931 of 1666
Term
96.) The nurse is caring for a postrenal transplant client taking
cyclosporine (Sandimmune, Gengraf, Neoral). The nurse notes an
increase in one of the client's vital signs, and the client is complaining
of a headache. What is the vital sign that is most likely increased?
1. Pulse
2. Respirations
3. Blood pressure
4. Pulse oximetry
Give this one a try later!
3. Blood pressure
Rationale:
Hypertension can occur in a client taking cyclosporine (Sandimmune,
Gengraf, Neoral), and because this client is also complaining of a headache,
the blood pressure is the vital sign to be monitoring most closely. Other
adverse effects include infection, nephrotoxicity, and hirsutism. Options 1, 2,
and 4 are unrelated to the use of this medication.
3. Drowsiness
Rationale:
Baclofen is a central nervous system (CNS) depressant and frequently causes
drowsiness, dizziness, weakness, and fatigue. It can also cause nausea, constipation,
and urinary retention. Clients should be warned about the possible reactions.
Options 1, 2, and 4 are not side effects.
, 3. Reduction of steatorrhea
Rationale:
Pancrelipase (Pancrease MT) is a pancreatic enzyme used in clients with pancreatitis
as a digestive aid. The medication should reduce the amount of fatty stools
(steatorrhea). Another intended effect could be improved nutritional status. It is not
used to treat abdominal pain or heartburn. Its use could result in weight gain but
should not result in weight loss if it is aiding in digestion.
3. Hypokalemia, hyperglycemia, sulfa allergy
Rationale:
Thiazide diuretics such as hydrochlorothiazide are sulfa-based medications, and a
client with a sulfa allergy is at risk for an allergic reaction. Also, clients are at risk for
hypokalemia, hyperglycemia, hypercalcemia, hyperlipidemia, and hyperuricemia.
Don't know?
932 of 1666
Definition
beta-adrenergic agonists (bronchodilate, increase vasc resist)
ex: norepinephrine (Levophed), dopamine (Inotropin)
used cardiac arrest, COPD
adfx: anticholinergic, dysrhythmias
Give this one a try later!
Pro-Banthine Pyridium
-tidine -ine
, Don't know?
933 of 1666
Term
721. A nurse is monitoring a client who is taking propranolol (Inderal).
Which assessment data would indicate a potential serious complication
associated with propranolol?
Give this one a try later!
b. Whole milk and eggs c. It blocks interneuronal activity.
2. The development of audible Used to treat shock, cardiac arrest
expiratory wheezes and anaphylaxis
Don't know?
934 of 1666
Term
50.) A nurse has given a client taking ethambutol (Myambutol)
information about the medication. The nurse determines that the client
understands the instructions if the client states that he or she will
immediately report:
1. Impaired sense of hearing
, 2. Problems with visual acuity
3. Gastrointestinal (GI) side effects
4. Orange-red discoloration of body secretions
Give this one a try later!
2. Problems with visual acuity
Rationale:
Ethambutol causes optic neuritis, which decreases visual acuity and the ability
to discriminate between the colors red and green. This poses a potential
safety hazard when a client is driving a motor vehicle. The client is taught to
report this symptom immediately. The client is also taught to take the
medication with food if GI upset occurs. Impaired hearing results from
antitubercular therapy with streptomycin. Orange-red discoloration of
secretions occurs with rifampin (Rifadin).
1. Prednisone
Rationale:
Prednisone may decrease the effect of oral hypoglycemics, insulin, diuretics, and
potassium supplements. Option 2, a monoamine oxidase inhibitor, and option 3, a β-
blocker, have their own intrinsic hypoglycemic activity. Option 4 decreases urinary
excretion of sulfonylurea agents, causing increased levels of the oral agents, which
can lead to hypoglycemia.
1. Withhold the medication.
Rationale:
Metoprolol (Lopressor) is classified as a beta-adrenergic blocker and is used in the
treatment of hypertension, angina, and myocardial infarction. Baseline nursing
assessments include measurement of BP and AP immediately before administration.
