VATI Pharm:
A client has been prescribed pregabalin for simple partial seizures. What is a
contraindication for this medication?
● Benzodiazepines, alcohol and opioids intensify CNS effects.
● Also, Pregabalin is a pregnancy risk category C: administer only if the benefits
outweigh the risks
A nurse is caring for a client with a latex allergy. What steps should the nurse take when
initiating an IV line on this client?
● Use latex free gloves
● Document in the chart the patient has a latex allergy
● Place warning label on I.V. bags not to use latex injection ports
● Use non latex tourniquet. If none are available, use a latex tourniquet over clothing
Benzodiazepines are the first-line treatment for alcohol withdrawal due to their ability to
decrease the intensity of withdrawal symptoms. List two (2) nursing considerations for
clients on benzodiazepines.
● Provide seizure precautions, such as padded bed rails and suction
● In case of IV toxicity, administer flumazenil
A nurse is caring for a client prescribed acetaminophen as needed for pain relief. The
nurse knows acetaminophen should not exceed grams per day. The nurse will
monitor for early signs of toxicity. Name three (3) manifestations of toxicity.
● 4 grams/day
○ Undernourished clients limit 3g/day
○ Those who consume more than 3 alcoholic drinks per day, limit
acetaminophen to 2g/day
● Toxicity:
○ Nausea
○ Vomiting
○ Diarrhea
○ Sweating
○ Abdominal discomfort
What is one common adverse effect of an inhaled anticholinergic, such as ipratropium?
Provide two (2) points for a nurse to include when teaching the client on this medication.
● Local anticholinergic effects: dry mouth, hoarseness
○ Sip in fluids
○ Suck on sugar free hard candy or chew sugar free gum
, A client is receiving IV paclitaxel for treatment of ovarian cancer. Which of the following
assessment data is a priority concern? Bleeding gums, unexplained bruising Hair loss
occurring 8 days after beginning treatment Increase in fatigue Client complains of chest
pain and shortness of breath
● Client complains of chest pain and shortness of breath
○ Can be an indication of bradycardia, heart block, or MI
A nurse is caring for a client prescribed the chemotherapy agent topotecan (Hycamtin).
What are adverse effects of this medication and nursing interventions/client education for
this medication?
● Alopecia
○ Can occur 7- 10 days after the beginning of treatment, can last 2 months
after treatment is finished
● Bone Marrow Suppression
○ Assess for bruising and bleeding gums
○ Avoid crowds and contact with infectious individuals
● GI discomfort
○ Administer ondansetron
A client is receiving metformin (Glucophage) for diabetes management. What are three
(3) potential adverse effects and associated nursing measures to address adverse effects
of this medication therapy
● Gastrointestinal effects
○ Anorexia, nausea, diarrhea
● Vitamin B12 and folic acid deficiency
○ Altered absorption
● Lactic Acidosis
○ Hyperventilation, myalgia, sluggishness, somnolence
A nurse is preparing a client for discharge. What information should the nurse include
regarding the client’s new medication acetazolamide?
● There may be a cross sensitivity with sulfonamides
● Common complications: bone marrow depression, nausea and vomiting, depletion
of sodium and potassium, dehydration, altered liver function, general-flu-like
symptoms, fatigue, sleepiness, glucose disturbances
● Should not take medication if you are or expecting to be pregnant
● Can decrease blood levels of lithium
A client has been prescribed pregabalin for simple partial seizures. What is a
contraindication for this medication?
● Benzodiazepines, alcohol and opioids intensify CNS effects.
● Also, Pregabalin is a pregnancy risk category C: administer only if the benefits
outweigh the risks
A nurse is caring for a client with a latex allergy. What steps should the nurse take when
initiating an IV line on this client?
● Use latex free gloves
● Document in the chart the patient has a latex allergy
● Place warning label on I.V. bags not to use latex injection ports
● Use non latex tourniquet. If none are available, use a latex tourniquet over clothing
Benzodiazepines are the first-line treatment for alcohol withdrawal due to their ability to
decrease the intensity of withdrawal symptoms. List two (2) nursing considerations for
clients on benzodiazepines.
● Provide seizure precautions, such as padded bed rails and suction
● In case of IV toxicity, administer flumazenil
A nurse is caring for a client prescribed acetaminophen as needed for pain relief. The
nurse knows acetaminophen should not exceed grams per day. The nurse will
monitor for early signs of toxicity. Name three (3) manifestations of toxicity.
● 4 grams/day
○ Undernourished clients limit 3g/day
○ Those who consume more than 3 alcoholic drinks per day, limit
acetaminophen to 2g/day
● Toxicity:
○ Nausea
○ Vomiting
○ Diarrhea
○ Sweating
○ Abdominal discomfort
What is one common adverse effect of an inhaled anticholinergic, such as ipratropium?
Provide two (2) points for a nurse to include when teaching the client on this medication.
● Local anticholinergic effects: dry mouth, hoarseness
○ Sip in fluids
○ Suck on sugar free hard candy or chew sugar free gum
, A client is receiving IV paclitaxel for treatment of ovarian cancer. Which of the following
assessment data is a priority concern? Bleeding gums, unexplained bruising Hair loss
occurring 8 days after beginning treatment Increase in fatigue Client complains of chest
pain and shortness of breath
● Client complains of chest pain and shortness of breath
○ Can be an indication of bradycardia, heart block, or MI
A nurse is caring for a client prescribed the chemotherapy agent topotecan (Hycamtin).
What are adverse effects of this medication and nursing interventions/client education for
this medication?
● Alopecia
○ Can occur 7- 10 days after the beginning of treatment, can last 2 months
after treatment is finished
● Bone Marrow Suppression
○ Assess for bruising and bleeding gums
○ Avoid crowds and contact with infectious individuals
● GI discomfort
○ Administer ondansetron
A client is receiving metformin (Glucophage) for diabetes management. What are three
(3) potential adverse effects and associated nursing measures to address adverse effects
of this medication therapy
● Gastrointestinal effects
○ Anorexia, nausea, diarrhea
● Vitamin B12 and folic acid deficiency
○ Altered absorption
● Lactic Acidosis
○ Hyperventilation, myalgia, sluggishness, somnolence
A nurse is preparing a client for discharge. What information should the nurse include
regarding the client’s new medication acetazolamide?
● There may be a cross sensitivity with sulfonamides
● Common complications: bone marrow depression, nausea and vomiting, depletion
of sodium and potassium, dehydration, altered liver function, general-flu-like
symptoms, fatigue, sleepiness, glucose disturbances
● Should not take medication if you are or expecting to be pregnant
● Can decrease blood levels of lithium
