63. A nurse is preventing teaching to a client who has a new prescription for pa
ID: 247535 • Letter: 6
Question
63. A nurse is preventing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?
Peripheral edema
Alopecia
Tinnitus
Drowsiness
70. A nurse is providing teaching about the adverse effects of ergotamine to a client who has migraine headaches. Which of the following adverse effects should the nurse include in the teaching?
Paresthesia
Tinnitus
Blurred vision
Hematuria
40. A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. Which of the following actions should the nurse include in the plan of care?
Implement a high-fiber diet to prevent constipation.
Monitor the client for hearing loss.
Administer the medication over 10 min.
Reconstitute the medication with a 5% dextrose solution.
57. A nurse is reviewing the medical record of a client who is receiving vancomycin daily. The nurse should review which of the following laboratory results prior to administering the next dose?
Blood glucose level
Serum creatinine level
Total iron-binding count
Thyroid-stimulating hormone level
30. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following statements by the client indicates an understanding of the teaching?
“I can take two aspirin to treat headaches.”
“I should avoid dairy products when taking this medication.”
“I can expect fine hand tremors when taking this medication.”
“I should not take an antacid within 1 hour of taking this medication.”
37. A nurse is reviewing he laboratory results of a client who has atrial fibrillation and is taking warfarin. Which of the following laboratory results should the nurse report to the provider?
aPTT 40 seconds
INR 4.6
Platelet count 170,000/mm3
Hgb 14.5 mg/dl
9. A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration the insertion site. Which of the following actions should the nurse take?
Flush the IV catherer.
Elevate the extremity.
Apply pressure to the IV site.
Slow the infusion rate.
34. A nurse is teaching a client who has a new prescription for fluticasone/salmeterol metered-dose inhaler. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Take this medication for quick relief.
Rinse the mouth following administration.
Inhale deeply to activate the medication.
Use a spacer with this device.
Hold the mouthpiece between the lips during inhalation.
Explanation / Answer
63)ans) paroxetine side effects ( drowsiness ). Nurse teaching plan in prescribing medication of paroxetine.
70)ans) ergotamine side effects (Paraesthesia).this medication may increase serotonin and rarely cause a very serious condition called serotonin syndrome.get education before taking medication.symptoms are severe drowsiness,hallucinations,severe nausea,vomiting,unexplained fever.
40)ans) erythromycin lactobionate IV bolus. -. Nursing action:
ans) Monitor the client for hearing loss: Because,hearing loss has rarely happened in people taking erythromycin lactobionate-IV. This most often goes back to normal.the chance may be higher if you have kidney problems or of you take high doses of erythromycin lactobionate-IV.so,before administration nurse should monitor the hearing levels.
57)ans) when the client receiving Vancomycin daily the nurse should review the laboratory results before administration of next dose.
ans)check serum creatinine level.
Check baseline BUN/serum creatinine levels monitor every 3 to 5 days.
Monitor more frequently if concern for nephrotoxicity,sepsis or infection.
30)ans)) I should not take an antacid within 1hour of taking this medicine.
Because, before he is using another medine related to gastric ulcer .nurse prescribing new medicine to reduce gastric ulcer. That's why he will get doubt about previous medications.
Other options are not related to this condition.
Rantidine is an oral drug that blocks the production of acid by acid producing cells in the stromal.it belongs a class of H2 blockers.
37)ans)) INR 4.6.
INR - international normalised ratio for an adult :0.9 to 1.2
INR is tested for those on anticoagulant medications to prevent Stroke,embolism,heat attack.
9)ans) Elevate the extremity.
Because, Infiltration commonly caused by improper placement or dislodgement of the catheter.elevate the limb to increase patient comfort.
Infiltration symptoms are: swelling , discomfort, burning , fighting, cool skin.
34)ans) all options are applicable.
Take this medication for quick relief.
Rinse the mouth following medication.
Inhale deeply to activate the medication.
Use the spacer with this device.
Hold the mouthpiece between the lips during inhalation.
All options are applicable when using fluticasone/salmeterol metered dose inhaler.
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