided by clients taking phenelzine sulfate
aged cheese, lunch meats, tofu, chocolate
the nurse cares for the client diagnosed with degenerative joint disease, the health care provider orders celecoxib, the nurse is most concerned if the client makes which statement
im allergic to aspirin
the nurse cares for a client taking quinine sulfate, the nurse determines further teaching is necessary if the client makes which statement
i enjoy a glass of tonic water in the evening with dinner
the nurse cares for a client admitted with inflammatory bowel disease, the client tells the nurse of an allergy to cephalosporins, the nurse is concerned if the health care provider orders which medication
penicillin
a client comes to the community mental health center….
buspirone
the home care nurse visits a client diagnosed with osteoarthritis receiving ibuprofen 800 mg qid per day, based on this prescription the nurse knows which is the maximum grams per day of ibuprofen this client should receive
3200 mg or 3.2 GRAMS
the nurse cares for a client on the rehabilitation unit, client reports having trouble focusing the eyes when trying to read, the client has not had a problem in the past, nurse notes the client has been receiving phenoarbital for more than a ear, it is most important for the nurse to take which action
obtain an order for a blood specimen
the home care nurse performs an assessment on a client using a metered-dose inhaler, the client is not sure how much medication is left in the canister, nurse places the catheter in a bowl of water and the canister sinks to the bottom of the bowl, which conclusion is most accurate
the canister is full
the home care nurse receives a phone call from a client diagnosed with hypertension and arthritis…. the client states the aspirin relieves the pain, but the clients spouse noticed that the clients eyes and skin look yellow, which statement is most accurate
i will contact your health care provider to obtain an order for lab work to determine why you are jaundiced
the health care provider order digoxin 0.125 mg daily for a client, the nurse instructs the client about how to take digoxin, further teaching is required if the client makes which statement
if my pulse is under 60 beats per minute, i should take the digoxin and then take my pulse again in one hour
the nurse cares for a client who has taken zidovudine for one week, the client reports experiencing insomnia since beginning the medication, which statement by the nurse is most accurate
the insomnia should resolve after taking the medication for 3-4 weeks
the nurse instructs a client how to take psyllium, which instruction is most important for the nurse to include
mix psyllium with water, milk, or fruit juice and take at about the same time each day
the nurse prepares a client diagnosed with VTE for discharge, the health care provider prescribed warfarin, it is most important for the nurse to include which statement in the discharge instructions
the client will require routine blood testing
the health care provider prescribes a clonidine patch for a client with a blood pressure that continues to be regularly above 160/100. which statement is most important for the nurse to include in the teaching
rotate the sites you apply the patch to, avoiding scarred or irritated areas
the nurse cares for a client hospitalized for treatment of an abdominal gunshot wound…. the nurse anticipates which activity may occur
the client will experience nausea, vomiting, and abdominal cramps
the nurse on the post surgical unit reminds another nurse that both potassium chloride injectable concentrate and iv promethazine are high alert medications, the nurse understands that a high alert classification has which meaning
the medications can pose a risk to clients if extra care is not used in their storage and administration
the nurse cares for a client taking spironolactone for treatment of hypertension, the nurse instructs the client about the medication, the nurse determines that further teaching is necessary if the client makes which statement
i will use a salt substitute instead of iodized salt
the nurse identifies which medication is not used for the treatment of asthma
hydrocodone
the nurse recognizes which medication is ineffective for the treatment of pulmonary emboli
streptomycin
a football quarterback suffers arm and leg muscle injuries when repeatedly injured and is given methocarbamol for the injuries, when following up with the client, the nurse is most concerned if the client states which symptoms are being experienced
nasal congestion
the client is diagnosed with systemic lupus SLE, the nurse understands which is an adverse effect of prednisone used for this client
alteration in mental status
the nurse cares for a client receiving ranitidine, the client relates to the nurse that the client has resumed smoking and experiences gastric pain about one hour after meals, the best response by the nurse is
smoking interferes with the medications effectiveness, and you are no longer receiving the full anti-ulcer effect
the nurse counsels a client receiving alendronate (fosamax), what is the most important instruction for the nurse to include to prevent esophageal ulceration
swallow the medication with a full glass of water and remain upright for 30 minutes
the camp nurse knows which medication is commonly used in the treatment of allergic reactions
diphenhydramine hydrochloride
the client is receiving aminophylline 400 mg every 6 hours, if the ampule contains 500 mg in 20 ml of fluid, how many ml will the client receive in 24 hours
64 ml
the nurse in the outpatient clinic instructs a client taking lansoprazole for the first time, the nurse determines further teaching is necessary if the client makes which statement
i should take the medication on a full stomach
the nurse cares for the client receiving venlafaxine for two months, the client tells the nurse of being unable to maintain an erection and wants to stop taking the medication to see if this is causing the problem, which response by the nurse is most appropriate
ill contact the health care provider so the dosage of medication can be reduced gradually
the nurse knows that vitamin b12 is found naturally in many foods, which food contains the least amount of vitamin b12?
chocolate
the nurse cares for a client being treated for exacerbation of ulcerative colitis, receiving hydrocortisone, because the nurse understands the client is at risk for developing an infection, it is most important to monitor what
the clients temperature
client having troubles focusing the eye. pt is taking phenobarbital for more than 1 year. what action will nurse take?
obtain an order for blood specimen -nystagmus is early sign of toxicity
client with osteoarthritis taking ibuprofen 800 mg qid. what is maximum grams per day?
3.2 grams/day 8 grams a day is more than twice the suggested daily limit
nurse receives a verbal order to give naloxone hydrochloride to client. what action should nurse take first?
IMMEDIATELY administer the medication for narcotic respiratory depression
pt takes spironolactone for HTN. further teaching is needed if client states?
i will use salt substitute instead of iodized salt.
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