ATI NCLEX RATIONALES

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1. A nurse is caring for a client who has a new prescription for alosetron. What are the expected therapeutic effects of this medication? Alosetron MoA/Use: selective blockade of serotonin receptor... s, which innervate the viscera and result in increased firmness in stool and decrease in urgency/frequency of defecation. This med is approved only for female clients who have severe IBS-D that has lasted more than 6 months and has been resistant to conventional management. 2. An oncology client is prescribed filgrastim. What are the indications for this therapy? Filgrastim (Neupogen) Indications: Prevention of febrile neutropenia, reduction of time for neutrophil recovery and duration of fever in patients undergoing chemotherapy, mobilization of hematopoietic progenitor plantation, management of chronic severe neutropenia 3. A critical care client is in need of adenosine. What is the indication of this medication and how is this medication administered? Adenosine (Adenocard) Indications: paroxysmal supraventricular tarchycardia Administer via IV bolus, flushed with saline after administration. 4. The client has been ordered ranitidine. List three (3) teaching points to discuss with the client prior to the first administration. Ranitidine Pt. Teaching: Take medication as directed for the full course of the therapy, take missed doses as soon as remembered but not if almost time for next dose, do not double doses. 5. A client with an upper respiratory infection is prescribed guaifenesin. Identify two (2) teaching points to discuss with the client prior to administering this medication. Guaifenesin Pt. Teaching: Do not crush, report cough longer than 1 week, increase fluid intake 6. The client with Klebsiella in the urine is ordered the medication ciprofloxacin. Identify three (3) complications associated with this medication the client can develop with administration of this medication. Ciprofloxacin SE: GI discomfort (Nausea, vomiting, diarrhea), Achilles tendon rupture, suprainfection (thrush, vaginal yeast infection), phototoxicity (severe sunburn) [Show More]

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