Luminal (seizures) Right Ans - long half life: take once a day
trough blood draw Right Ans - immediately before next dose
peak blood draw Right Ans - IV - 30 minutes after completion
meds have to bind with... Right Ans - receptors
med dosages meed to be decreased... Right Ans - if in liver failure or
concurrent use of meds metabolized by the same pathway
eye drop administration Right Ans - surgical aseptic technique
nurse legal responsibilites Right Ans - skill competency
monitor adverse effects
safe guard meds
patient refuses meds Right Ans - determine reason
provide info of the risks
notify MD
document
nurse notes MD has doubled previous dose Right Ans - check w/MD
meds given on regular schedule Right Ans - routine order
red line on affected extremity
palpable, hard mass or band on insertion site
pain at site Right Ans - phlebitis
catheter embolism Right Ans - small portion of catheter breaks off and
enter venous system
minimize risk of catheter embolism Right Ans - once in vein, never put
stylet back through the catheter
symptoms of fluid overload Right Ans - shortness of breath
, crackles in lungs
distended neck veins
concurrent use of coumadin and aspirin..... Right Ans - increases risk of
bleeding
first dose of penicillin, client says rash developed last time they took it....
Right Ans - withhold and notify MD
when administering antihypertensives, teach the client,,, Right Ans -
change positions slowly (orthostatic hypotension)
fewer protein-binding sites (infant)... Right Ans - medication effects will be
increase w/greater potential of toxicity
breastfeeding mom does not want to take antimicrobial medication because it
may harm her baby. Teach... Right Ans - taking the medication immediately
after breastfeeding will mimize effects on the baby
reduced hepatic funtion... Right Ans - prolongs half life of a medication and
increases length of response
antidote for benzodiazepine Right Ans - Flumazinel (Romazicon)
effective teaching of benzodiapines... Right Ans - I will not stop taking the
drug abruptly
Buspirone (Buspar) is unique because... Right Ans - does not cause physical
or psychological dependence
a client taking Buspar for 3 days calls and says not helping to sleep or w
anxiety. Nurse response... Right Ans - initial response to Buspar takes 1
week. Several weeks to reach therapeutic peak
client taking Paxil complains of teeth grinding (Bruxism). Nurse response...
Right Ans - add Buspar
use a mouthguard
any SSRI caused bruxism, so change class
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