VN 16 Study Guide 2

Question 1

ototoxicity

Any hearing changes

Answer 1

Manifestations of Vancomycin

Question 2

Cross sensitivity with Penicillins?

Answer 2

• Cephalosporins

* Cefalexins

Question 3

Steps to instill ear drops

Answer 3

• instill drops on side of ear canal

* Press and release the tragus to move medication to eardrum.

Question 4

Nursing considerations with cephalosporin and client with renal impairment

Answer 4

• Monitor I&O and kidney function
• ceftriaxone is eliminated by liver and dosage reduction is unnecessary for clients with renal impairment.
• should be used cautiously in clients with Renal disease (seizures can occur)

Question 5

Do you teach to administer cephalosporins with or without food? What would change this recommendation?

Answer 5

• may be taken on an empty stomach

* experiencing GI upset, administer with food.

Question 6

List disulfuram-like reactions when taking cephalosporin and alcohol

Answer 6

• flushing, throbbing, respiratory problems, vomiting, sweating, chest pain, hypotension
• reactions: dysrhythmias and unconsciousness

Question 7

Client education when taking PCNs

Answer 7

•Take the drug on an empty stomach either 1 hr before or 2 hr after meals

Question 8

Adverse effects with tetracycline

Answer 8

• Diarrhea
• Epigastric distress
• Stomatitis (inflammation of the mouth)
• Sore throat
• Skin rashes
• Photosensitivity

Question 9

What is stevens-johnson syndrome? What are nursing interventions for it?

Answer 9

• fever, cough, muscular aches and pains, headache, and lesions of the skin, mucous membranes, and eyes; the lesions appear as red wheals or blisters, often starting on the face, in the mouth, or on the lips, neck, and extremities
• Immiadetaly stop medication that caused reaction and notify RN.

Question 10

Manifestations of superinfections when on antibiotics

Answer 10

•Pseudomembranous colitis (diarrhea), yeast infections of the mouth, pharynx, vagina, bowels, fever, nausea,jaundice

Question 11

Client teaching about sulfasalazine

Answer 11

• Take with food or immediately after a meal.

* Inform client: skin or urine may turn orange-yellow; this is normal.

Question 12

Nursing considerations with client taking atorvastatin

Answer 12

• Take in evening for best response
• Follow up labs every 3-6 months
• No grapefruit juice

Question 13

Manifestations when taking atorvastatin that should be reported

Answer 13

• Leg pain or cramping
• Rhabdomyolysis-myopathy
• Hyperglycemia in nondiabetic
• Memory or cognitive impairment

Question 14

What time should simvastatin be administered?

Answer 14

•Take in evening for best response

Question 15

Client education for simvastatin

Answer 15

*may cause photosensitivity and to wear sunscreen and protective clothing

Question 16

Client education for colestipol granules

Answer 16

• mix with liquids, soup, cereals, carbonated beverages, or pulpy fruits.
• can cause tooth discoloration or enamel decay.

Question 17

Expected manifestation for tamoxifen

Answer 17

• Heavy vaginal bleeding
• Endometrial cancer
• Hot flashes
• Constipation
• Deep vein thrombosis

Question 18

Manifestations of thrombocytopenia

Answer 18

• easy bruising or bleeding

* low platelet count

Question 19

What should be monitored on a client taking cisplatin?

Answer 19

• monitor I&O Urine less than 30 mL in 1 HR is bad
• Blood pressure
• Skin turgor

Question 20

Common Adverse reaction to antineoplastic drugs?

Answer 20

• Bone marrow suppression, stomatitis, diarrhea, hair loss
• Damage gonads and other organ systems
• bleeding gums