Review Flashcards
What is the most important adverse
effect of hydrochlorothiazide?
Hypokalemia
Which side effect is important to teach
for clients taking calcium channel
blockers?
Dizziness - Orthostatic Hypotension
Name a modifiable risk factor
Smoking, Obesity, Sedentary lifestyle
What is the most important
assessment after administering an ACE or
an ARB?
Blood Pressure
Which symptom should the nurse
teach the client with unstable angina to
report to their HCP immediately?
A change in the pattern of the chest pain
What is the timeframe that an
antiviral drug is to be administered to
maximize effectiveness?
48 hours
What indicates a therapeutic response
to Epinephrine?
Respirations are unlabored
A nurse is assessing a client who is
receiving IV vancomycin. The nurse notes
flushing of the neck and tachycardia. What
should the nurse do?
Decrease the infusion rate. I would also let the MD
aware. May want to pre-med the client.
What is one thing to remember about
ciprofloxacin (antibiotic)?
Increase fluid intake
Report tendon pain (may
cause Achilles tendon rupture in rare instances)
dizziness or drowsiness
photosensitivity report any changes in CNS - antacids
iron and calcium supplement
Decongestants - adrenergic
stimulants —-? what effect
HTN
What is the drug that is used as a
reversal agent for opioids?
Narcan (nalaxone)
A client has been prescribed ASA for
the prevention of strokes / heart attacks.
The nurse should include monitoring for
what adverse effects of the medication.
Bleeding
A client is on a heparin drip in the
hospital for a DVT. What lab is monitored
for therapeutic levels?
aPTT -activated Partial Thromboplastin Time
It is an X-linked recessive inherited disorder in
which blood clotting factor VIII is deficient.
hemophilia
What is the name of the drug used to
increase GI motility?
metoclopramide
An elderly client is taking aluminum
hydroxide with magnesium hydroxide
(antacid). What potential problems?
electrolyte imbalance
hypophosphatemia
What assessment is always done prior
to administering digoxin?
Check HR - do not give if HR is below 60 bpm
Digoxin toxicity signs and symptoms
Visual disturbances- seeing yellow spots
Abdominal pain - N/V
arrhythmias such as bradycardia, or atrial fib.
What is important to teach a client
who is newly diagnosed with
hypothyroidism and on levothyroxine?
Life long treatment
A client has developed
agranulocytosis as a result of taking
methimazole? What condition is the client
at risk for?
hyperglycemia
Mannitol has been ordered for a
client with acute brain swelling. The nurse
will administer this drug using which
procedure?
IV infusion with filtered tubing. The filter is
needed to protect against possible infusion of crystals.
What is the most serious potential
adverse effects of diazepam therapy?
Respiratory depression
Cyclobenzaprine - teaching - what to
include
drowsiness, dizziness
avoid driving if these symptoms occur
Reduce muscle spasms (MUSCLE RELAXER)
take with food
The MD has ordered a client to receive an extra dose of insulin intravenously for an elevated glucose level. The nurse prepares to administer which type of insulin.
Regular (only one give IV)
The MD has ordered a client to receive an extra dose of insulin intravenously for an elevated glucose level. The nurse prepares to administer which type of insulin.
Regular (only one give IV)
A nurse has administered glucagon to
an unconscious diabetic client. Which
intervention is the most important as the
client regains consciousness?
carbohydrates
A client returned to the clinic on day
7 after being started on antidepressants.
The client states “Why am I not feeling
any better”?
It can take up to 4 weeks for therapeutic levels to
be in your blood to begin feeling better.
A client with a tracheostomy is
prescribed guaifenesin? What does this
drug do?
Expectorant
when benzodiazepines are being used the client must be cautioned not to use what?
alcohol
