NR 447 RN Capstone Pharmacology Questions and Answers, Latest 2021

NR 447 RN Capstone Pharmacology Questions and Answers, Latest 2021-1.A nurse is caring for a client with many different medications who is newly prescribed acetazolamide. What medications can interact with acetazolamide? Serious effects such as metabolic acidosis can occur in clients using high dose aspirin. Acetazolamide can increase the risk of toxic effects of quinidine. Acetazolamide can decrease blood levels of lithium. Acetazolamide can increase osteomalacia an adverse effect of phenytoin. Sodium bicarbonate increases the risk of kidney stones. 2.What class of medication is amitriptyline and why is this medication used as an adjuvant medication for pain? Amitriptyline is a tricyclic antidepressant. It is indicated for chronic pain syndromes such as fibromyalgia, neuropathic/chronic pain, headache, and low back pain. 3.A nurse is preparing to administer ipratropium by metered dose inhaler. What adverse effects should the nurse instruct the client to monitor for? The nurse should inform the patient about local anticholinergic effects such as dry mouth, hoarseness, the nurse can advise the patient to sip fluids or suck hard candies to control dry mouth. 4.A nurse is caring for a client with asthma who asks if montelukast sodium can be taken for acute asthma symptoms. When should montelukast sodium be taken? Take once every evening even if no symptoms occur to help prevent and manage asthma symptoms. 5.A nurse is caring for a client prescribed the inhaled glucocorticoid beclomethasone (QVAR) for the treatment of asthma. What is a potential adverse effect of this medication and what are two (2) teaching points to discuss to address these adverse effects? Difficulty speaking hoarseness and candidiasis these are potential adverse effects of the medications. • Advise clients to rinse mouth or gargle with water after use. • Advise clients to monitor for redness sores or white patches and to report to provider if they occur treat candidiasis with nystatin oral suspension. 6.A nurse is instructing a client who has a new prescription for nitroglycerin transdermal patch about administration. What instructions should the nurse include? The nitroglycerin patch works by relaxing (widening) blood vessels. This patch is for external use only. Apply the patch at the same time every day; apply to a hairless area of the chest, inner side of the upper arm, back or shoulder. Clean and dry skin completely before applying the patch. Do not apply the patch to irritated or damaged skin. When removing the patch, fold it with sticky sides together to prevent administration of medicine to someone that may handle the patch. The patch