Exam (elaborations)
NR-452 Capstone Course Pharmacology_Focused_Review_VATI_Week_2.
- Course
- NR-452 Capstone Course
- Institution
- Chamberlain College Nursing
NR-452 Capstone Course
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A nurse is preparing to administer ipratropium by metered dose inhaler. What adverse effects shouldthe nurse instruct the client to monitor for?
Local anticholinergic effects: Dry mouth, hoarseness
NURSING CONSIDERATIONS: Advise clients to sip fluids and suck on sugar-free hard candies to control
dry mouth.
A nurse is administering gemfibrozil to a client with elevated cholesterol. Identify two (2) adverse
effects related to this medication.
GI distress: Usually mild and self-limiting
Gallstones CLIENT EDUCATION
Advise clients to observe for indications of gallbladder disease (right upper quadrant pain, fat
intolerance, Bloating).
Advise clients to notify the provider if manifestations occur.
Myopathy (muscle tenderness, pain)
Obtain baseline CK level.
Monitor CK levels periodically during treatment.
Monitor for muscle aches, pain, and tenderness, and notify the provider if adverse effects occur.
Stop medication if CK levels are elevated.
A nurse is providing instructions to a client who has a prescription for methotrexate. What should the
nurse include in the client education?
Administer with leucovorin rescue to reduce toxicity to healthy cells. Leucovorin is a folic acid derivative.
It enters healthy cells and blocks methotrexate.
Instruct clients to take the medication on an Empty stomach.
Advise clients to protect the skin from sunlight.
Advise female clients to use birth control during and for 6 months after
An oncology client is prescribed filgrastim. What are the indications for this therapy?
THERAPEUTIC USES
Decreases the risk of infection in clients who have neutropenia, from cancer and other conditions
To build up numbers of hematopoietic stem cells prior to harvesting for autologous transplant
A nurse is placing an IV line on an older adult client. List three (3) considerations the nurse should take
when placing an IV line in this client?
-Use a smaller gauge needle such as a size 22.
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