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Exam (elaborations)

Shadow Health Questions and Answers (2022/2023) Already Passed

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Shadow Health Questions and Answers (2022/2023) Already Passed Oxycodone: Indications: You're giving me something for the pain now? Let your patient know which medication you are giving, and what it is intended to treat. Yes, this is oxycodone. It's a medication that is used for treating severe pain like you are experiencing now. You should begin to feel your pain level go down within ten minutes of taking it. Oxycodone: dependency Isn't oxycodone pretty addictive? This is a chance to address the patient's concern about developing an opioid dependency. When used short-term for acute pain, it is very rare to develop an addiction to oxycodone. Keeping your pain under control is a big part of your recovery and overall health, so it's important to ask for pain medication when you need it. Oxycodone: Adverse effects [no patient question] Let Tina know about any common side effects she might experience, and if there is anything she should call a provider for. You might feel sleepy while taking this drug; that's very common. Constipation is also common, and if you experience that, we can add a stool softener to your medication orders. Oxycodone can also cause breathing problems for some people, so I'll be monitoring your vitals regularly, and if you start to notice that you are having trouble breathing, be sure to let someone know immediately. Clindamycin: Indications [no patient question] Let Tina know that you will be adding clindamycin to her IV and what it is for. I'm going to start your clindamycin drip. It's an antibiotic that will help treat the infection from your foot wound. Allergies: Clindamycin Is clindamycin like penicillin? I have a penicillin allergy, so I'm always worried about taking antibiotics. This is an opportunity to let the patient know whether there are cross-sensitivities between penicillin and clindamycin. little or no cross-allergenic with penicillin.That's a great question to ask. Clindamycin is not in the same family as penicillin, so you should not have an allergic reaction Adverse Effects: Clindamycin Is it true that some antibiotics can make you feel really bad? Inform the patient about side effects that may occur, and the importance of monitoring for serious adverse reactions. This antibiotic can cause diarrhea, and while it is usually a minor side effect, it can indicate a more serious condition. Because of that, you should let us know right away if you do experience diarrhea even if it seems insignificant. Which statement indicates that the patient understood the nurse's discharge information about his albuterol inhaler? I should use this inhaler five minutes after my beclomethasone inhaler I should use this inhaler regularly to manage my asthma I should use this inhaler when I am having an acute attack I should use this inhaler to reduce inflammation in my airways I should use this inhaler when I am having an acute attack (Correct Response) Inhaled albuterol is a rescue medication that reduces bronchoconstriction that is present during acute attacks; it has no effect on inflammation. A patient is taking promethazine for nausea and oxycodone for pain. What is the nurse's priority assessment? Assess for breakthrough pain Assess sedation level Assess for constipation Assess for dizziness Assess sedation level (Correct Response) The nurse must assess sedation level as the additive sedative effect when promethazine and oxycodone are administered together can lead to life-threatening respiratory depression. The other side effects do not pose immediate risk and are therefore lower-priority assessments. Which information is essential to include when educating the patient about clindamycin? Clindamycin is primarily bacteriostatic Clindamycin should be continued even when feeling better Clindamycin can be given to patients with penicillin sensitivities Clindamycin can cause a harmless bitter taste Clindamycin should be continued even when feeling better (Correct Response) To resolve the infection and prevent the development of resistant pathogens, it is important that the patient understands she must take an entire course of antibiotics even if she is feeling better. A patient with a penicillin allergy needs antibiotic treatment. Which antibiotic choice would require close monitoring for hypersensitivity due to cross sensitivity? vancomycin azithromycin cefazolin levofloxacin cefazolin (Correct Response) Cefazolin is a cephalosporin, which is a family of antibiotics that has a high risk of cross-sensitivity in patients with penicillin allergies

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