EXAM NEWEST VERSION 2024-2025 WITH NGN
FORMAT QUESTION AND CORRECT DETAILED
ANSWERS WITH RATIONALES RATED AGRADE
Terms in this set (159)
A nurse is providing Chew sugarless gum to moisten the mouth.
teaching with a client, who When taking action, the nurse should instruct the
has schizophrenia, about client who is taking fluphenazine and is experiencing
strategies to minimize the anticholinergic effects to chew sugarless gum. This
anticholinergic effects of instruction would provide moisture to the client's
fluphenazine. Which of the mouth and decrease the severity of dry mouth which
following instructions is an anticholinergic adverse effect.
should the nurse suggest
for the client?
Gentamicin is a narrow-spectrum aminoglycoside
Gentamicin antibiotic prescribed to treat serious infections
caused by aerobic bacilli
Gentamicin can injure cells of the proximal renal
tubules.
Naproxen and other NSAIDs can cause renal
Complications of
insufficiency.
Gentamicin
The glomerular filtration rate of the kidneys decreases
with advanced age, making this client at increased risk
for nephrotoxicity.
BUN
What lab values should a Blood creatinine
nurse monitor for a patient Peak and trough levels of gentamicin
taking Gentamicin? Specific gravity of urine
Urinalysis
, BUN blood urea nitrogen
Monitor intake and output.
Notify the provider of low urinary output.
Nursing actions for a client
Ensure that the client is adequately hydrated and
taking gentamicin
monitor for fluid overload.
Assess for manifestations of ototoxicity.
A nurse is preparing a Adverse Effects
client's medications. The Mechanism of Action
nurse is responsible for Contraindications
gaining and maintaining
knowledge about which of Use knowledge of the therapeutic effect and common
the following medication adverse effects of medications to compare expected
information? outcomes with actual findings
total parenteral nutrition nutrient-complete solution given directly into
(TPN) bloodstream when person cannot eat by mouth
A nurse is preparing to Time of the incident
complete an incident who was notified of the incident
report for a medication actions taken following the incident
error. What information (4 client identification
things) should the nurse
include in the report?
Anticholinergic effects
(dry mouth, eyes,)
Adverse effects of blurred vision
oxybutynin Hypotension
peripheral edema
QT interval prolongation
Respiratory Depression
adverse effects of fentanyl Hypotension
patches Constipation
Nausea or Vomiting
Clients who use fentanyl Take a stool softener on a daily basis. Constipation is
patches will likely need to an adverse effect of opioid use and stool softeners
take what on a daily basis? can decrease the severity