FINAL HESI

FINAL HESI 2022 Nurse is providing teaching to a group of new parents about meds. Nurse should include that aspirin is contraindicated for children who have viral infection d/t risk of developing which of following adverse effects? - ANS-Reye's syndrome Aspirin should not be given to children or adolescents who have a viral infection, such as chickenpox or influenza, due to the risk of developing Reye's syndrome. Nurse is providing teaching to pt who has CKF w/ AV fistula for hemodialysis and new prescription for epoetin alfa. Which of following therapeutic effect of epoetin alfa should nurse include in teaching? - ANS-Promotes RBC production Epoetin alfa stimulates erythropoiesis in the bone marrow to increase RBC production and reduce anemia. Anemia is common in clients who have chronic kidney failure, since erythropoietin is produced by the kidney. Nurse is caring for pt who has peptic ulcer disease and reports headache. Which of following meds should nurse plan to administer? - ANS-Acetaminophen Acetaminophen is an analgesic used for mild to moderate pain. It can be administered to a client who has peptic ulcer disease because it does not affect blood coagulation and does not increase the risk of gastrointestinal bleeding. Ibuprofen is an NSAID that is contraindicated for clients who have peptic ulcer disease because it can reduce platelet aggregation and increase the risk of gastrointestinal irritation and hemorrhage. Naproxen is an NSAID that is contraindicated for clients who have peptic ulcer disease because it can reduce platelet aggregation and increase the risk of gastrointestinal irritation and hemorrhage. Aspirin is an NSAID that is contraindicated for clients who have peptic ulcer disease because it can reduce platelet aggregation and increase the risk of gastrointestinal irritation and hemorrhage. Nurse is caring for pt who has prescription for clopidogrel. Nurse should monitor pt for which of following adverse effects? - ANS-Bleeding Clopidogrel is an antithrombotic medication that inhibits platelet aggregation. It is used to prevent stenosis of coronary stents, myocardial infarctions, and strokes. The nurse should monitor for coffee ground emesis, black tarry stools, ecchymosis, or any indication of bleeding. Nurse is teaching newly licensed nurse about contraindications to ceftriaxone. Nurse should include severe allergy to which of following meds as contraindicated to ceftriaxone? - ANS-Piperacillin Clients who have a severe allergy to piperacillin, which is a penicillin, can have a cross sensitivity to ceftriaxone, a third-generation cephalosporin. Ceftriaxone is contraindicated for the client who has an allergy to cephalosporins or a severe allergy to penicillin. Nure is providing teaching to newly licensed nurse about metoclopramide. Nurse should include in teaching that which of following conditions is contraindicated to this med? - ANS-Intestinal obstruction Metoclopramide reduces nausea and vomiting by increasing gastric motility and promoting gastric emptying. It is contraindicated for a client who has an intestinal obstruction or perforation. Nurse is assessing pt who has new prescription for chlorpromazine to Tx schizophrenia. Pt has mask-like facial expression and is experiencing involuntary movements and tremors. Which of following meds should nurse anticipate administering? - ANSAmantadine The client is experiencing parkinsonism, which is an adverse effect of the antipsychotic medication chlorpromazine. Amantadine is an antiparkinsonian medication used to treat the extrapyramidal manifestations that can occur with chlorpromazine therapy. Nurse is administering subq epinephrine for pt who is experiencing anaphylaxis. Nurse should monitor pt for which of following adverse effects? - ANS-Tachycardia Adverse effects of epinephrine, an adrenergic agonist, can include tachycardia and dysrhythmias as the result of cardiac stimulation. Nurse is providing teaching to pt who has UTI and new prescriptions for phenazopyridine and ciprofloxacin. Which of following statements by pt indicates need for further teaching? - ANS-"I should notify my provider immediately if my urine turns an orange color." Phenazopyridine is a urinary tract analgesic used to relieve pain and burning during urination. The medication can cause the client's urine to turn a reddish-orange color. This coloration is an expected effect of this medication, although it can stain clothing, and does not need to be reported to the provider. Nurse is caring for older adult pt who has new prescription for zolpidem at bedtime to promote sleep. Nurse should plan to monitor pt for which of following adverse effects? - ANS-Dizziness Zolpidem can cause dizziness and daytime drowsiness. It can cause confusion in the older adult client. Nurse is reviewing lab values for pt who reports fatigue and cold intolerance. Pt has increased TSH level and decreased total T3 and T4 levels. Nurse should anticipate prescription for which following meds? - ANS-Levothyroxine Levothyroxine replaces thyroid hormone for a client who has hypothyroidism. Laboratory values for hypothyroidism include an increased TSH level and decreased total T3 and T4 levels. Clinical manifestations for hypothyroidism include fatigue, cold intolerance, and a decreased body temperature and pulse. Nurse is providing teaching to pt who has new prescription for hydrochlorothiazide 50 mg PO to Tx HTN. Which of following instructions should nurse include in teaching? - ANS-"Take the hydrochlorothiazide in the morning." The client should take hydrochlorothiazide in the morning to allow for diuresis during the day and prevent nocturia. Nurse is caring for pt who is at 28 wks of gestation and is experiencing preterm labor. Which following meds should nurse plan to administer? - ANS-Nifedipinie Nifedipine is a tocolytic medication that is administered to stop preterm labor. -Ca channel blocker -Beta adrenergic (terbutaline) -MgSO4 NSAIDS (indomethacin) Nurse is providing teaching to pt who has cirrhosis and new prescription for lactulose. Nurse should instruct pt that lactulose has which of following therapeutic effects? - ANSReduces ammonia levels Lactulose is a laxative that promotes the excretion of ammonia in a client who has hepatic encephalopathy from cirrhosis of the liver. Nurse is caring for older adult who has new prescription for amitriptyline to Tx depression. Which of following Dx tests should nurse plan to perform prior to starting pt on this med? - ANS-Electrocardiogram Amitriptyline can cause tachycardia and ECG changes. An older adult client is at risk for cardiovascular effects of amitriptyline; therefore, an ECG should be performed prior to the start of therapy to obtain a baseline of the client's cardiovascular status. Nurse is teaching pt who has gout and new prescription for allopurinol. Nurse should instruct pt to d/c med for which of following adverse effects? - ANS-Fever Fever can indicate a potentially fatal hypersensitivity reaction. The client should discontinue the allopurinol and notify the provider if a fever or rash develops. Nurse is assessing pt who is receiving IV gentamicin TID. Which of following findings indicate pt is experiencing adverse effects of med? - ANS-Proteinuria Proteinuria is a manifestation of nephrotoxicity, an adverse effect of gentamicin. The nurse should monitor for oliguria and hematuria. 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