summer exam 3 Flashcards
what side effects should a nurse watch for with levothyroid for hypothyroidism?
o Anxiety, hyperactivity
o Appetite changes and weight loss
o Heat intolerance, insomnia
o Tachycardia, palpitations, chest pain
what is a potential effect of taking too much levothyroxine?
thyroid storm
when is the best time to give levothyroxine?
in the am before other meds/food to improve absorption and prevent insomnia
how does PTU work?
inhibits formation of new thyroid hormone without affecting existing thyroid hormones (antithyroid)
anti thyroid Drugs can suppress _________ _________. A nurse should assess which lab values?
o Bone marrow
o Decreased: RBC, WBC, platelets
o Monitor INR, liver enzymes
what side effects should a nurse watch for with radioactive iodine for hyperthyroid or thyroid cancer?
o Neck tenderness/swelling
o n/v
o dry mouth/taste changes
what should clients avoid while taking PTU?
foods high in iodine
what is an early sign of an adverse effect of Calcitrol (vitamin D)?
anorexia, n/v, GI upset
a client complains of GI upset after taking alendronate. What should a nurse teach a client about taking alendronate?
o Administer before breakfast with 6-8oz of water and remain in an upright position for 30 mins
o GI upset is at increased risk when taken with ASA, steroids
what early side effects would a nurse educate a client on reporting while taking alendronate
o Nausea, diarrhea
o Dyspepsia
o Hypocalcemia
o Bone pain
what side effects of taking a Selective Estrogen Receptor Modulator should a nurse educate a client about?
o Hot flashes
o Flu-like symptoms
o Arthralgias
o thromboembolism
which medication (s) are treatment of asthma? (rescue)
albuterol
which medication (s) are prevention methods for asthma?
ipratropium bromide (Atrovent), beclomethasone (QVAR)
what are the effects of stimulation of the sympathetic nervous system by giving albuterol?
tachycardia, nervousness, tremors
what classification of medication is albuterol?
Short-acting bronchodilator (SABA)
what side effects should a nurse anticipate to assess after the administration of a bronchodilator?
o Tachycardia, nervousness, tremors
Heart rate, mood (neuro), grips
how would you teach a client to use a bronchodilator and a steroid?
rinse mouth and spit out water after use
how would you teach a client to use a spacer device?
o 1-2 minutes between puffs of the same med
o 5 minutes between puffs of different meds
o Bronchodilator before steroid
a client is prescribed beclomethasone for COPD. What should the nurse instruct the client to do after the administration? why?
o Rinse mouth and spit out water
* To reduce the risk for oral yeast infection
what education should be given to a client taking an anticholinergic inhaler?
o Void prior to administration d/t retention/constipation
o Do not take if you have a soy/peanut allergy
o This is a prevention medication
o Increase fluids to decrease viscosity of secretions
o Combat dry mouth with sugar-free candy after use
Leukotriene modifiers are given as a means of ____________ of acute Asthma attacks and COPD exacerbations.
Long-term management
to ensure best client care a nurse should explain Leukotriene modifiers are most effective when taken _____________________________.
every night
while taking montelukast a nurse should monitor which labs for the client?
LFTs
what is the therapeutic level of theophylline?
10-20 mcg/mL
what are the adverse effects of theophylline?
increased urination, tachycardia, palpitations or other dysrhythmia
