Exam 4 review – Flashcards
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Where will the nurse focus her assessment for a patient taking vancomycin?
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Ototoxicity
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Planning care for a patient taking furosemine IV for peripheral edema, which should the nurse include in her plan of care?
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Assess for tinnitus, monitor serum potassium levels, recommend eating foods high in potassium
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Caring for a patient on coumadin, and is about to begin taking bactrim to treat UTI, you should question the drug regimen because taking these two drugs concurrently can increase risk of
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Bleeding
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Caring for a patient who is about to begin taking nystatin to treat oral candida albicans that resulted from tetracycline therapy, which is best to include about using antifungal preparations?
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swish the suspension in the mouth before swallowing
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Caring for a patient who is about to begin taking gentamycin to treat an infection. the HCP should monitor the patient for which of the following?
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Urine output
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A primary care provider is prescribing drug therapy for a patient whose sputum culture results indicating MRSA. Which of the following drugs should be administered?
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Vancomycin
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Which of the following drugs should a prodiver prescribe for a patient who has a bacterial infection and an allergic reaction to penicillin?
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Erythromycin
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A health care professional is reviewing the history of a patient who i s about to begin lasix therapy to treat HTN. Which of the following drugs that the patient takes should alert the health care professional?
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Lithium
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A health care professional is caring for a patient who is about to begin iron dextran therapy, when administering the drug IM, the health care professional should take which of the following actions?
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Administer test dose, monitor BP, have epinepherine available
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A health care professional administers epoetin alfa subQ to a patient who has renal failure. The health care professional should monitor the patient for which of the following adverse effects?
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HTN
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A patient who is taking ferrous sulfate develops severe nausea and vomiting due to iron toxicity. Which of the following drugs should the health care professional use to treat this complication?
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deferoxamine
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After teaching a patient about the action of spironolactone, the nurse determines that the teaching was successful when the patient states which of the following?
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I need to make sure I don't eat too many high potassium foods"
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What is the priority nursing intervention prior to beginning antibiotic therapy?
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Obtain specimen for C&S
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HCP is caring for a pt who is about to begin taking ferrous sulfate to treat iron-deficiency anemia. when talking with the patient about the drug, the hcp should include which of the following instructions?
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eat iron enriched foods
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Pt is taking ferrous sulfate to treat iron-deficiency anemia and develops severe nausea and vomiting due to iron toxicity. Which of the following drugs should the hcp use to treat this complication?
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Deferoxamine (Desferal)
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Pt is taking warfarin arrives at the ER dept and reports rectal bleeding. which of the following drugs should the hcp have available?
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Vitamin K
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A patient is taking warfarin and Bactrim could suffer from what due to a combination of these drugs?
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bleeding (bactrim increases effects of warfarin)
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caring for a pt taking phenytoin control seizures. nurse should know that phenytoin may decrease desired effect of what med?
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Warfarin
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pt is about to begin clopidegrel to prevent stent stenosis, the HCP should monitor pt for which of the following adverse reactions?
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Thrombocytopenia
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pt is about to being taking clopidegrel to prevent thrombus formation. HCP should question the use of clopidegrel by a pt who has which of the following?
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peptic ulcer disease
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a hcp is preparing to administer the prescribed dose of filgrastim to a patient. the pts lab results indicate that the pt has a high WB count at 17,000. which of the following actions should the hcp take?
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Clarify the order
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Filgrastim for neutropenia--monitor labs for effectiveness
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Filgrastim for neutropenia stimulates WBC production..WBC indicates normal ref range
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pt undergoing bone marrow transplant following high dose chemo. which of the following drugs should the healthcare professional expect the pcp tp prescribe to reduce pt risk of infection?
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filgrastim
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hcp is caring for a pt who is about to begin alteplase therapy. the hcp should monitor the pt for which of the following indications of a possible adverse effect?
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headache
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hcp caring for pt who is about to begin taking alteplase to treat acute MI. the hcp should understand the drug is most effective when the pt receives it --
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within 3 hrs of symptom onset
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a healthcare profession is caring for a pt who is about to begin alteplase therapy to treat pulmonary embolism. which of the following drugs should the healthcare provider have available in the event of a severe adverse reaction?
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aminocaproic acid (Amicar)
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a client is diagnosed with an acute MI and is receiving tissue plasminogen activator, alteplase. which of the following is a priority nursing intervention?
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monitor for signs of bleeding
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pt is about to begin facotr VIII therapy to treat hemophilia A. when adminstering factor VIII which of the following actions should the HCP take?
