Drug related

25問 • 1年前

問題一覧

A nurse is assessing the therapeutic action of drugs classified as tumor necrosis factor inhibitors. What client response indicates to the nurse that a drug with this classification is effective?

Reduction of inflammatory joint pain in a client with rheumatoid arthritis

What effect of povidone-iodine (Betadine) does a nurse consider when using it on the client’s skin before obtaining a specimen for a blood culture?

Eliminates surface bacteria that may contaminate the culture

Which drug does a nurse anticipate may be prescribed to produce diuresis and inhibit formation of aqueous humor for a client with glaucoma?

AcetaZOLAMIDE (Diamox)

A client reports fatigue and dyspnea and appears pale. The nurse questions the client about medications currently being taken. In light of the symptoms, which medication causes the nurse to be most concerned?

Methyldopa (Aldomet)

Which drug requires the nurse to monitor the client for signs of hyperkalemia?

Spironolactone (Aldactone)

A client is receiving albuterol (Proventil) to relieve severe asthma. For which clinical indicators should the nurse monitor the client? Select all that apply.

Tremors, Palpitations

In the postanesthesia care unit it is reported that the client received intrathecal morphine intraoperatively to control pain. Considering the administration of this medication, what should the nurse include as part of the client’s initial 24-hour postoperative care?

Monitoring of respiratory rate hourly

What should the nurse include in a teaching plan to help reduce the side effects associated with diltiazem (Cardizem)?

Change positions slowly.

A nurse is providing discharge instructions for a client with angina who has a prescription for sublingual nitroglycerin tablets. The nurse should teach the client that the nitroglycerin sublingual tablets have lost their potency when:

the tablets are more than three months old.

What should the nurse expect the health care provider to prescribe if a client exhibits clinical indicators of warfarin (Coumadin) overdose?

Vitamin K

Metoprolol (Lopressor) is prescribed for a client. The nurse should question the prescription if the client has which diagnosis?

Sinus bradycardia

Which client’s health problem motivates the nurse to question a prescription for a beta blocker?

Heart failure

A nurse concludes that the simvastatin (Zocor) being admin- istered to a client is effective. A decrease in what clinical finding supports this conclusion?

Triglycerides

A client with a history of arthritis has an acute episode of right ventricular heart failure and is receiving furosemide (Lasix). The health care provider lowers the client’s usual dosage of aspirin. The client asks the nurse the reason for the lower dose. What is the nurse’s best response?

“Competition for renal excretion sites by the drugs causes increased serum levels of aspirin.”

What instructions should a nurse give a client for whom nitroglycerin tablets are prescribed?

Ensure that the medication is stored in a dark container.

A nurse is taking the health history of a client who is to have surgery in 1 week. The nurse identifies that the client is taking ibuprofen (Advil) for discomfort associated with osteoarthritis and notifies the health care provider. Which drug does the nurse expect will most likely be prescribed instead of the Advil?

Acetaminophen (Tylenol)

A client who is obtund has a blood pressure of 80/35 mm Hg after a blood transfusion. In an effort to support renal perfusion, the nurse administers DOPamine (Intropin) at 2 mcg/kg/min as prescribed. What is the most relevant outcome indicating effectiveness of the medication for this client?

An increase in urinary output

A nurse identifies that a client receiving chemotherapy has lost weight. What are appropriate nursing interventions for this client? Select all that apply.

Encouraging the intake of preferred foods, Promoting the intake of small, frequent meals, Administering ordered antiemetics before meals

Ibuprofen (Motrin) and hydroxychloroquine (Plaquenil) are prescribed for an older client with arthritis. The nurse teaches the client about these medications. What responses to the medication should the client be taught to report? Select all that apply.

Blurred vision, Bleeding tendencies

One week after being hospitalized for an acute myocardial infarction, a client reports a loss of appetite and feeling nauseated. Which of the client’s prescribed medications should be withheld and the health care provider notified?

Digoxin (Lanoxin)

For which side effects should a nurse assess a client with cancer who is being treated with chemotherapeutic agents? Select all that apply.

Diarrhea, Bleeding tendencies

A nurse is providing discharge instructions about digoxin (Lanoxin). Which response should a nurse include as a reason for a client to withhold the digoxin?

Blurred vision

For what client response must the nurse monitor to deter- mine the effectiveness of amiodarone (Cordarone)?

Presence of cardiac dysrhythmias

The laboratory INR results of a client receiving warfarin (Coumadin) have been variable. The nurse interviews the client to determine factors contributing to the problem. Which is most important for the nurse to identify?

Adherence to the prescribed drug regimen

Warfarin (Coumadin) is prescribed for a client who has been receiving IV heparin for a partial occlusion of the left common carotid artery. The client expresses concern about why both drugs are needed at the same time. The nurse explains that this approach:

provides an anticoagulant intravenously until the oral drug reaches therapeutic levels.

Astignars random QS

Kyla Angelique Son · 19問 · 1年前

Astignars random QS