PN VATI pharm, Questions and answers/ 100% verified. Rated A

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PN VATI pharm, Questions and answers/ 100% verified. Rated A A nurse is assisting with the care of a client who has myasthenia gravis and is experiencing a cholinergic crisis. Which of the followin... g medications should the nurse expect the RN to administer? - ✔✔Atropine A cholinergic crisis is the result of too much cholinesterase inhibitor medication which causes manifestations of excessive muscarinic stimulation such as muscle weakness, bradycardia, vomiting, and paralysis. Atropine is a muscarinic antagonist that is administered IV to reverse anticholinergic effects. The nurse might need to assist with respiratory support to provide adequate oxygenation to the client until manifestations resolve. A nurse is reinforcing teaching with a client about a new prescription for oral bisacodyl. Which of the following instructions should the nurse provide the client? - ✔✔"Long term use of this medication can cause dependence. The nurse shouid irstruct the client that bisacodyl ns a stimulant laxatve which, when used chronicaly, can cause dependence The dient should use it for temporary relief of acute constipation in the smallest possible dosage not routinely or in large doses to ensure daly bowel movements. Chronic use of laxatives can cause dependence by decreasing the clients defecation refiex, necessitating continued use of the laxative to have a bowel movement. The ourse should instruct the dient about the importance of regular eerce consumption of foods containing fiber, and increasing fluid intake to mantain healthy bowelhabits A nurse is reinforcing teaching with a client who has a prescription for rosuvastatin to treat high cholesterol levels. For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider immediately? - ✔✔Muscle weakness When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding to report is muscle weakness (myalgia) or tenderness because it can be a manifestation of rhabdomyolysis, a rare but potentially fatal adverse effect of HMG-COA reductase inhibitor (statin) therapy. Rhabdomyolysis is a disintegration of muscle tissue that causes elevations in creatine kinase, potentially impairing renal function. A nurse is collecting data from a client who is taking lithium to treat bipolar disorder and has a lithium level of 2.4 mEg/L. The nurse should identify which of the following findings as indicating lithium toxicity? - ✔✔Slured speech Manifestations of lithium toxicity, which occurs at blood levels greater than2 mEg can indude slurred speech tinnitus, blurry vision, ataxla stupor, and myodonic twitching A nurse is collecting data from a client who has heart failure should the nurse withhold the dose and notify the provider? and is scheduled to receive a dose of digoxin. For which of the following findings - ✔✔Heart rate 50/min Prior to giving digoxin, the nurse should monitor the client's apical pulse for 1 min. If the heart rate is slower than 60/min or if the nurse notes any changes in the heart rhythm or quality of the pulsation the nurse should withhold the medication and inform the provider. A nurse is reinforcing teaching with a client who has a new prescription for insulin. The client is taking propranolol. The nurse should teach the client to monitor for which of the following findings as a manifestation of hypoglycemia? - ✔✔Hunger Propranolol blocks the beta receptors, which suppresses the typical early signs of hypoglycemia, such as tachycardia, sweating and tremors. The nurse should instruct dients who have diabetes melitus and take propranolol to recognize alternative indications of hypogycemia, such as hunger and fatigue A nurse is caring for a client who has bipolar disorder and a new prescription for lithium. Which of the following laboratory values should the nurse plan to monitor for potential adverse effects? - ✔✔Sodium The nurse should monitor the cient's sodium level while the cient is taking lithium. When the clent's sodium level is low, the kidneys retain lithium which can cause toxicity because polyuria is an adverse effect of lithium in 50% to 70% of clients treated. Hyponatremia is a significant risk. The nurse should reinforce teaching with the client about eating consistent amounts of sodium and drinking 2 to 3 L of fluid daily to help prevent lithuim toxicity A nurse is monitoring a client who received a titration of naloxone IV 30 min ago. Which of the following findings should the nurse expect? - ✔✔Increased pain The nurse should identify that naloxone, an opioid antagonist, is administered IV, IM, subcutaneously, or by the intranasal route for a client who is experiencing manifestations of opioid toxicity. Naloxone will reverse opioid analgesia, thus increasing the client's pain. Therefore, the nurse should monitor the client for increased pain levels after administration of naloxone. The client might require additional doses of naloxone to reverse respiratory depression and sedation. A nurse is caring for a client who has diabetes mellitus. The client received a dose of regular insulin prior to an episode of vomiting and now is unable to eat. For which of the following manifestations should the nurse monitor - ✔✔Confusion The nurse should monitor the client for manifestations of hypoglycemia because the client received insulin and was then unable to eat a meal, A client who has hypoglycemia can become confused due to the lack of glucose in the brain. Other manifestations of hypoglycemia include hunger, diaphoresis, headache, weakness, and blurred vision. The nurse should check the client's blood glucose and report the results. For a blood glucose between 20 to 40 mg/dl, the nurse should give concentrated glucose by mouth, If the client is unable to ingest oral glucose, 50% glucose can be administered intravenously or glucagon can be administered intramuscularly. A nurse is collecting data from a client who has intestinal amebiasis and is taking metronidazole. For which of the following findings should the nurse withhold the metronidazole? - ✔✔Motor ataxia The nurse should withhold metronidazole and contact the provider if the client exhibits manifestations of toxicity, such as ataxia, peripheral neuropathy, or seizures. A nurse is reinforcing teaching with a client who has a new prescription for zolpidem. Which of the following statements by the client indicates the teaching was effective? - ✔✔"This medication might make me dizzy." The nurse should identify that dizziness and daytime drowsiness are common adverse effects of zolpidem. Zolpidem is a Schedule IV controlled substance, It is indicated for short-term use as a sedative/hypnotic medication to induce sleep. The nurse should instruct the client to avoid driving or operating machinery while taking zolpidem until effects of this mediaction are known. Some clients experience sleep-driving while taking this medication A nurse is reinforcing discharge teaching with a client who has a new prescription for warfarin. The nurse should instruct the client that which of the following medications is contraindicated with warfarin therapy? - ✔✔Cimetidine Cimetidine can increase the anticoagulant effects of warfarin by inhibiting certain liver enzymes and is therefore contraindicated. The nurse should instruct the client to contact the provider before taking any medications or herbal supplements to reduce the risk for adverse effects. A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about the use of over-the-counter supplements. The nurse should include in the teaching that which of the following supplements can cause hypoglycemia? - ✔✔Ginger root Ginger root can lower blood glucose and increase the effects of insulin and other diabetic medications. The nurse should instruct the client to avoid taking this supplement. A nurse is reinforcing teaching with a client who has a prescription for levothyroxine to treat hypothyroidism. Which of the following instructions should the nurse include? - ✔✔"Take your iron supplement at least 4 hours from taking levothyroxine." Iron, magnesium, zinc, and calcium supplements decrease the absorption of levothyroxine and can prevent complete absorption. The client should take these preparations at least 4 hr from taking levothyroxine. A nurse is collecting data from a client who received amiodarone 400 mg PO 2 hr ago. The nurse suspects that the client received an extra dose of the medication. For which of the following adverse effects should the nurse monitor? - ✔✔Bradycardia [Show More]

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