Exam (elaborations)
NR-452 Capstone Course Pharmacology_remediation_VATI.
- Course
- NR-452 Capstone Course
- Institution
- Chamberlain College Nursing
NR-452 Capstone Course
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A client with severe asthma is on long-term corticosteroid therapy. Identify four (4)adverse effects of prednisone? How can these effects be prevented or minimized?
The adverse effects of prednisone are: osteoporosis, hyperglycemia, hypokalemia, adrenal
suppression, fluid retention, infection, myopathy, and peptic ulcer disease.
These adverse effects can be prevented or minimized through the following nursing interventions
and client education:
- Advise client to take with food.
- Do not skip doses.
- Monitor blood pressure
- Monitor fluid and electrolytes balance and weight
- Monitor for signs of bleeding and GI discomfort
- Teach client to take calcium supplements and maintain vitamin D levels
- Give with food
- Never stop abruptly
- Provide immunoprotection
- Advise client to avoid NSAIDS
A nurse is caring for a client newly prescribed meperidine for pain. What
contraindications/precautions should the nurse review with the client prior to the
administration of this opioid?
Meperidine is contraindicated for clients who have kidney failure because of the
accumulation of normeperidine, which can result in seizures and neurotoxicity.
Clients who have asthma, emphysema, or head injuries; infants; and older adult clients
(risk of respiratory depression).
Clients who are pregnant (risk for physical dependence of the fetus).
Clients that have hepatic, renal disease, inflammatory bowel disease and extreme obesity
should use caution.
Clients who are extremely obese (greater risk for prolonged adverse effects because of
the accumulation of medication that is metabolized at a slower rate).
A client is to receive lovenox 40 mg daily subcutaneously for prophylaxis following hip
surgery. Available is 100 mg/mL. How much would the nurse administer?
1 mL/100 mg * 40 = 0.4 mL
The nurse would administer 0.4 mL of lovenox
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