NURSING NU240 Capstone Pharmacology latest 2021 - $10.99   Add to cart

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NURSING NU240 Capstone Pharmacology latest 2021

Capstone Pharm 1.A nurse is caring for a client with many different medications who is newly prescribed 2.What class of medication is amitriptyline and why is this medication used as an adjuvant medication for pain? . 3.A nurse is preparing to administer ipratropium by metered dose inhaler. What adverse effects should the nurse instruct the client to monitor for? . 4.A nurse is caring for a client with asthma who asks if montelukast sodium can be taken for acute asthma symptoms. When should montelukast sodium be taken? . 5.A nurse is caring for a client prescribed the inhaled glucocorticoid beclomethasone (QVAR) for the treatment of asthma. What is a potential adverse effect of this medication and what are two (2) teaching points to discuss to address these adverse effects? • 6.A nurse is instructing a client who has a new prescription for nitroglycerin transdermal patch about administration. What instructions should the nurse include? 7.A nurse is administering a unit of packed red blood cells (PRBCs) to a client. What symptoms would indicate circulatory overload? Name three (3) clinical manifestations of circulatory overload. What are three (3) interventions the nurse can take action on if overload occurs? Clinical Manifestations: Cough, shortness of breath, crackles, hypertension, tachycardia and distended neck veins. • . 8.A nurse is preparing to administer a topoisomerase inhibitor to a client with ovarian cancer. What are adverse effects the nurse should monitor when administering this medication? • 9.A nurse has provided education to a client has a new prescription for exenatide. What statements by the client would indicate they understand the instructions? • 10.A nurse has provided education to a client with hypothyroidism who has a new prescription for levothyroxine. What statements by the client would indicate they understand the instructions? • 11.A nurse is caring for a client who has a new prescription for alosetron. What are the expected therapeutic effects of this medication? • 12.A nurse is placing an IV line on an older adult client. List three (3) considerations the nurse should take when placing an IV line in this client? • 13.A critical care client is in need of adenosine. What is the indication of this medication and how is this medication administered? 14.Excessive anticoagulant effect in bleeding due to Heparin can be reversed by __________. (Fill in the blank). • 15.A home health nurse is evaluating the client's knowledge of the medication terazosin. Which statement by the client alerts the nurse the client needs further education on this medication? 16.A client has been prescribed oxybutynin for treatment of overactive bladder and has been experiencing anticholinergic side effects. List two (2) actions the client will take to prevent adverse effects of the medication therapy. • 17.The client has been ordered ranitidine. List three (3) teaching points to discuss with the client prior to the first administration. • . 18.Dry mouth is anticholinergic adverse effect. Name three (3) other anticholinergic adverse effects to inform a client about when taking this class of medication. • 19.When teaching a client about application of the medication, topical acyclovir and management of the infection, what are three (3) points to discuss? • 20.A client has been prescribed folic acid. What are three (3) indications for this medication therapy? • A home health nurse is evaluating the client's knowledge of the medication terazosin. Which statement by the client alerts the nurse the client needs further education on this medication? "I will take my medication at bedtime"."This medication will help my urinary output.""I will get out of bed slowly when waking.""I will take this medication after eating." COMMON DRUGS FOR NCLEX The best way to study for medications for NCLEX is to study it by classifications or body system use methods. Do not study medications at random and do not study it like a Pharmacy student would. ANALGESICS: (1)Aspirin: Do not give together with other anticoagulants. Stop taking Aspirin some days before surgery. Do not give to children with viral infection (Reye syndrome) (2)NSAID’s e.g. Ibuprofen—Take with food; contraindicated for people with GI Ulcers (3)Morphine: A respiratory depressant. It should be withheld if the respirations are below 10 ANTI-CONVULSANTS: (4)Dilantin: Causes gum hyperplasia. Advice client to visit dentist frequently ANTIINFLAMMATORY (5)Prednisone: Causes Cushing like symptoms. Common side effects are immunosuppression (monitor client for infection), hyperglycemia ANTI-COAGULANTS (6)Heparin: Monitor client’s lab work-PTT. Antidote is protamine sulfate (7)Coumadin: Monitor client’s lab work—PT. Antidote is Vitamin K ANTI-PARKINSONIAN (8)Cogentin: Used to treat EPS (9)Sinemet: Drug is effective when tremors are not observed RESPIRATORY (10)Theophylline/Aminophylline: Side effects--Tachycardia CARDIOVASCULAR (11)Digoxin (Lanoxin): Signs of toxicity: Pt will complaint of visual change in colors. They would also complain of loss of appetite. ANTIHYPERTENSIVE (PRE-ECLAMPSIA) (12)Magnesium Sulfate: Monitor for deep tendon reflex and respiratory depression DIURETICS (13)Hydrochlothiazide: Monitor potassium levels (14)Lasix: Monitor potassium levels (15)Aldactone: Potassium sparing PSYCHOTROPICS (16) Lithium Carbonate: Know therapeutic range (0.8 to 1.2mEq). Also know symptoms of toxicity. Adequate fluid and salt intake is important. (17) MAOI inhibitors: Have dangerous food-drug interactions. Food with Tyramine should be avoided. For example: aged cheese, wine etc. (18) Disulfiram (Antabuse): Used for alcohol aversion therapy. Clients started on Disulfiram must avoid any form of alcohol or they would develop a severe reaction. Teach client to avoid some over-the-counter cough preparations, mouthwash etc. MATERNITY (18) Oxytocin: Assess uterus frequently for tetanic contraction. ANTIDOTES (19) Narcan: Reverses the effects of narcotics (20)Calcium Gluconate: Antidote for magnesium sulfate (21)Vitamin K: Antidote for Coumadin Other additional NCLEX information regarding the following drugs: (22) Tegretol: side effects. Used to treat nerve pain and seizures. Often used with diabetic neuropathy and trigeminal neuralgia. Watch for skin rashes and bone marrow suppression. Do not take when pregnant. (23)Atropine: What checks do you do before giving this drug (BP) (24)Epogen: Used in treating anemia because it increases RBC production. (25) Acyclovir: anti-viral medication used in treating shingles. EXTRA NOTES: (A) When a client is on antibiotics, teach the client to continue taking the medication even though they feel better (B)Monitor client taking antibiotics such as Vancomycin for ototoxicity. Client will complain of tinnitus, room spinning (vertigo) and nausea. (C) Clients taking vasodilators e.g. Verapramil would complain of headache This may also be helpful to you in your review with pharmacology: -caine: Local Anesthetics -cillin: Antibiotics -dine: H2 Blockers (Anti-Ulcers) -done: Opioid Analgesics -ide: Oral Hypoglycemics -lam: Anti-Anxiety Agents -mycin: Antibiotics -mide: Diuretics -nium: Neuromuscular Blocking Agents -olol: Beta Blockers -oxacin: Antibiotics -pam: Anti-Anxiety Agents -pril: ACE Inhibitors -sone: Steriods -statin: Antihyperlipidemics -vir: Antivirals -zide: Diuretics

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