Nokea
A nurse is reviewing the medication administration record of a client who has a wound infection. The client has prescriptions for cefotetan and an NSAID. The nurse should monitor for which of the following medication interactions?
- A. Bleeding
- B. Dysrhythmias
- C. Dizziness
- D. Jaundice
Correct Answer: A
Rationale: The correct answer is A: Bleeding. Cefotetan is a cephalosporin antibiotic that can increase the risk of bleeding when taken with NSAIDs due to their additive effects on platelet function. The combination can lead to gastrointestinal bleeding or bruising. Dysrhythmias (choice B) are not typically associated with this drug combination. Dizziness (choice C) and jaundice (choice D) are not common interactions with cefotetan and NSAIDs.
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A nurse is reinforcing teaching with a client who has a new prescription for lithium. Which of the following information should the nurse include in the teaching?
- A. Increase fluid intake
- B. Decrease sodium intake
- C. Eat foods high in potassium
- D. Take the medication 1 hr before meals.
Correct Answer: A
Rationale: The correct answer is A: Increase fluid intake. Lithium is a medication used to treat bipolar disorder, and it can cause dehydration and increase the risk of lithium toxicity. By increasing fluid intake, the client can maintain proper hydration levels, which helps to prevent lithium toxicity. This information is crucial for the client's safety and well-being.
Incorrect choices:
B: Decrease sodium intake - While monitoring sodium intake is important with lithium therapy, decreasing it is not necessary.
C: Eat foods high in potassium - While maintaining a balanced diet is important, focusing on potassium specifically is not directly related to lithium therapy.
D: Take the medication 1 hr before meals - Lithium can be taken with or without food, so the timing of meals in relation to medication is not a critical teaching point.
A nurse is reviewing the medication record of a client who has hypertension. Which of the following medications should the nurse administer to lower the client's blood pressure?
- A. Promethazine
- B. Amlodipine
- C. Fluconazole
- D. Phenazopyridine
Correct Answer: B
Rationale: The correct answer is B: Amlodipine. Amlodipine is a calcium channel blocker commonly used to treat hypertension by relaxing blood vessels, reducing blood pressure. It is a first-line medication for hypertension management. Promethazine (A) is an antihistamine, Fluconazole (C) is an antifungal, and Phenazopyridine (D) is a urinary analgesic, none of which are indicated for hypertension. Selecting Amlodipine aligns with evidence-based practice guidelines for hypertension management.
History and Physical
Medication Administration Record
Vital Signs
1630:
Called to client's room by emergency call bell. Client is alert and oriented to person, place, and time. Client is short of breath, intercostal retractions visible. Wheezing auscultated throughout lung fields. Diffuse, raised rash present on trunk. Abdomen soft. nontender.
A nurse in the emergency department is assisting in the care of a client.
Click to highlight the findings that require immediate follow-up. To deselect a finding click on the finding again.
Nurses Notes
1630:
Called to client's room by emergency call bell. Client is alert and oriented to person, place, and time. Client is short of breath, intercostal retractions visible. Wheezing auscultated throughout lung fields, Diffuse, raised rash present on trunk. Abdomen soft, nontender
Vital Signs
1630:
Temperature 38.3°C (101°F)
Heart rate 110/min
Respiratory rate 30/min
Blood pressure 90/55 mmHg
Oxygen saturation 91% on room air
Click to highlight the findings that require immediate follow-up.
- A. Client is short of breath
- B. Intercostal retractions visible
- C. Wheezing auscultated throughout lung fields
- D. Diffuse, raised rash present on trunk
- E. Respiratory rate 30/min
- F. Blood pressure 90/55 mmHg
- G. Oxygen saturation 91% on room air
Correct Answer: A,B,C,D,E,F,G
Rationale: [ , , , , , , ]
A nurse is caring for a client who is receiving tobramycin. The nurse should monitor the client for which of the following adverse effects?
- A. Increased salivation
- B. Bruising
- C. Joint pain
- D. Tinnitus
Correct Answer: D
Rationale: The correct answer is D: Tinnitus. Tobramycin is an aminoglycoside antibiotic known to cause ototoxicity, including tinnitus. Tinnitus is a ringing or buzzing sound in the ears. It is important to monitor for this adverse effect as it can be an early sign of ototoxicity. Increased salivation (A), bruising (B), and joint pain (C) are not commonly associated with tobramycin use. Monitoring for tinnitus is crucial to prevent further hearing loss.
A nurse is collecting data from a client who is taking prednisone and self-administers insulin daily. The nurse should identify that which of the following findings indicates a medication interaction?
- A. Orthostatic hypotension
- B. Hyperglycemia
- C. Paresthesia
- D. Jaundice
Correct Answer: B
Rationale: The correct answer is B: Hyperglycemia. Prednisone can increase blood sugar levels, and insulin is used to lower blood sugar levels. If the client is experiencing hyperglycemia while taking both medications, it indicates a possible medication interaction. Orthostatic hypotension (A) is not typically associated with this medication combination. Paresthesia (C) and jaundice (D) are not commonly related to prednisone and insulin interactions.