ATI RN CAPSTONE PHARMACOLOGY STUDY GUIDE-

1. A nurse is preparing to administer ipratropium by metered dose inhaler. What adverse effects should the nurse instruct the client to monitor for? The adverse effects that the nurse should teach the client to watch for when taking ipratropium is dry mouth and hoarseness. The nurse should teach the client to sip fluids and suck on sugar-free hard candies to help with the dry mouth and hoarseness. 2. 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? The nurse should teach the patient that the medication can cause tachycardia, angina, and tremors. The nurse should teach the client to observe for chest pain, palpitations, arm pain, and/or jaw pain and if they occur to notify the provider right away. The nurse should teach the client to check pulse and to report a pulse that increases greater than 20 to 30 beats/min. The client should be taught that tremors usually resolve with the continued use of the medication. The client should be advised to avoid all caffeine and that the medication dose might need to be reduced or tweaked depending on adverse effects. 3. 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 adverse effects that a patient could experience are difficulty speaking, candidiasis, and hoarseness. The patient should be educated to rinse their mouth or gargle with water after each use of the medication. The patent should also be educated to monitor for redness, sores, or white patches in their mouth and if any of these occur to report them to their provider right away. They will need to treat candidiasis with nystatin oral suspension. 4. A nurse is administering gemfibrozil to a client with elevated cholesterol. Identify two (2) adverse effects related to this medication. The adverse effects the that patient could experience while taking this medication are GI distress, gallstones, myopathy, and hepatotoxicity. 5. A nurse is providing instructions to a client who has a prescription for methotrexate. What should the nurse include in the client education? The nurse should teach female clients to use birth control during and for at least 6 months after completing the medication treatment. Teach the patient that they will need to protect their skin from the sunlight during treatment. The nurse should teach the patient to take the medication on an empty stomach and to take the medication with folic acid. ............................................................................................CONTINUE.