NURS NURS 325 Pharmacology
A nurse is caring for a client with many different
medications who is newly prescribed acetazolamide.
What medications can interact with acetazolamide?
Acetazolamide is a carbonic anhydrase inhibitor that
produces serious effects, such as metabolic acidosis in
clients using highdose aspirin. Also, increases the risk of
toxic effects of quinidine, decreases blood lithium levels,
increases incidence of osteomalacia when combined with
phenytoin and increases the risk of kidney stones when
used in conjunction with sodium bicarb.
What class of medication is amitriptyline and why
is this medication used as an adjuvant medication
for pain?
Amitriptyline (Elavil) is a tricyclic antidepressant and is
used as an adjuvant medication to treat neuropathic pain,
such as cramping, aching, burning, darting, and lancinating
pain, because it enhances the effects of opioids. Adjuvant
medications are to be used in combination with opioids
and cannot be used as a substitute for opioids.
A nurse is preparing to administer ipratropium by
metered dose inhaler. What adverse effects should
the nurse instruct the client to monitor for?
Adverse effects associated with ipratropium include dry
mouth and hoarseness. Instruct the client to take sips of
fluids and/or suck on sugarfree hard candies to control dry
mouth.
A nurse is instructing a client who has a new
prescription for nitroglycerin transdermal patch
about administration. What instructions should the
nurse include?
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, NURS NURS 325 Pharmacology
The nurse should instruct the client to:
• Ensure the appropriate dose is being
applied (patches should never be cut)
• Place the patch on a hairless area of the kin such
as the chest, back, or abdomen.
• Rotate sites to prevent skin irritation
• Remove old patch, wash skin with soap and
water, and dry thoroughly before applying a new
patch
• Remove the patch at night in order to reduce the
risk of developing a tolerance to nitroglycerin.
• You should be medication free between 10–
12 hrs/day
A nurse is providing instructions to a client who has
a prescription for methotrexate. What should the
nurse include in the client education?
• Educate the client to monitor for the presence of
coffeeground emesis or tarry black stools as this
could be indicative of a GI bleed.
• Teach the client to assess for mouth sores.
• Instruct the client to perform frequent oral
hygiene using soft toothbrushes and avoid
alcohol mouthwashes.
• Advise female clients against becoming
pregnant while taking this medications and 6
months after.
• Encourage adequate fluid intake of 23 L/day.
• Instruct client to adhere to lab draws as prescribed
o Monitor kidney function, BUN, creatinine, and
I&Os
A nurse is preparing to educate a client who has a
new prescription for pregabalin. What should the
This study source was downloaded by 100000832558064 from CourseHero.com on 01-23-2022 10:01:01 GMT -06:00
https://www.coursehero.com/file/20974048/Pharmacology/
A nurse is caring for a client with many different
medications who is newly prescribed acetazolamide.
What medications can interact with acetazolamide?
Acetazolamide is a carbonic anhydrase inhibitor that
produces serious effects, such as metabolic acidosis in
clients using highdose aspirin. Also, increases the risk of
toxic effects of quinidine, decreases blood lithium levels,
increases incidence of osteomalacia when combined with
phenytoin and increases the risk of kidney stones when
used in conjunction with sodium bicarb.
What class of medication is amitriptyline and why
is this medication used as an adjuvant medication
for pain?
Amitriptyline (Elavil) is a tricyclic antidepressant and is
used as an adjuvant medication to treat neuropathic pain,
such as cramping, aching, burning, darting, and lancinating
pain, because it enhances the effects of opioids. Adjuvant
medications are to be used in combination with opioids
and cannot be used as a substitute for opioids.
A nurse is preparing to administer ipratropium by
metered dose inhaler. What adverse effects should
the nurse instruct the client to monitor for?
Adverse effects associated with ipratropium include dry
mouth and hoarseness. Instruct the client to take sips of
fluids and/or suck on sugarfree hard candies to control dry
mouth.
A nurse is instructing a client who has a new
prescription for nitroglycerin transdermal patch
about administration. What instructions should the
nurse include?
This study source was downloaded by 100000832558064 from CourseHero.com on 01-23-2022 10:01:01 GMT -06:00
https://www.coursehero.com/file/20974048/Pharmacology/
, NURS NURS 325 Pharmacology
The nurse should instruct the client to:
• Ensure the appropriate dose is being
applied (patches should never be cut)
• Place the patch on a hairless area of the kin such
as the chest, back, or abdomen.
• Rotate sites to prevent skin irritation
• Remove old patch, wash skin with soap and
water, and dry thoroughly before applying a new
patch
• Remove the patch at night in order to reduce the
risk of developing a tolerance to nitroglycerin.
• You should be medication free between 10–
12 hrs/day
A nurse is providing instructions to a client who has
a prescription for methotrexate. What should the
nurse include in the client education?
• Educate the client to monitor for the presence of
coffeeground emesis or tarry black stools as this
could be indicative of a GI bleed.
• Teach the client to assess for mouth sores.
• Instruct the client to perform frequent oral
hygiene using soft toothbrushes and avoid
alcohol mouthwashes.
• Advise female clients against becoming
pregnant while taking this medications and 6
months after.
• Encourage adequate fluid intake of 23 L/day.
• Instruct client to adhere to lab draws as prescribed
o Monitor kidney function, BUN, creatinine, and
I&Os
A nurse is preparing to educate a client who has a
new prescription for pregabalin. What should the
This study source was downloaded by 100000832558064 from CourseHero.com on 01-23-2022 10:01:01 GMT -06:00
https://www.coursehero.com/file/20974048/Pharmacology/
