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Rapid acting Insulin - answer Lispro is a rapid acting insulin ( 15 min.), so
meals should be readily available at time of administration. Patients
who take this are at risk for hypoglycemic reaction to occur shortly after
administration.
Hyperthyroidism- medication administration - answer Propylthiouracil
(PTU) blocks the conversion of T4 to T3, which decreases hormone
synthesis, and Lugol's solution (iodine, potassium iodide, together with
distilled water) provides iodine needed in the thyroid hormone
molecule. When an anti-thyroid drug & iodine should be administered
at least 1 hour before the PTU, which enhances the therapeutic effect of
both drugs.
Spironolactone- Heart failure - answer Hyperaldosteronism, a disease in
which the adrenal glands make too much aldosterone, causing high
blood pressure & low potassium levels, & spironolactone is used to
spare potassium. The nurse should therefore instruct the client to limit
foods that are high in potassium.
, Topical Antifungal - answer The nurse should instruct the client to
obtain a prescription for an antifungal medication to treat their toenail
fungal infection.
Gout-medications - answer Uricosuric drugs promote the excretion of
uric acid, & are used primarily in the treatment of chronic gout.
Glaucoma miotics- side effects - answer Miotics cause pupillary
constriction. This reduces the eyes ability to dilate at night, & decreases
night vision.
Bulk-Forming Laxative teaching - answer The nurse should inform the
client that bulk-forming laxatives should be mixed with a glass of water
just prior to administration & follow with an additional glass of water to
prevent fecal impaction.
COPD- discharge medication - answer Guaifenesin is a mucolytic
prescribed to liquefy secretions. The nurse should review guaifenesin
with the client to facilitate expectoration of thick mucus associated with
COPD.
Acetylcysteine evaluation - answer To determine if the medication is
having the desired effect, the nurse should ask the client about the
amount of phlegm production, as acetylcysteine is a mucolytic agent.