ATI Virtual- Pharm Assessment – Q’s And A’s
Diclofenac is an NSAID, how should it be taken? ✔️Ans - with food or milk
(gastric irritation)
should take with antacid to minimize irritation
Gastric ulcer taking esomeprazole, what information in teaching? ✔️Ans -
take med 60min before meals
food affects absorption of this med
Furosemide teaching? ✔️Ans - -eat foods high in potassium
-report hearing loss (*ototoxic* drug)
-rise slowly from sitting/lying position
-take early to prevent nocturia
-check wt daily
Methylprednisolone (corticosteroid)- what lab values to monitor? ✔️Ans -
glucose
decreases uptake=^circulating BG
Epoetin alfa- what lab tests to determine effectiveness? ✔️Ans - -
hemoglobin (should not be higher than 10mg/dL= stroke, HF, MI, HTN)
-iron (in the hemoglobin)
Heparin continous IV for venous thrombosis- what lab value to titrate dose?
✔️Ans - aPTT q4-6hrs, then daily when at desired range
What lab values for warfarin therapy? ✔️Ans - INR
TB and taking rifampin, what statement indicates understanding? ✔️Ans -
"I shouldn't wear my soft contact lenses, because they will become discolored"
, -This medication causes *red-orange discoloration* of feces, sputum, tears
and sweat.
-take on empty stomach w/8oz of water
-*nephrotoxic drug*
Gout and prescription for allopurinol, which statement to explain how
medication helps relive manifestations? ✔️Ans - "it decreases the
production of uric acid"
this improves joint function
-^daily fluid intake to 2L to reduce risk of renal injury
Prescription for acyclovir X3 daily, what nurse action? ✔️Ans - assess for
increase in creatinine
-can cause reversible nephrotoxicity
-monitor BUN & creatinine lvls
-encourage ^fluid intake during and after infusion
Taking warfarin following orthopedic surgery- what lab to report to provider?
✔️Ans - INR 5.2
(INR 2.0-3.0)
>5= critical value
Acetazolamide, what findings is an adverse effect? ✔️Ans - electrolyte
imbalance
-promotes real excretion of sodium and potassium
Psuedoephedrine orally for allergic rhinitis, assess for what adverse effect?
✔️Ans - HTN
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