PHARM : E-Book: The Comprehensive NCLEX-RN Live Review 20th Edition

PHARM : E-Book: The Comprehensive NCLEX®-RN Live Review 20th Edition eBook ScienceMedicineNursing JDougherty536 Save Comprehensive NCLEX-RN ATI revi...204 terms voltz1704Preview ATI comprehensive predictor STUDY...198 terms h_trtPreview NCLEX-RN Exam Preview 113 terms lalaitsdestinee Preview NCLEX 133 term Fam A client who has COPD is prescribed ipratropium bromide. The nurse should instruct the client to report which of the following systems immediately?Eye Pain

• multiple choice options

Anticholinergics Atropine Ipratropium Bromide (Atrovent) GI - Slows motility, spasm Eyes - Dilates pupils *DO NOT GIVE TO GLAUCOME PTS* Heart - Increase HR Resp - bronchodilator Foods high in K+ (Potassium) Sweet Potatoes Bananas Tomatoes Avocados Acetaminophen concern Excessive alcohol use (hepatoxicity) - LIVER

Methylphenidate Ritalin, Concerta - Used for ADHD Lisinopril Ace inhibitor

Uses: HTN, MI

SE: Persistent cough, angioedema, orthostatic hypotension

Monitor potassium levels Contraindicated Medications for Sulfonamide Allergies Hypoglycemic Agents

• glipizide
• glyburide

Thiazide diuretics

• hydrochlorothiazide

Loop diuretics

• furosemide

TPN complication Fluid Volume Overload - "I can't breathe" Sucralfate (Carafate) - Client Education

• Turns into a paste and sticks to the ulcer
• Drink 2000 mL water per day
• Include more fruits & veggies
• Take 1 hr before meals

aPTT therapeutic range Normal aPTT = 30 to 40 seconds Therapeutic range = 1.5-2x (normal or control value) Levetiracetam (Seizures) - Adverse Effects Mild to moderate drowsiness and weakness Clozapine (antipsychotic) complications

• Dyslipidemia
• Weight gain
• Diabetes Mellitus

Alendronate (Fosamax) client education:

Sit upright for 30 minutes after administration

Adverse effects: Esophagitis and ulcerations

Phenelzine (MAOI antidepressant) complications:

Hypertensive Crisis from foods high in tyramine Hypertensive crisis symptoms SBP >180 ~Headache (insufficient blood/oxygen to brain) ~Visual problems (insufficient blood supply to optic nerve) ~Alteration of consciousness ~Seizure ~Angina pectoris ~SOB (fluid overload) ~Edema/swelling Administration of levothyroxine toa client on continuous enteral feedings Pause feeding for 30 minutes to allow adequate absorption Prior to administering enoxaparin sodium, which lab finding need to be evaluated?Platelets

• Notify is below 100,000/mm3. Monitor for bleeding

Steps to administering morphine during an existing continuous infusion:

1) Clean port with antiseptic swab 2) Connect syringe to IV line 3) Pinch tubing above injection port 4) Aspirate for blood return 5) Inject meds 6) Withdraw syringe

Furosemide (Lasix) push rate:

Over 2 minutes Terms (19) Hide definitions