Exam 1 Flashcards
The clinic nurse develops a plan of care for a client w/emphysema who will be started on a long-term steroid therapy. Which specific instruction would the nurse include in the plan of care?
Instruct the client to return to the clinic for monitoring of blood glucose levels
A client w/ a severe allergic reaction is prescribed IV steroids. The RN would expect that which desired effect would be achieved?
⬇️Decreased inflammation
A client who had a cold is seen in the ER w/an inability to void. Because the client has a hx of BPH, the RN determines that the client would be questioned about the use of which Rx?
Decongestants
Urinary retention is triggered by decongestants
A client has an Rx to take Guifenesin. The RN determines that the client understands the proper administration of this Rx if the client states they will perform which action?
Take the tablet with a full glass of water
The RN is preparing to administer a dose of noloxone IV to a client w/an opioid overdose. Which supportive medical equipment would the RN plan to have at the clients bedside?
Resuscitation equipment
A client had begun therapy with theophylline. The nurse would teach the client to limit the intake of which items while taking this medication?
Coffee, cola, and chocolate
Theophylline is a bronchodilator & must limit xanthine containing foods
A client who experiences allergic rhinitis asks the RN about a nasal steroid. How would the nurse reply?
This medication works locally & decreases inflammation
The RN is administering a dose of albuterol to a client. The RN would monitor for which side effect of this med?
Increased pulse
The RN is caring for a client with COPD who is receiving theophylline. The RN monitors the serum theophylline level & concludes that the Rx dosage may need to be increased if which value is noted?
5mg/ml
The therapeutic serum range is 10-20mg/ml
A client has been given a Rx for benzonatate. Which observation would the RN look for to evaluate the effectiveness of the Rx?
Calming the clients persistent cough
A client has begun to use methylxanthine bronchodilator. What beverage would the nurse plan to teach the client to avoid while taking this Rx.
Coffee
A client is taking albuterol by inhalation cannot cough up secretions. What would the RN suggest that the client do to assist in expectoration of secretions
Drink increased amounts of fluids daily
A client w/a Rx to take theophylline daily has been given Rx instructions by the RN. What statement by the client indicates the need for further education regarding the Rx?
“I will take the daily dose at bedtime”
This Rx should be taken in the morning
Cromolyn sodium is prescribed for the client with allergic asthma. What goal does the RN expect to achieve by administration of this Rx?
Inhibition of the release of mediators from mast cells after exposure to an antigen
A client has an Rx to take guaifenesin. The Rn would conclude that the client understands the most effective use of this Tx if the client states the need to take which action?
Take the tablet with a full glass of water
The RN is preparing to administer albuterol to a client. Which parameters would the Rn assess before and during therapy?
Lung sounds and presence of dyspnea
A home care nurse has observed a client self-administer a dose of an Andrenergic bronchodilator via metered dose inhaler. Within a short time, the client begins to wheeze loudly. The RN understands that this is the result of which occurrence?
Paradoxical bronchospasm, which must be reported to the PCP
A client receiving the oral theophylline is due to have a level drawn. The RN would question the client to ensure that the client has not ingested which substance before the blood sample is drawn?
Coffee
The client questions the RN as to why the PCP switched the usual Rx from a metered dose inhaler to a dry powder inhaler. The RN would respond correctly by providing which facts?
Dry powdered inhalers pose no environmental risks
Dry powdered inhalers deliver more Rx to the lungs
Dry powdered inhalers require less hand-to-lung coordination
Which statement made by a client taking montelukast indicated the need for further teaching?
“I will take the medication when I first notice I am having trouble breathing”
When evaluating an asthmatic clients knowledge of self care, the RN recognizes that additional instruction is needed when the client states?
“ I use my corticosteroid inhaler each time I feel SOB”
The RN would monitor the client receiving the 1st dose of albuterol for which side or adverse effect of this Rx?
Tachycardia
The client has a prescription to receive pirbuterol 2 puffs & beclomethasone dipropionate 2 puffs by metered dose inhaler. The RN plans to give these medications in which way to ensure effectiveness?
Administering the pirbuterol before the beclomethasone
A client is taking Theophylline has a serum level of 15mcg/ml. How does the RN interpret the lab value?
In the middle of the therapeutic range.
The range is 10-20mcg/ml
The PCP prescribed cromolyn for the client w/asthma. The RN identifies that the client correctly understands the purpose of this med when the client states that the med will produce which effect t?
Suppresses an allergic response
The RN is teaching a client about the effectiveness of diphenhydramine, an ingredient in the cough suppressant prescribed for the client. The RN would plan to tell the client to take which measure while taking this med?
Avoid activities requiring mental alertness
A client has begun therapy with a xanthine bronchodilator. The RN determines that the client understands dietary alterations if the client states to limit which items while taking this med?
Coffee and chocolate
A cromolym sodium inhaler is prescribed for a client w/allergic asthma. The RN provides instructions regarding the adverse effects of this medication & would tell the client that which undesirable effect is associated with/this medication
Bronchospasm
Terbutaline is prescribed for a client with bronchitis. Which disorder in the clients medical history required caution by the nurse?
Diabetes millitus
The RN has a prescription to give you a client salmetrol, 2 puffs, & beclomethasone dipropionate, 2 puffs, by metered dose inhaler. The RN would administer the med using which procedure?
Salmetrol first then beclomethasone
A client begins therapy with/theophylline. The RN plans to reach the client to limit the intake of which items while taking this med?
Coffee, cola, and chocolate
The RN is dating for a client receiving an albuterol/ipratropium nebulized breathing treatment. Which report from the client would the RN note as expected side effect of this combo med?
“I feel as though my heart is racing”
What are Antineoplastic Drugs?
(Auntie-o-plastic)
👩🏻-o-plastic
💊 to treat CA
Narrow therapeutic 🪟
Myelosuppression
RBC value ♥️
4.5-6
WBC Value 🤍
5,000-10,000
Platelet 🍽️ Value
150-400
Absolute neutrophil count ✖️➕➗🟰
(% segs ➕% bands) ✖️ WBC✖️10
🟰ANC
Methotrexate
Folate antagonist
Lowers immune
Bright 💛 urine
Drug 🩸levels need to be drawn
🛟💊- leukovorin
Adverse- Pulmonary fibrosis 🫁
Cladribine is what class of drugs?
Purine antagonist
cytarabine 👀
(See-why-Tara-bee)
👓👀🤷🏽♀️💃🏼🐝
You C with your 👀- conjunctivitis 🦠
Pyrimidine antagonist
Cytarabine syndrome:
🤒, 💪🏽& 🦴 pain, rash, conjunctivitis
Pretreat w/ Benadryl, APAP, steroids
(APAP not NSAIDs)
capecitabine
(Cape-cite-a-bean)
🦸🏽♀️cite-a-🫘
For breast & colon CA
Pyrimidine antagonist
Adverse effects-
🚽D/N/V🤮, 👋🏼🦶🏼👄syndrome, painful erythema
fluorouracil
(Flu-or-a-seal)
🤒or a 🦭
Palliative tx for CA
Pyrimidine antagonist
gemcitabine
💎♦️💠
1st line for Pancreatic CA
Pyrimidine antagonist
etopside
topsie-turbie 😵💫
Mitotic inhibitor
Adverse effect:
⬇️ Significant Hypotension
