Nur 2407 Pharmacology Exam

NUR 2407 PHARMACOLOGY EXAM What nursing intervention is appropriate for a 70-year-old female patient receiving lithium? - Monitor Fluid and Sodium Intake A nurse is caring fora patient who is taking lithium for mania. The nurse’s assessment includes a notation of a lithium serum level of 2.4 mEq/L. The nurse anticipates seeing what? - clonic movements •serum levels of 2-2.5 mEq/L may produce ataxia, clonic movements, possible seizures and hypotension* The nurse administers chlorpromazine intramuscularly to the preoperative patient who is extremely anxious about surgery in the morning. What priority teaching point will the nurse provide this patient? - remain recumbent for at least 30 minutes after the injection *decreases the risk of injury if orthostatic hypotension occurs. The nurse is presenting an in-service at a children’s unit on hyperactivity. The nurse is told that a 6-year-old on the unit is being treated with methylphenidate (Ritalin), an amphetamine. The presenting nurse talks about discharge teaching for this patient and the importance of monitoring what? - weight and complete blood count *drug is associated with weight loss, bone marrow suppression, and cardiac arrhythmias The nurse is caring for a patient taking an oral neuroleptic medication, haloperidol. What is the nurse’s priority assessment to monitor for? - Tardive dyskinesia *such a common adverse effect with continued use of the drug A psychotic patient is admitted through the ED. The physician has ordered chlorpromazine (Thorazine) 25 mg intramuscularly. After administration of the medication, what is the nurse priority to evaluate? - a decrease in psychotic symptoms (purpose of administering the drug)