PN Pharmacology Online Practice 2020 B

PN Pharmacology Online Practice 2020 B A nurse is reviewing he medication administration record for a client who has a new prescription for tobramycin to treat pulmonary infection. Which of the following medications should the nurse identify as increasing the risk for ototoxicity while taking tobramycin? - ANSWER Furosemide. Furosemide is a diuretic that can cause ototoxicity. So, the clients hearing loss is increased if receiving both of these medications A nurse is reinforcing teaching with a client who is newly diagnosed with hypertension and is taking metoprolol. The nurse should instruct the client to report which of the following manifestations to the provider as an adverse effect of this medication? - ANSWER Peripheral edema. This could be an indication of heart failure, which is an adverse effect of metoprolol. Other adverse effects: bradycardia, blurred vision, and urinary frequency. A nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. for which of the following manifestations should the nurse monitor to determine whether the treatment is effective? - ANSWER Improved social interactions Risperidone is an atypical antipsychotic that can minimize these manifestations, improving social interactions with others. A nurse is collecting data prior to administering digoxin to a client. for which of the following findings should the nurse withhold this medication and notify the provder? - ANSWER Apical pulse 52/min If the clients HR is below 60/min the nurse should withhold the dose and notify the provider. Hypokalemia places a pt at risk for cardiac dysrhythmias when taking digoxin A nurse is caring for a client who has a 10-year history of alcohol use disorder and is experiencing acute alcohol withdrawal. the nurse should identify which of the following interventions as the priority? - ANSWER Implement seizure precautions. Grand mal seizures can occur during severe alcohol withdrawal, making the priority to implement seizure precautions to reduce the risk of injury. A nurse is reviewing the medication administration record of a client who has a history of Stevens-Johnson syndrome when taking sulfamethoxazole-trimethoprim. Which of the following medications should the nurse identify as contraindicated for this client? - ANSWER Furosemide. Anyone who has a history of Stevens-Johnson syndrome when taking sulfonamides is at risk for an allergic reaction to furosemide because the two medications are chemically related.