Vn 16 Study 6

Question 1

Diphenhydramine uses, adverse reactions, nursing considerations

Answer 1

Mild allergic reaction, nasal decongestion, seasonal reactions, motion sickness insomnia,
Anaphylaxis shock (hypotension acute laryngeal edema)

Sedation, dry mouth constipation, N/V,Acute toxicity flushed face high fever tachycardia, urinary retention, pupil dilation

Avoid alchohol,

Question 2

Codeine nursing considerations(Antitassives)

Answer 2

Avoid alcohol, avoid activities that require alertness, change positions slowly constipation

take with food, increase fiber , CNS Effectiveness substance abuse

Question 3

Luekotrine-Montelukast nursing considerations (review the ATI lesson we did in class)

Answer 3

Monitor behavior changes (depression and Suicidal ideation)
Establish base line LFTs, Observe GI Symptoms

Question 4

Steroid inhaler nursing considerations

Answer 4

Don’t take at night
Avoid NSAIDs causes attacks

Question 5

Rescue inhaler instructions (see box 31.2 in Ford)

Answer 5

1. Prime inhaler away 1-2 times
2. Hold device upright and shake it
3. Tilt head back slightly
4. Exhale and open mouth
5. Potiosion inhaler one of three ways
   * Held 1-2 inches from mouth this is prefferred
   * Using a spacer
   * With the inhaler between the lips
6. Start to inhale slowly and press down on the inhaler to release the medication
7. Breathe in for 3-5 sec
8. Hold your breath for 10 sec to allow the drug to reach deep into the lungs
9. Repeat for the ordered number of puffs allowing 1 minute between each puff

Question 6

Theophylline adverse effects

Answer 6

Nausea vomiting
Anorexia
GI distress
Restlesness
Mild toxicity reaction- tonic clinic seizures

Don’t take cipro and cimetadine together

Question 7

Pseudoephedrine nursing considerations and cautions

Question 8

Nursing considerations and adverse effects for metoclopramide

Question 9

Therapeutic response for docusate sodium

Answer 9

Stool softer
Helps with intercranial pressure

Question 10

Bisacodyl uses, adverse effects

Answer 10

Stimulant laxatives
Bowel prep

Can’t be taken with milk destroys the enterid coating

Monitor for I & Os look at labs
Monitor for dehydration

Question 11

Adverse effects of aluminum hydroxide and magnesium

Answer 11

Causes diarrhea

Perianal irritation

Question 12

Sucralfate nursing considerations

Answer 12

Sticks to the ulcers so minimal systemic effects
Constipation
Antacids can interfere with effects

Question 13

Helicobacter pylori expected pharmacological treatment

Answer 13

Both given together, Hitamine 2 antibiotic receptor/ an antibiotic

Question 14

Omeprazole uses and adverse effects

Answer 14

Reduce gastric acid

Question 15

Cimetidine uses and nursing considerations

Answer 15

Wait 1 hour before or after to take an antiacid

Can’t be take together

Question 16

Nursing consideration and adverse effects for metoclopramide

Answer 16

Dysrythmias ( serotonin)
Electrolyte imbalances
Extra pyramidal symptoms
Dopamine sedation
Client’s with cardiac decrease output