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1. Anticholinergic effects dry mouth
constipation
photophobia
blurred vision
Tachycardia
2. Fluphenazine (what is it, high potency typical antipsychotic
how does it work)
Block dopamine (D2), acetylcholine, histamine, and norepinephrine
receptors in the brain and periphery.
Inhibition of psychotic manifestations, believed to be a result of D2
blockade in the brain.
3. A nurse is providing teach- Chew sugarless gum to moisten the mouth.
ing with a client, who When taking action, the nurse should instruct the client who is
has schizophrenia, about taking fluphenazine and is experiencing anticholinergic ettects to
strategies to minimize the chew sugarless gum. This instruction would provide moisture to the
anticholinergic effects of client's mouth and decrease the severity of dry mouth which is an
fluphenazine. Which of anticholinergic adverse ettect.
the following instructions
should the nurse suggest
for the client?
4. Gentamicin Gentamicin is a narrow-spectrum aminoglycoside antibiotic pre-
scribed to treat serious infections caused by aerobic bacilli
5. Complications of Gentam- Gentamicin can injure cells of the proximal renal tubules.
icin Naproxen and other NSAIDs can cause renal insuflciency.
The glomerular filtration rate of the kidneys decreases with advanced
age, making this client at increased risk for nephrotoxicity.
6. BUN
Blood creatinine
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What lab values should a Peak and trough levels of gentamicin
nurse monitor for a pa- Specific gravity of urine
tient taking Gentamicin? Urinalysis
7. BUN blood urea nitrogen
8. Nursing actions for a Monitor intake and output.
client taking gentamicin Notify the provider of low urinary output.
Ensure that the client is adequately hydrated and monitor for fluid
overload.
Assess for manifestations of ototoxicity.
9. A nurse is preparing a Adverse Ettects
client's medications. The Mechanism of Action
nurse is responsible for Contraindications
gaining and maintaining
knowledge about which of Use knowledge of the therapeutic ettect and common adverse ef-
the following medication fects of medications to compare expected outcomes with actual
information? findings
10. total parenteral nutrition nutrient-complete solution given directly into bloodstream when
(TPN) person cannot eat by mouth
11. A nurse is preparing to Time of the incident
complete an incident re- who was notified of the incident
port for a medication er- actions taken following the incident
ror. What information (4 client identification
things) should the nurse
include in the report?
12. Adverse effects of oxybu- Anticholinergic ettects
tynin (dry mouth, eyes,)
blurred vision
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Hypotension
peripheral edema
QT interval prolongation
13. adverse effects of fentanyl Respiratory Depression
patches Hypotension
Constipation
Nausea or Vomiting
14. Clients who use fentanyl Take a stool softener on a daily basis. Constipation is an adverse
patches will likely need to ettect of opioid use and stool softeners can decrease the severity
take what on a daily basis?
15. Adverse effects of extrapyrimidal symptoms
haloperidol
16. extrapyramidal symp- involuntary fine motor tremors, rigidity, uncontrollable retlessness,
toms dystonia, pseudoparkinsonism, and akathisia
17. When using dopamine to Dopamine is an adrenergic that causes a receptor specificity ettect,
treat heart failure, what which increases cardiac output and improves perfusion. You might
are signs to watch indicat- notice increased urine output as well
ing the medication is ef-
fective
18. Adverse effects of Hy- Dizziness, vertigo, orthostatic hypotension, nausea, anorexia, vom-
drochlorothiazide iting, dry mouth, diarrhea, polyuria, nocturia, muscle cramps, or
spasms. (think: LOWERS BP)
19. A nurse is preparing to ad- HCTZ is a thiazide diuretic administered to promote urine output
minister hydrochloroth- and reduce blood pressure and edema. The nurse should obtain the
iazide to a client actions client's blood pressure prior to administration of the medication.
should the nurse take pri-
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