NR 447 Pharmacology RN Quiz Questions with Answers provided

NR 447 Pharmacology RN Quiz Questions with Answers provided A nurse is caring for a client with many different medications who is newly prescribed acetazolamide. What medications can interact with acetazolamide? High-dose aspirin can cause metabolic acidosis, quinidine increases the risk of toxic effects, blood lithium levels are decreased, when combined with phenytoin, there are increased incidence of osteomalacia and when used with sodium bicarb, have an increased risk of kidney stones. What class of medication is amitriptyline and why is this medication used as an adjuvant medication for pain? Amitriptyline is a tricyclic antidepressant. It is indicated for chronic pain syndromes such as fibromyalgia, neuropathic/chronic pain, headache and low back pain. A nurse is caring for a client with asthma who asks if montelukast sodium can be taken for acute asthma symptoms. When should montelukast sodium be taken? It should be taken once a day night to prevent and manage asthma. A client has a new prescription for salmeterol. The nurse is teaching the client about adverse effects of the medication. What instructions should the nurse include in this education? Salmeterol can cause headaches, nervousness, palpitations, tachycardia, abdominal pain, diarrhea, nausea, muscle cramps, soreness, trembling, paradoxical bronchospasm and cough. A nurse is caring for a client prescribed the inhaled glucocorticoid beclomethasone (QVAR) for the treatment of asthma. What is a potential adverse effect of this medication and what are two (2) teaching points to discuss to address these adverse effects? The potential adverse effects of this medication are headaches, agitation, depression, dizziness, fatigue, insomnia, restlessness, dysphonia, hoarseness, cataracts, nasal congestion, pharyngitis, sinusitis, bronchospasms, cough, wheezing, diarrhea, dry mouth, dyspepsia, esophageal candidiasis, taste disturbances, nausea, adrenal suppression, decreased growth, decreased bone mineral density, and back pain. A client has a new prescription for an albuterol inhaler and a beclomethasone inhaler. What instructions should the nurse include concerning use of these inhalers? When a client is prescribed albuterol and beclomethasone, albuterol should be administered first. Albuterol promotes bronchodilation and enhances absorption of the glucocorticoid. A nurse is instructing a client who has a new prescription for nitroglycerin transdermal patch about administration. What instructions should the nurse include? 1. The patch is for external use only. 2. Apply the patch at the same time every day. 3. Apply to a hairless area of the chest, inner side of the upper arm, back or shoulder. 4. Clean and dry skin completely before applying the patch. Do not apply the patch to irritated or damaged skin. 5. When removing the patch, fold it with sticky sides together to prevent administration of medicine to someone that may handle the patch. 6. The patch should only be worn for 12-14 hours per day so that you will have a 10- 12 hour nitrate free period each day. 7. If you miss a dose, use the next dose as soon as possible. A nurse is administering a unit of packed red blood cells (PRBCs) to a client. What symptoms would indicate circulatory overload? Name three (3) clinical manifestations of circulatory overload. What are three (3) interventions the nurse can take action on if overload occurs? 1. Symptoms of circulatory overload - cough, tachycardia, and orthopnea 2. 3 clinical manifestations of circulatory overload - flushing, hypertension, and respiratory distress