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 who 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 taking 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 intake 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, used to reduce n/v by increasing gastric motility and emptying, is contraindicated during what condition?