If the systolic BP is below 90 mm/Hg and the AP is below 60 beats/min, the nurse
should withhold the medication and document this action. Although the registered
nurse should be informed of the client's vital signs, it is not necessary to do so
immediately. The medication should not be administered because the data is
Term
96.) The nurse is caring for a postrenal transplant client taking
cyclosporine (Sandimmune, Gengraf, Neoral). The nurse notes an
increase in one of the client's vital signs, and the client is complaining
of a headache. What is the vital sign that is most likely increased?
1. Pulse
2. Respirations
3. Blood pressure
4. Pulse oximetry
Give this one a try later!
3. Blood pressure
Rationale:
Hypertension can occur in a client taking cyclosporine (Sandimmune,
Gengraf, Neoral), and because this client is also complaining of a headache,
the blood pressure is the vital sign to be monitoring most closely. Other
adverse effects include infection, nephrotoxicity, and hirsutism. Options 1, 2,
and 4 are unrelated to the use of this medication.
3. Drowsiness
Rationale:
Baclofen is a central nervous system (CNS) depressant and frequently causes
drowsiness, dizziness, weakness, and fatigue. It can also cause nausea, constipation,
and urinary retention. Clients should be warned about the possible reactions.
Options 1, 2, and 4 are not side effects.
, 3. Reduction of steatorrhea
Rationale:
Pancrelipase (Pancrease MT) is a pancreatic enzyme used in clients with pancreatitis
as a digestive aid. The medication should reduce the amount of fatty stools
(steatorrhea). Another intended effect could be improved nutritional status. It is not
used to treat abdominal pain or heartburn. Its use could result in weight gain but
should not result in weight loss if it is aiding in digestion.
3. Hypokalemia, hyperglycemia, sulfa allergy
Rationale:
Thiazide diuretics such as hydrochlorothiazide are sulfa-based medications, and a
client with a sulfa allergy is at risk for an allergic reaction. Also, clients are at risk for
hypokalemia, hyperglycemia, hypercalcemia, hyperlipidemia, and hyperuricemia.
Don't know?
932 of 1666
Definition
beta-adrenergic agonists (bronchodilate, increase vasc resist)
ex: norepinephrine (Levophed), dopamine (Inotropin)
used cardiac arrest, COPD
adfx: anticholinergic, dysrhythmias
Give this one a try later!
Pro-Banthine Pyridium
-tidine -ine
, Don't know?
933 of 1666
Term
721. A nurse is monitoring a client who is taking propranolol (Inderal).
Which assessment data would indicate a potential serious complication
associated with propranolol?
Give this one a try later!
b. Whole milk and eggs c. It blocks interneuronal activity.
2. The development of audible Used to treat shock, cardiac arrest
expiratory wheezes and anaphylaxis
Don't know?
934 of 1666
Term
50.) A nurse has given a client taking ethambutol (Myambutol)
information about the medication. The nurse determines that the client
understands the instructions if the client states that he or she will
immediately report:
1. Impaired sense of hearing
, 2. Problems with visual acuity
3. Gastrointestinal (GI) side effects
4. Orange-red discoloration of body secretions
Give this one a try later!
2. Problems with visual acuity
Rationale:
Ethambutol causes optic neuritis, which decreases visual acuity and the ability
to discriminate between the colors red and green. This poses a potential
safety hazard when a client is driving a motor vehicle. The client is taught to
report this symptom immediately. The client is also taught to take the
medication with food if GI upset occurs. Impaired hearing results from
antitubercular therapy with streptomycin. Orange-red discoloration of
secretions occurs with rifampin (Rifadin).
1. Prednisone
Rationale:
Prednisone may decrease the effect of oral hypoglycemics, insulin, diuretics, and
potassium supplements. Option 2, a monoamine oxidase inhibitor, and option 3, a β-
blocker, have their own intrinsic hypoglycemic activity. Option 4 decreases urinary
excretion of sulfonylurea agents, causing increased levels of the oral agents, which
can lead to hypoglycemia.
1. Withhold the medication.
Rationale:
Metoprolol (Lopressor) is classified as a beta-adrenergic blocker and is used in the
treatment of hypertension, angina, and myocardial infarction. Baseline nursing
assessments include measurement of BP and AP immediately before administration.
If the systolic BP is below 90 mm/Hg and the AP is below 60 beats/min, the nurse
should withhold the medication and document this action. Although the registered
nurse should be informed of the client's vital signs, it is not necessary to do so
immediately. The medication should not be administered because the data is
