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  • What is the appropriate action by the nurse? The nurse observes a co-worker preparing to administer a solution of lidocaine and epinephrine to a client with multiple premature ventricular...
    What is the appropriate action by the nurse? The nurse observes a co-worker preparing to administer a solution of lidocaine and epinephrine to a client with multiple premature ventricular...
    Prevent the administration. and give a plain lidocaine solution.Solutions of lidocaine containing preservatives or epinephrine are intended for local anesthesia only. and must never be given IV for dysrhythmias.

  • What should not be done with the use of the medication? A client is receiving Methocarbamol (Robaxin) as an adjunct to physical therapy for the relief of painful muscle discomfort. This...
    What should not be done with the use of the medication? A client is receiving Methocarbamol (Robaxin) as an adjunct to physical therapy for the relief of painful muscle discomfort. This...
    If you have ever been sick, you may have gone to the doctor and he prescribed you medicine. Usually, you have to go to a pharmacy to get the medicine. At the pharmacy, the pharmacist or someone working for the pharmacy will give you advice and information about taking this medicine. Sometimes, the information is written on the medicine bottle or bag. There are always certain things to do and not do when it comes to taking medication. First, you should never drink alcohol with your medication no matter what. Also, if you are taking Methocarbamol or Robaxin due to physical therapy, you will not want to take any type of cold medicine because the Methocarbamol may not work like it is supposed to.

  • Which is the most frequent CNS side effect? A geriatric patient is prescribed with Cimetidine (Tagamet) for the treatment of heartburn.
    Which is the most frequent CNS side effect? A geriatric patient is prescribed with Cimetidine (Tagamet) for the treatment of heartburn.
    CNS stands for central nervous system. In the central nervous system, the body parts that are included are the nerves, brain and spinal cord. These are important parts to the body. Geriatric patients often have problems with their central nervous system because for one reason is that they are getting up in age. When people get older, their bodies are more fragile including their organ systems like the central nervous system. In this case, if this geriatric patient is prescribed with a medication called Cimetidine or Tagmet, they may be suffering from heartburn. Heartburn is the discomfort of a burning feeling in the heart or around the heart which is sometimes caused by eating poor food. One of the side effects of ingesting this medicine is agitation.

  • What does the nurse advise the client to do? A nurse is giving instructions to a client taking risperidone (Risperdal).
    What does the nurse advise the client to do? A nurse is giving instructions to a client taking risperidone (Risperdal).
    Change position slowly.Risperidone (Risperdal) can cause orthostatic hypotension so instruct the client to change positions slowly to avoid it.Option A: The medication is taken with food or milk to decrease gastric upset.Option C: Sunlight should be avoided while taking the medication.Option D: The medication is to be reduced gradually to avoid sudden recurrence of psychotic symptoms.

  • What is this process termed as? Superficial bladder cancer can be treated by direct instillation of the antineoplastic antibiotic agent mitomycin (Mutamycin).
    What is this process termed as? Superficial bladder cancer can be treated by direct instillation of the antineoplastic antibiotic agent mitomycin (Mutamycin).
    Intravesical administration.The overall goal of cancer chemotherapy is to give a dose large enough to be lethal to the cancer cells. but small enough to be tolerable for normal cells. Unfortunately. some normal cells are affected including the bone marrow. Myelosuppression limits the bodys ability to prevent and fight infection. produce platelets for clotting. and manufacture red blood cells for oxygen portage. Even though the effects in options a. b. and d are uncomfortable and distressing to the patient. they do not have the potential for lethal outcomes that myelosuppression has.

