Remojudytask

A nurse is teaching a client who has a new prescription for warfarin. Which of the following statements should the nurse identify as an indication that the client understands the instructions? - CORRECT ANSWER-I'll avoid contact sports like football. The most common adverse effect of taking anticoagulants is bleeding. Therefore, the client should avoid any activities that have a high risk of causing injury, such as contact sports. A nurse is caring for an older adult client who has a pres...

A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who weighs 44 Ib. How many mg should the nurse administer per dose? - CORRECT ANSWER-300 mg A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include in the teaching plan? - CORRECT ANSWER-1. Report muscle pain to the provider. 2. Avoid taking the medication with grapefruit juice. 3. Expect therapy with this med...

Name 1 top 10 medication involved in both adverse events and drug errors - CORRECT ANSWER-Insulin, Heparin, Warfarin, Acetaminophen, The 6 rights of medication administration include: - CORRECT ANSWER-Right patient, medication, time, dose, route, documentation How does cytochrome p-450 affect drug metabolism? - CORRECT ANSWER-It either increases or decreases metabolism of some medications. Grapefruit juice alters the metabolism of drugs metabolized by Cp-450. What route of medication de...

A nurse is reviewing a client's new prescription for piperacillin/tazobactam. The client has an allergy to penicillin documented in their medical record. Which of the following actions should the nurse take? - CORRECT ANSWER-Hold the medication and clarify the prescription A nurse is caring for a client who has a prescription for citalopram. Which of the following supplements on the client's home medication record increases the risk of serotonin syndrome? - CORRECT ANSWER-St. John's wort ...

A nurse is providing teaching to a pt prescribed cipro what is an adverse effect the nurse should include in the teaching? - CORRECT ANSWER-phototoxicity. avoid direct sunlight, wear sunglasses and protective clothing. discontinue ASAP is phototoxicity occurs. Tendon rupture is another adverse effect a nurse is giving diclofenac sodium to a pt with chronic bursitis which of the following action should the nurse take - CORRECT ANSWER-give the med with food. Diclofenac is an NSAID and...

Sodium (Na) - CORRECT ANSWER-136-145 mEq/L Calcium - CORRECT ANSWER-9.0-10 mg/dL Chloride - CORRECT ANSWER-98-106 mEq/L Bicarb HCO - CORRECT ANSWER-21-28 mEq/L Potassium - CORRECT ANSWER-3.5-5.0 mg/L Phosphorus PO4 - CORRECT ANSWER-3.0-4.5 mg/dL Magnesium - CORRECT ANSWER-1.3- 2.1 mEq/L Stomach pH - CORRECT ANSWER-1.5-2.5 Ammonia - CORRECT ANSWER-15-110 mg/dL Bilirubin - CORRECT ANSWER-• Total 0-1.0 • Unconjugated (indirect) 0.2 -0.8mg/dL • Conjugated (direct) ...

A nurses is reviewing the medical record of a client who has hypertension. The nurse should identify which of the following findings as a contraindication for receiving propranolol? Cholelithiasis Asthma Angina pectoris Tachycardia - CORRECT ANSWER-Correct: Asthma Rationale: Asthma is a contraindication for receiving propranolol. Propranolol is an adrenergic antagonist that blocks the beta2 receptors in the lungs, causing bronchoconstriction and leading to serious airway resistance and ...

How does heart failure result? - CORRECT ANSWER-From inadequate pumping of the heart muscle. Manifestations arise due to the heart's inability to meet the circulation needs of the body. What manifestations results from decreased tissue perfusion as a result of heart failure? - CORRECT ANSWER-fatigue, SOB, weakness, activity intolerance Right vs left sided heart failure - CORRECT ANSWER-Left - pulmonary manifestations such as dyspnea, cough, and oliguria Right - systemic congestion with...

The movement of a drug from the site of administration to various tissues of the body is what kind of pharmacokinetic action? - CORRECT ANSWER-Absorption. The movement of a drug by the circulatory system to the intended site of action is what kind of pharmacokinetic action? - CORRECT ANSWER-Distribution. The change or biotransformation that occurs in a drug into a more or less potent, soluble, or inactive form is what kind of a pharmacokinetic action? - CORRECT ANSWER-Metabolism. The el...

A nurse is monitoring a client who has just returned to the unit following surgery. The client received an initial dose of morphine 5 mg IV bolus for pain relief. Which of the following adverse effects should the nurse report immediately to the provider? - CORRECT ANSWER-Respiratory rate 11/min ​When using the airway, breathing, circulation approach to client care, the priority finding is a respiratory rate of 11/min indicating respiratory depression. A nurse is reinforcing teaching with a...

