Macellen Education Agencies

Coumadin (warfarin) correct answers Anticoagulant, Vitamin K Antagonist, Check PT Proventil correct answers Albuterol Bronchodilator Restoril correct answers (temazepam) Sedative/hypnotic otoxicity correct answers injury to auditory nerve Digoxin (Lanoxin) correct answers Cardiac glycoside Positive inotrope, negative chronotrope and dromotrope Used for HF, a-fib Can cause dysrhythmias, bradycardia, GI effects (EARLY), vision changes (EARLY) Hypokalemia = toxicity; hyperkale...

Ten minutes after the initiation of a blood transfusion, a client reports lumbar pain. What is the next nursing action? correct answers Stop the transfusion. The healthcare provider prescribes an intravenous medication for a client who has been admitted for a chronic obstructive pulmonary disease exacerbation. When preparing to initiate an intravenous line, the nurse applies the tourniquet to select the site. When should the nurse release the tourniquet? correct answers When the needle ente...

A client is scheduled for a spiral computed tomography (CT) with contrast to evaluate for pulmonary embolism. Which information in the client's history requires follow-up by the nurse? correct answers Takes metformin hydrochloride for type 2 diabetes mellitus A client recently diagnosed with multiple sclerosis who self administers beta-1a interferon reports feeling depressed. Which action should the nurse implement? correct answers Notify the healthcare provider of findings immediately. ...

The nurse is caring for a client who has taken atenolol for 2 years. The healthcare provider recently changed the medication to enalapril to manage the client's blood pressure. Which instruction should the nurse provide the client regarding the new medication? A. Take the medication at bedtime. B. Report presence of increased bruising. C. Check pulse before taking medication. D. Rise slowly when getting out of bed or chair. correct answers D. Rise slowly when getting out of bed or chai...

2.) Oral iron supplements are prescribed for a 6-year-old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which best food item? 1. Milk 2. Water 3. Apple juice 4. Orange juice correct answers 4. Orange juice Rationale: Vitamin C increases the absorption of iron by the body. The mother should be instructed to administer the medication with a citrus fruit or a juice that is high in vitamin C. Milk may affect absorption of the iron. Water wil...

A 67-year-old client is discharged from the hospital with a prescription for digoxin (Lanoxin) 0.25 mg daily. Which instruction should the nurse include in this client's discharge teaching plan? (2/150) a. Take the medication in the morning before rising. b. Take and record radial pulse rate daily. c. Expect some vision changes due to the medication. d. Increase intake of foods rich in Vitamin K. correct answers ANSWER: B RATIONALE: Monitoring pulse rate is very important when taking ...

A client is receiving clonidine (Catapres) 0.1 mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved? A. Client denies recent episodes of angina. B. Change in peripheral edema from +3 to +1. C. Client denies recent nausea or vomiting. D. Blood pressure has changed from 180/120 to 140/70. Correct correct answers Catapres acts as a centrally-acting analgesic and antihypertensive agent. (D) indicates a reduction in hype...

How do you assess for Digoxin correct answers Always take AP for a full minute A 62 year old Male comes to the ER with a long hx of daily digoxin and furosemide(lasix), What is most likely the SE he is experiencing? correct answers Dig toxicity because this Dx causes hypokalemia to occur when taken for a long time. What range would digoxin level be considered normal? correct answers 0.5- 2ng/ml What is a normal serum K+ level? correct answers 3.5 to 5.0 mEq/L What is the positive...

What is the indication for metoclopramide/reglan? correct answers Prevention of chemotherapy-induced emesis and diabetic gastroparesis Side effects of metoclopramide/reglan correct answers Drowsiness, EPS such as tremors Notify MD if what occurs when using metoclopramide/reglan correct answers Tremors What is the indication xenical (orlistat, Alli) correct answers For PTs with BMI of 30+; LT weight control SE of xenical (orlistat or alli) correct answers Oily stool and flatulenc...

The nurse is planning care for a client with major depression who is receiving a new prescription for duloxetine. Which information is most important for the nurse to obtain? A. Liver function laboratory results B. Family history of mental illness C. Recent use of other antidepressants D. Weight change in the last month Answer: A. Liver function laboratory result correct answers A. Liver function laboratory results The nurse is preparing a client with chronic obstructive pulmonary disea...