ATI PN PHARMACOLOGY NEW 2023 COMPLETE EDITION

ATI PN PHARMACOLOGY NEW 2023 COMPLETE EDITION - Absolute neutrophil count (ANC) below the expected reference range of 2,500 to 8,000/mm^3. Indicating agranulocytosis. - Hyperglycemia, above the 74 to 106 mg/dL - Dislipidemia, above the triglyceride level of 35 -160 mg/dL and less than the 200 mg/dL for total cholesterol. - ANSWERS -A patient taking clozapine for schizophrenia would be having an adverse effect of the medication if they had what lab value? - allergic reaction, mild rash to anaphylaxis - dizziness - dry mouth - sweating - ANSWERS -What are adverse effects of ropinrole? - avoiding tourniquets, using BP cuff to visualize. - no slapping - hold their hand below the heart. - avoid using the back of the hand - avoid rigorous friction while cleaning site. - ANSWERS -What are specific considerations for adult clients, clients wh o are taking anticoagulants, and clients who have fragile veins? - bradycardia (notify provider) - gingival hyperplasia - flushing face - ANSWERS -What are adverse effects of amlodipine (calcium channel blocker)? - breast tenderness - migraine headache - nausea - ANSWERS -What are signs that an oral contraceptive has an excess amount of estrogen for the client? - Cardiac dysrhythmias - Hypotension, if administered to quickly - Tachycardia, if above 50mg/min - ANSWERS -What are adverse effects of phenytoin IV? - change positions slowly - avoid taking after 7:00 PM - take missed dose as soon as remembered. - adverse effect: HA - ANSWERS -What teachings should be given to a patient taking Isosorbide mononitrate? - CNS depression - anterograde amnesia - toxicity - ANSWERS -What are complications when dealing with Benzodiazepines? - decreased serum ammonia. We want to improve cirrhosis by eliminating ammonia through a laxative effect. - ANSWERS -What indicates the effectiveness of lactulose? - dental exams every 3 months will be needed to decrease gingival inflammation and hyperplasia - avoid grapefruit juice - adverse effects include: hypertension and diarrhea. - ANSWERS -Following a kidney transplant the nurse should teach what to a client ta king cyclosporine? - emesis that looks like coffee grounds, evidence of GI bleed (report ASAP) - erectile dysfunction - myalgia - enlarged breast tissue in male clients - ANSWERS -What are adverse reactions for cimetidine? - having 1 to 2 bowel movements per day - WNL blood glucose level - weight gain - ANSWERS -A healthy pancreas response to medication is what? - hypokalemia, potassium wasting. (muscle weakness, muscle cramps and dysrhythmias. - ANSWERS -What are adverse effects of chlorothiazide (used to treat HTN and HF)? - hypotension - increased blood glucose level - ANSWERS -What are adverse effects of furosemide? - improves cardiac output - improves hypotension - increases heart rate - ANSWERS -Dobutamine hydrochloride does what? - increase fluid int ake to 2 to 3 L daily - decrease vitamin c intake - ANSWERS -What are main dietary points when teaching a client newly prescribed allopurinol? - injections are administered subcutaneously, if given IM it is more painful. - The child will grow an extra 2.54 to 7.62 cm - treatment will last for 4 to 6 years - administered 6 to 7 times each week. - ANSWERS -What are some nurse teachings about growth hormones - Intestinal obstruction or perforation - ANSWERS -Metoclopramide, us ed to reduce n/v by increasing gastric motility and emptying, is contraindicated during what condition? - it can stain your teeth, mix it in water or juice and drink with a straw. - stools can become dark green or black in color - should NOT take antacids with it. & fever, stomach pain, n/v, and diarrhea are early signs of overdose. - ANSWERS -A nurse should teach a patient newly diagnosed with ferrous sulfate syrup what? - it is required for dark light adaption, deficiency means night blindness. - it is highly teratogenic. Do not exceed recommended dose for pregnant women - it is fat -soluble, stored in liver. - can damage bones, increase risk of hip fractures by absorption of vitamin D. - ANSWERS -What is true about taking vitamin A supplements? - it is u sed to treat anxiety and has antiemetic properties. - anticholinergic properties: dry mouth, constipateion - ANSWERS -A patient is newly prescribed Hydroxyzine, what can you tell them about it? - It is used to treat tuberculosis - liver functions need to be monitored - therapy will last 6 to 9 months and needs complete compliance - no alcohol, at all. - take it on an empty stomach to increase absorption. - ANSWERS -What do you know about isoniazid? - it will decrease oral contraceptives - do not alter, wil l need to take even seizure free - will reduce frequency of seizures - ANSWERS -What are teachings for carbamazepine? - loss of red/green color discrimination - peripheral neuropathy - ANSWERS -What are adverse effects of Ethambutol? - monitoring AST and ALT - n/v - jaundice - dark urine - abdominal discomfort - anorexia Primarily with acetaminophen. - ANSWERS -A nurse should do what when giving medications that can create hepatoxicity? - n/v