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have emergency equipment ready
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hcp is caring for a pt who has mild hemophilia A and is about to begin taking desmopressin to prevent bleeding. the hcp should monitor for which adverse reactions>
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Edema--monitor I&O monitor for decreased urinary output when dealing with diabetics
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a hcp is caring for a pt who is about to begin iron dextran therapy. when administering the drug IM, the healcare professional should take which of the following actions?
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Administer test dose, monitor BP and have epinepherine available
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an ed nurse is caring for a patient who is receiving furosemide for tx of pulmonary embolism. which of the following will the nurse monitor to observe for adverse effects of the drug?
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Potassium level
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a hcp is planning care for a client who is receiving furosemide IV for peripheral edema. which of the following should the nurse include in the plan of care?
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assess for tinnitus, monitor serum potassium levels, recommend eating food high in potassium
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client receiving furosemide for HF. what client statment indicates the need for further teaching?
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I will see my pcp weekly to have my BP taken
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pt with CHF given furosemide, monitor for?
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Hypokalemia
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a hcp is reviewing the hx of a pt who is about to begin furosemide therapy to tx htn. which of the following drugs that the patient takes should alert the hcp to take further action?
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Lithium
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a hcp is caring for a pt who is about to begin taking nitrofurantoin to treat a UTI. The healthcare professional should tell the pt to report which of the adverse effects?
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Cough
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Administer imipenem cautiously with patients who have--
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Seizure disorder
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Pt taking imipenem to tx bacterial infection reports inability to eat, mouth pain--what should be suspected?
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suprainfection
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which of the following drugs should the provider prescribe for a pt who has bacterial infection and is allergiv to penicillin
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erythromycin
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a pt is allergic to penicillin but has bacterial memingitis, what antiobiotic can that patient be prescribed?
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vanco
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because a pt is allergic to penicillin, they have been given another antibiotic, what should be available in case the pt is allergic to this antibiotic
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epinepherine
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pt has steptococcal pharyngitis and is allergic to penicillin, what med is an acceptable alternative?
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erythromycin
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erythromycin can cause?
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dysrhythmias
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pt is taking cipro to treat a UTI and has RA, for which he takes prednisone. what adverse effects should the pt report?
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tendon pain
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pt taking cipro to tx respiratory tract infection reports dyspepsia. What instructions should be given?
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take an antacid at least 2 hrs after taking the drug, because antacids decrease absorption
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while administering IV cefepime to a pt to treat bacterial meningitis, the health care provider finds the IV site showing signs of thromboplebitis
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Stop infusion
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pt starts ketoconazole to tx systemic mycoses, include what pt teaching?
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take with food, take with 8oz of OJ
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pt is about to begin taking ketoconazole to tx fungal infection. pt should report what adverse drug effect?
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gynecomastia
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pt is going to take keflex to treat bacterial meningitis. what lab should be monitored?
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creatinine
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pt is taking amoxicillin and reports rash and wheezing. what instructions should be provided
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call 911 immediately
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start amoxicillin for 1st time to treat ear infections, what priority finding should nurse report to pcp
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rash
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when administering vancomycin IV, what should the nurse be watchful for?
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do not mix with other drugs monitor IV insertion site monitor vital signs dilute the drug before administering
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patients given vancomycin should be closely watched for
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hearing loss
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while a pt is receiving vancomycin, they become flushed, what other side effect should the nurse expect
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hypotension
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pt respiratory tract infection being treaten with gentamicin, what do you report?
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tinnitus
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what adverse effect are we concerned about with genatmicin?
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ototoxicity---nephrotoxicity
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gentamicin is contraindicated with pts that are also taking
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furosemide
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hcp is caring for a pt about to take gentamicin therapy to treat an infection. the hcp should monitor for which of the following?
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urine output
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nystatin
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swish and swallow
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pt starting bactrim to treat uti instruct the pt to report which serious adverse effect?
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sore throat
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sulfamethoxazole teaching
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drink 8-10 glasses of water daily--prevent renal damage
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pt taking flagyl should use cautiously if they have what disorder?
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seizure
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hcp is caring for a pt who is about to begin furosemide to tx HTN. which of the following drugs that the patient takes should alert the hcp to take further actions
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do not drink with alcohol
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which statement indicates a patient needs further teaching on tetracycline therapy
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i will take this med with an antacid
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pt starting oral tetracycline to treat acne vulcaris. which instructions should you include
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report mouth pain, take 1 hr before meals, wear sunscreen
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monitoring pt taking spironolactone, what serum lab result should nurse report to provider?
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potassium