Digoxin (lanoxin) SE - CORRECT ANSWER-blurred/double vision Dry Cough Facial Edema Guaifenesin SE - CORRECT ANSWER-A/E: Diarrhea, can cause drowsiness TELL: Increase fluids by at least 2L/day store at room temp not fridge Doxepin (Sinequan) [anticholinergic] SE - CORRECT ANSWER-urinary retension, constipation, drying of nasal/oral secretons, ↑HR Albuterol (Proventil) [sympathomimetic/ adrenergic beta-2 agonist] Contraindicated - CORRECT ANSWER-with MAOIs (can↑ action of albutero...

Nurse caring for an infant fed expressed breast milk. Drank 2oz of breast milk at 0800, 3oz at 1100, and 2 1/2 ox at 1300. Record intake for shift - CORRECT ANSWER-225mL 1oz =30mL Theophylline (Theo-Dur) For chronic relief bronchitis what indicates toxicity - CORRECT ANSWER-Tremors earliest manifestation Tremors because CNS stimulation. Others: insomnia, confusion, irritability CHF patient Rx furosemide (lasix) 20mg PO Daily. Nurse should assess for which of the following? - ...

Telephone prescription from provider. The Nurse: - CORRECT ANSWER-Reads the prescription back to the provider. Seizure disorder. Patient should: - CORRECT ANSWER-Keep a seizure chart. Potassium level: - CORRECT ANSWER-3.5-5 mEq/L Potassium level less then 3.5 mEq/L: - CORRECT ANSWER-Cardiac monitor for cardiac dysrhythmias. Penicillin allergy requires incident report with what symptom: - CORRECT ANSWER-S.O.B. Phenytoin (Dilantin) decreases effectiveness of: - CORRECT ANSWER-Ethiny...

The nurse recognizes that the administration of a drug influences cell physiology. What is the term for this concept? - CORRECT ANSWER-Pharmacodynamics (drug impacts body) Which incorrect statement by a new nurse indicates that further study is needed? - CORRECT ANSWER-Drugs are defined as substances that have been FDA approved. What are the three most important characteristics that any drug can have? Select all that apply - CORRECT ANSWER--effectiveness (does it work or not) -safety -se...

The nurse recognizes that the administration of a drug influences cell physiology. What is the term for this concept? - CORRECT ANSWER-Pharmacodynamics (drug impacts body) Which incorrect statement by a new nurse indicates that further study is needed? - CORRECT ANSWER-Drugs are defined as substances that have been FDA approved. What are the three most important characteristics that any drug can have? Select all that apply - CORRECT ANSWER—effectiveness (does it work or not) -safety -selecti...

A provider prescribes phenobarbital for a patient who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? - CORRECT ANSWER-One A staff educator is reviewing medication dosages and factors that influence medication metabolism with a group of nurses at an in-service presentation. Which of the following factors should the educator include as a reason to administer lower medication dosages (SATA)? - C...

A nurse is providing teaching for a client who is withdrawing from alcohol and has a prescription for propranolol . Which of the following information should the nurse to include in the teaching? increases the risk for seizure activity provides a form of aversion therapy decreases cravings results in minor hypertension - CORRECT ANSWER-decreases cravings A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol wit...

A nurse is reviewing drugs in a drug reference. The nurse should identify that drugs in the same class share which of the following similarities? 1)similar mechanisms of actions 2) same half-life 3) same route 4) similar availability - CORRECT ANSWER-1 Client is prescribes an antidepressant based on the ability to prevent the re-uptake of neurotransmitters. The nurse should identify that which of the following terms describe why the drug was prescribed? 1) pharmacologic action 2) ch...

Cromolyn is used to treat - CORRECT ANSWER-exercise induced asthma Simvastatin is a - CORRECT ANSWER-HMG-CoA reductase inhibitor, lipid lowering agent simvastatin can treat - CORRECT ANSWER-high cholesterol and triglycerides Furosemide side effects - CORRECT ANSWER-Skin (SJ syndrome, toxic epidermal necrolysis) assess for rash frequently Fentanyl is used to treat - CORRECT ANSWER-breakthrough pain in cancer patients >18 yo fentanyl side effects - CORRECT ANSWER-respiratory de...

Standard Conversion Factors - CORRECT ANSWER-1 mg = 1,000 mcg 1 g = 1,000 mg 1 kg = 1,000 g 1 kg = 2.2 lb 60 mg = 1 gr 30 mL = 1 oz 5 mL = 1 tsp 15 mL = 1 tbsp 1 tbsp = 3 tsp Six rights of medication administration - CORRECT ANSWER-Right patient, right drug, right dose, right route, right time, right documentation Infiltration - CORRECT ANSWER-Prevention: use smallest catheter for prescribed therapy, stabilize port-access, assess blood return Treatment: stop infusion, remov...