Exam (elaborations) NURSING 034275

PN VATI PHARMACOLOGY 2017 1. A nurse is caring for a client who has bipolar disorder and new prescription for lithium, laboratory values should the nurse plan to monitor for potential adverse effect. Ans.: Serum Sodium. The nurse should monitor the sodium level while client is taking lithium. 2. A nurse is reinforcing teaching with a client who is prescribed disulfiram to treat alcohol use disorder. Which of the following information should the nurse include in the teaching? Answer: Avoid using aftershave or cologne while taking this medication. The nurse should identify that disulfiram causes a build up of acetaldehyde in the blood. Within 10 min. of consuming or touching alcohol., the client can experience manifestation such as nausea, tachycardia, flushing, hypotension, confusion, and weakness. The severity of the manifestation depends on the amount of alcohol present. Therefore, the nurse should instruct the client to avoid using alcohol-based products, such as aftershave. 3. A nurse is reinforcing teaching with a client who is starting phenytoin therapy to help manage a seizure disorder. Which of the following instructions should the nurse include? Answer: “Brush and floss your teeth after each meal. “Phenytoin cause gingival hyperplasia, an overgrowth of gum tissue. To minimize gum injury and discomfort the client should brush and floss after each meal, massage her gums, take folic acid supplement, and schedule dental examination regularly. 4. A nurse is collecting data for four clients prior to administering morning medication. Which of the following findings indicates the nurse should withhold the prescribed medication? Answer: Apical pulse of 48/ min for a client receiving metoprolol The heart rate is below expected range of 60 to 100/ min. Metoprolol is a selective beta blocker that will lower the heart rate further. The nurse should withhold the medication and contact the provider for a client who has a heart rate of less than 50 / min. 5. A nurse is preparing to administer vaccines to an adolescent during well child visit. The nurse should check for an allergy to eggs prior to administering which of the following vaccines? Answer: Inactivated Influenza Vaccine 6. A nurse is collecting data for a client who is scheduled to receive an initial dose of tobramycin. Which of the following findings should the nurse report to the provider? Answer: The clients creatine level is 2. 2 mg/d L The creatine level is above the expected range for adult of 0.5 to 1.3 mg/d L. Indicating impaired kidney function which increase the risk of nephrotoxicity Therefore the nurse should monitor the Creatine clearance, BUN, and. urinalysis results to prevent kidney injury.