  • What is a contraindication for topical corticosteroid usage in a male patient with atopic dermatitis (eczema)?
    What is a contraindication for topical corticosteroid usage in a male patient with atopic dermatitis (eczema)?
    Viral infection.;Typically. first generation OTC antihistamines have a sedating effect because of passage into the CNS. However. in some individuals. especially infants and children. paradoxical CNS stimulation occurs and is manifested by excitement. euphoria. restlessness. and confusion. For this reason. use of first generation OTC antihistamines has declined. and second generation product usage has increased. Reyes syndrome is a systemic response to a virus. First generation OTC antihistamines do not exhibit a cholinergic effect. Nausea and diarrhea are uncommon when first generation OTC antihistamines are taken.;

  • What will the physician order to prevent GVHD? A severely immunocompromised female patient requires a blood transfusion.
    What will the physician order to prevent GVHD? A severely immunocompromised female patient requires a blood transfusion.
    Irradiation of the donor blood.This process eliminates white blood cell functioning. thus. preventing GVHD. Diphenhydramine HCl is an antihistamine. Its use prior to a blood transfusion decreases the likelihood of a transfusion reaction. Option 2 will not prevent GVHD. Use of acetaminophen prevents and treats the common side effects of blood administration caused by the presence of white blood cells in the transfusion product: fever. headache. and chills.

  • What should the nurse instruct the client when providing instructions about precautions with this medication? Nurse Celine is caring for a client with clinical depression who is receiving a...
    What should the nurse instruct the client when providing instructions about precautions with this medication? Nurse Celine is caring for a client with clinical depression who is receiving a...
    Avoid chocolate and cheeseFoods high in tryptophan. tyramine and caffeine. such as chocolate and cheese may precipitate hypertensive crisis.

  • What is the most serious form of bone marrow toxicity? Drugs can cause adverse events in a patient. Bone marrow toxicity is one of the most frequent types of drug-induced toxicity.
    What is the most serious form of bone marrow toxicity? Drugs can cause adverse events in a patient. Bone marrow toxicity is one of the most frequent types of drug-induced toxicity.
    Aplastic anemia.;Oral contraceptives have been associated with an increased risk of stroke. myocardial infarction. and deep vein thrombosis. These risks are increased in women who smoke. Increased skin oil and acne are effects of progestin excess. Headache and dizziness are effects of estrogen excess. Early or mid-cycle bleeding are effects of estrogen deficiency.;

  • What is the primary reason for this action? The nurse is caring for an elderly client who has been diagnosed as having sundown syndrome. He is alert and oriented during the day but becomes...
    What is the primary reason for this action? The nurse is caring for an elderly client who has been diagnosed as having sundown syndrome. He is alert and oriented during the day but becomes...
    Multiple medications can lead to dementiaDrugs commonly used by elderly people. especially in combination. can lead to dementia. Assessment of the medication taken may or may not provide information on the clients medical background. However. this is not the primary reason for assessing medications in a client who is exhibiting sundown syndrome. Ability to recall medications may indicate short-term memory and recall. However. that is not the primary reason for assessing medications in a client with sundown syndrome. Medication history should be a part of the nursing assessment. In this client there is an even more important reason for evaluating the medications taken.

  • What is the extent to which drug is absorbed and transported to target tissue known as?
    What is the extent to which drug is absorbed and transported to target tissue known as?
    BioavailabilityBioavailability is the extent to which a drug is absorbed and transported to target tissue. Steady-state accumulation means that the amount of drug present is sufficient to exert its therapeutic effect. Therapeutic drug levels are serum blood tests used to measure the amount of circulating drug present. Distribution is the process by which drugs are transported to tissues.

  • What would the nurse educate the client that directly correlates with the safety of the client? A nurse is giving discharge instructions to a client who will be taking phenobarbital (Luminal)....
    What would the nurse educate the client that directly correlates with the safety of the client? A nurse is giving discharge instructions to a client who will be taking phenobarbital (Luminal)....
    Avoid using sleep aids while taking the medication.Phenobarbital (Luminal) is an anticonvulsant and hypnotic drug. The client should avoid drinking alcohol or use medicines that may cause drowsiness (eg. sleep aids. muscle relaxers).Option A: Taking the medication at the same time daily improves compliance and maintains more stable blood levels of the medication.Option B: The medication is taken without regard to meals.Option D: Decreasing the dosage is not done without the approval of the physician.

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