. A nurse is caring for a client who has a major depression and a
new prescription for citalopram .
Which of the following adverse effects should the nurse report to the
provider?
A. Confusion - serotonin syndrome can begin 2-72 hours after
starting treatment and can be LETHAL. (confusion, delirium,
fever, tachycardia, increased BP, hyperreflexia, diaphoresis,
tremors, spasm) if any of these occur, notify provider and
withhold medication… I think it’s this one over C.?
B. Bruxism- grinding of teeth during sleep, which can be treated
with low dose buspirone
C. Weight Loss - weight gain is a sxs
Rationale page 49 pdf: part of SSRI family. Used to lower anxiety,
depression, OCD. SSRIS needs about 4 weeks for the drug to kick in
and work. Serotonin syndrome sxs: agitation, confusion, hyperreflexia,
tremors, spastic muscle contractions aka clonus. Adverse effects are: GI
bleeding, hyponatremia, serotonin syndrome, suicide ideation, postural
hypotension. I have this lol
. A nurse caring for a client who has acute cocaine toxicity. The
nurse should plan to provide which of the following treatments?
a. Gastric Lavage
b. Saline cathartic
c. Naloxone→ antidote for opiates (opium, morphine, heroin,
codeine, and Demerol)
, d. Diazepam → cocaine tox are risk for seizures, admin
Rationale pg. 476 naloxone opioid antagonist treatment of opioid
overdose
. A nurse is providing teaching to a client who has diabetes insipidus
and is receiving
DESMOPRESSIN. Which of the following statements should the
nurse include in the teaching?
a. Your urine might have a reddish tint while taking this medication
b. You will need to check your blood glucose every morning while
taking this medication
c. You can expect to have less urine output when you are taking
this medication
d. You will need weekly laboratory work to determine your blood
clotting time
Rationale page 319 antidiuretic. Desmopressin causes less
vasoconstriction than natural ADH (hormone in posterior pituitary that
is used to retain sodium and water.) Tiamson went over this lol. DI, they
are urinating a lot. With a vasopressor, it can act as an antidiuretic and
decrease the amount of urine the patient urinates. CONTRA for people with
CAD, decreased peripheral circulation, can cause Headache, chest pain.
. A nurse is teaching a client who has pernicious anemia to self-
administer nasal cyanocobalamin (vitamin B12--helps convert folic
acid to active form) . Which of the following information should the
nurse include in the teaching? Page 232 pdf (helps convert folic acid
for DNA production.
, a. Plan to self-administer this medication for the next 6 months --
lifetime treatment
b. Administer the medication into one nostril once per week --
daily?
c. Use a nasal decongestant 15 minutes before the medication if
you have a stuffy nose
d. Lie down for 1 hour after administering the medication --too
long, at least 5 minutes
Rationale PDF pg. 135: Sympathomimetic decongestants
stimulate alpha1-adrenergic receptors, causing reduction in the
inflammation of the nasal membranes. Increase dairy products for b
12.
medication effects may be decreased if patient has increased nasal
secretions.
, . A nurse is planning to teach a client who has gout about allopurinol
(hyperuricemia--inhibits uric acid production) . Which of the
following instructions should the nurse include in the teaching?
a. Take after meals - to minimize GI distress, insomnia,
headache,
b. Take an iron supplement - may add to GI distress it may cause
c. Limit fluid intake to 1 liter - always drink 2 liters of water per
day.
d. Increase calcium intake - may cause GI distress as well.
Rationale PDF p.266: Advise clients to take oral gout
medication with food or after meals to minimize GI distress.
Allopurinol can cause GI distress. Rhabdomyolysis, can cause
rash, avoid purine foods such as ETOH, red meat,
. A nurse is assessing a client who has heart failure and is taking digoxin
(antiarrhythmic--decrease electrical conduction through AV node;
increase myocardial contraction) . Which of the following findings
should the nurse identify as an early indication of medication toxicity?
a. Visual disturbances
b. Insomnia
c. Potassium 4.4 mEq/L --within normal values 3.5-5 mEq/L
d. Sudden weight gain --anorexia
Rationale PDF p.177: Monitor for indications of digoxin toxicity:
anorexia, nausea, vomiting, visual disturbances, dysrhythmias;
Hypokalemia increases risk for toxicity
.) A nurse is reviewing the medical record of a client who is taking
clozapine (atypical anti-psychotics--blocks serotonin & dopamine
new prescription for citalopram .
