NURSING 201PHARMESAN 3V EXAM |QUESTIONS AND ANSWERS |ALREADY GRADED A+| 2024

NURSING 201PHARMESAN 3V EXAM |QUESTIONS AND ANSWERS |ALREADY GRADED A+| 2024 Pharmacology A nurse is caring for a client who is taking phenytoin. For which of the following adverse effects should the nurse monitorand report to the provider? Cognitive impairment Tachycardia +. Elevated blood pressure d. Tinnitus Rationale: phenytoin (Dilantin, Phenytek) : Classification: antiarrhythmics, anticonvulsants. Pharmacologic: Hydantoins. Pregnancy category: D. Indications: treatment/prevention of tonic-clonic (grand mal) seizures and complex partial seizures via enhancing inhibitory effects of GABAand decreases neuron firing. Also used as an antiarrhythmic, particularly for ventricular arrhythmias associated with digoxin toxicity& prolonged QT interval. Adverse effects: CNS effects (nystagmus, sedation, ataxia, double vision, cognitive impairment) notify providersif these occur, Gingival hyperplasia (softening and overgrowth of gumtissue, tenderness, and bleeding gums; maintain good oral hygiene), Skin rash (stop med if this occurs), Cardiovascular effects (dysrhythmias, hypotension), Endocrine and other effects (coarsening of focal features, hirsutism, and interference with vitamin D metabolism), and Interfering with vitamin K-dependent clotting factorscausing bleeding in newborns. . A nurse is assessing a client who is receiving via continuous IV infusion for labor augmentation. The nurse notes six contractions ina 10-minute period with a nonreassuring FHR. Which of the following actions should the nurse take first? Administer Terbutaline 0.25 mg subcutaneously Discontinue the oxytocin IV infusion Turn the client on the left side Apply oxygen at 10 L / min via face mask Rationale:Pharmacology 7.0 Chapter 32 page 253: Oxytocin (Pitocin): hormone, oxytocics, pregnancy category X. Uterine stimulants increase the strength, frequency, and length of uterine contractions. (contractions lasting longer than 60 secs, and occurring more frequently than every 2 to 3 min, stop the infusion, andnotify the provider. Practice question from RN Pharmacology Practice Questions A: the priority question is for the nurse to place the client in lateral position. . A nurse is administering Lactated Ringer solution at 100ml/hr. Thedrop factor of the manual IV tubing is 15 gtt/ml. The nurse shouldset the manual IV infusion to deliver how many drops per minute?Round the answer to the nearest whole number? mL/ min x drop factor (gtt/min) 1 hr. = 60 min 100 mL/60 min x 15 gtt/mL = 25 gtt/min . A client who has active tuberculosis and is taking rifampin reports that this urine and sweat have developed a red orange tinge. Whichof the following actions should the nurse take? page 376 Adverse effects: Hepatotoxic sxs (jaundi