A nurse is caring for a client with many different medications who is newly
prescribed acetazolamide. What medications can interact with acetazolamide?
Acetazolamide is a carbonic anhydrase inhibitor that produces serious effects, such
as metabolic acidosis in clients using high-dose aspirin. Also, increases the risk of
toxic effects of quinidine, decreases blood lithium levels, increases incidence of
osteomalacia when combined with phenytoin and increases the risk of kidney
stones when used in conjunction with sodium bicarb.
A client has a new prescription for salmeterol. The nurse is teaching the client
about adverse effects of the medication. What instructions should the nurse
include in this education?
Salmeterol can cause headaches, nervousness, palpitations, tachycardia,
abdominal pain, diarrhea, nausea, muscle cramps, soreness, trembling,
paradoxical bronchospasm and cough.
A nurse is caring for a client prescribed the inhaled glucocorticoid
beclomethasone (QVAR) for the treatment of asthma. What is a potential adverse
effect of this medication and what are two (2) teaching points to discuss to address
these adverse effects?
The potential adverse effects of this medication are headaches, agitation,
depression, dizziness, fatigue, insomnia, restlessness, dysphonia, hoarseness,
cataracts, nasal congestion, pharyngitis, sinusitis, bronchospasms, cough,
wheezing, diarrhea, dry mouth, dyspepsia, esophageal candidiasis, taste
disturbances, nausea, adrenal suppression, decreased growth, decreased
bone mineral density, and back pain.
This study source was downloaded by 100000832558064 from CourseHero.com on 01-23-2022 09:40:18 GMT -06:00
A nurse is instructing a client who has a new prescription for nitroglycerin
transdermal patch about administration. What instructions should the nurse
include?
The patch is for external use only. Apply the patch at the same time
every day. Apply to a hairless area of the chest, inner side of the upper
arm, back or shoulder.
Clean and dry skin completely before applying the patch. Do not apply
the patch to irritated or damaged skin.
When removing the patch, fold it with sticky sides together to prevent
administration of medicine to someone that may handle the patch.
The patch should only be worn for 12-14 hours per day so that you will have a
10-12 hour nitrate free period each day.
If you miss a dose, use the next dose as soon as possible.
A nurse is teaching a client who has a new prescription for alprazolam. What
instructions should the nurse include?
A nurse is administering a unit of packed red blood cells (PRBCs) to a client.
What symptoms would indicate circulatory overload? Name three (3) clinical
manifestations of circulatory overload. What are three (3) interventions the
nurse can take action on if overload occurs?
Symptoms of circulatory overload cough, tachycardia, and orthopnea
3 clinical manifestations of circulatory overload - flushing, hypertension, and
respiratory distress3 interventions for overload - stop the transfusion
immediately, place the patient in an upright position, and treat symptoms with
oxygen, diuretics, and other cardiac failure therapy.
This study source was downloaded by 100000832558064 from CourseHero.com on 01-23-2022 09:40:18 GMT -06:00
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