Which of the following adverse effects should the nurse report to the
provider?
A. Confusion - serotonin syndrome can begin 2-72 hours after
starting treatment and can be LETHAL. (confusion, delirium,
fever, tachycardia, increased BP, hyperreflexia, diaphoresis,
tremors, spasm) if any of these occur, notify provider and
withhold medication… I think it’s this one over C.?
B. Bruxism- grinding of teeth during sleep, which can be treated
with low dose buspirone
C. Weight Loss - weight gain is a sxs
Rationale page 49 pdf: part of SSRI family. Used to lower anxiety,
depression, OCD. SSRIS needs about 4 weeks for the drug to kick in
and work. Serotonin syndrome sxs: agitation, confusion, hyperreflexia,
tremors, spastic muscle contractions aka clonus. Adverse effects are: GI
bleeding, hyponatremia, serotonin syndrome, suicide ideation, postural
hypotension. I have this lol
. A nurse caring for a client who has acute cocaine toxicity. The
nurse should plan to provide which of the following treatments?
a. Gastric Lavage
b. Saline cathartic
c. Naloxone→ antidote for opiates (opium, morphine, heroin,
codeine, and Demerol)
, d. Diazepam → cocaine tox are risk for seizures, admin
Rationale pg. 476 naloxone opioid antagonist treatment of opioid
overdose
. A nurse is providing teaching to a client who has diabetes insipidus
and is receiving
DESMOPRESSIN. Which of the following statements should the
nurse include in the teaching?
a. Your urine might have a reddish tint while taking this medication
b. You will need to check your blood glucose every morning while
taking this medication
c. You can expect to have less urine output when you are taking
this medication
d. You will need weekly laboratory work to determine your blood
clotting time
Rationale page 319 antidiuretic. Desmopressin causes less
vasoconstriction than natural ADH (hormone in posterior pituitary that
is used to retain sodium and water.) Tiamson went over this lol. DI, they
are urinating a lot. With a vasopressor, it can act as an antidiuretic and
decrease the amount of urine the patient urinates. CONTRA for people with
CAD, decreased peripheral circulation, can cause Headache, chest pain.
. A nurse is teaching a client who has pernicious anemia to self-
administer nasal cyanocobalamin (vitamin B12--helps convert folic
acid to active form) . Which of the following information should the
nurse include in the teaching? Page 232 pdf (helps convert folic acid
for DNA production.
, a. Plan to self-administer this medication for the next 6 months --
lifetime treatment
b. Administer the medication into one nostril once per week --
daily?
c. Use a nasal decongestant 15 minutes before the medication if
you have a stuffy nose
d. Lie down for 1 hour after administering the medication --too
long, at least 5 minutes
Rationale PDF pg. 135: Sympathomimetic decongestants
stimulate alpha1-adrenergic receptors, causing reduction in the
inflammation of the nasal membranes. Increase dairy products for b
12.
medication effects may be decreased if patient has increased nasal
secretions.
, . A nurse is planning to teach a client who has gout about allopurinol
(hyperuricemia--inhibits uric acid production) . Which of the
following instructions should the nurse include in the teaching?
a. Take after meals - to minimize GI distress, insomnia,
headache,
b. Take an iron supplement - may add to GI distress it may cause
c. Limit fluid intake to 1 liter - always drink 2 liters of water per
day.
d. Increase calcium intake - may cause GI distress as well.
Rationale PDF p.266: Advise clients to take oral gout
medication with food or after meals to minimize GI distress.
Allopurinol can cause GI distress. Rhabdomyolysis, can cause
rash, avoid purine foods such as ETOH, red meat,
. A nurse is assessing a client who has heart failure and is taking digoxin
(antiarrhythmic--decrease electrical conduction through AV node;
increase myocardial contraction) . Which of the following findings
should the nurse identify as an early indication of medication toxicity?
a. Visual disturbances
b. Insomnia
c. Potassium 4.4 mEq/L --within normal values 3.5-5 mEq/L
d. Sudden weight gain --anorexia
Rationale PDF p.177: Monitor for indications of digoxin toxicity:
anorexia, nausea, vomiting, visual disturbances, dysrhythmias;
Hypokalemia increases risk for toxicity
.) A nurse is reviewing the medical record of a client who is taking
clozapine (atypical anti-psychotics--blocks serotonin & dopamine
