The nurse is preparing to give medications. Which is the most appropriate nursing action for intravenous (IV) phenytonin?
Give IV doses via rapid IV push.
Administer in normal saline solutions.
Administer in dextrose solution.
Ensure continuous infusion of the drug.
The nurse is reviewing drugs currently taken by a patient who will be starting drug therapy with carbemazepine. What drug may raise cause for concern due to interactions?
Which response would the nurse expect to find in a patient with a phenytoin level of 35 mcg/ml?
No unusual response; this level is therapeutic.
The nurse is assessing a newly admitted patient who has a history of seizures. During the assessment, the patient has a generalized seizure that does not stop for several minutes. The nurse expects that which drug will be ordered for the condition?
The nurse is administering an antiepileptic drug and will follow which guidelines?
Monitor the patient for drowsiness.
Medications may be stopped if seizures disappear.
Give the medication at the same time every day.
Give the medication on an empty stomach.
Notify the prescriber if the patient is unable to take the medication.
A patient is taking entacapone as part of a therapy for Parkinson's disease. Which intervention by the nurse is appropriate at this time.
Notify the patient that this drug causes discoloration of the urine.
Limit' the patient's intake of tyramine-containing food.
Monitor results of renal studies because this drug can seriously affect renal function.
Force fluid to prevent dehydration.
During a patient teaching session about antiparkinson drugs, the nurse will include which statement?
"The drug will be stopped when tremors and weakness are relieved."
"If a dose is missed, take two doses to avoid significant decreases in blood levels."
"Be sure to notify your physician if your urine turns brownish-orange in color."
"Take care to change positions slowly to prevent falling due to a drop in blood pressure."
A patient with Parkinson's disease will start taking entacapone alone with the carbidopa-levodopa he has been taking for a few years. The nurse recognizes that the advantage of taking entacapone is that:
The entacapone can reduce on-off effects.
The levodopa may be stopped in a few days.
There is less GI upset with entacapone.
It does not cause the cheese effect.
The nurse is assessing a patient after major bowel surgery. The nurse anticipates administering which type of nutrition for this patient?
Enteral feedings through a percutaneous endoscopic gastronomy (PEG) tube
Peripheral parenteral nutrition
Total parenteral nutrition
A high-residue diet
The nurse is providing wound care for a patient with a stage IV pressure ulcer and expects the patient to receive which supplement to assist in wound healing?
When assessing a patient who is about to receive an albumin infusion, the nurse knows that a contraindication for albumin would be:
Acute Liver Failure
Flude volume deficit
(EDIT ANSWERS)A patient is taking isoniazid for tuberculosis. The nurse anticipates supplementation with which vitamin for prevention of drug induced neuritis
The patient is taken to the trauma unit after a motorcycle accident. It is estimated that he has lost 30% of his blood volume and he is in hypovolemic shock. The nurse anticipates a transfusion with which blood product?
Packed red blood cells
Fresh Frozen Plasma
A patient is hypokalemic and will be receiving IV K+. The patient is not on a heart monitor. How should the nurse administer the K+ replacement?
No more than 10 mEq/hr
No more than 20 mEq/hr
The patient with a serum K+ of 6.0 mEq/L is ordered polystyrene sulfonate via the NG. When administering the medication the nurse should
administer the drug with sorbitol
administer the drug with water
administer the drug with an antacid
administer the drug with a laxative
New patient with alcoholism, which vitamin is given?
PRB's are given with what?
0.9% Sodium Chloride
1.7% Sodium Chloride
When administering vitamin and mineral supplements, the nurse implements which appropriate interventions?
Not administering oral calcium tablets along with oral tertracyclines
Administering IV calcium via a rapid IV push infusion
Monitoring the heart rhythm ECG of a patient receiving an IV magnesium infusion
Giving oral niacin with milk or food to decrease GI upset
Monitoring for the formation of renal stones in patients taking large doses of vitamin C
Why is calcium given on a renal unit?
Calcium is never given on a renal unit
H2 Receptor blockers are normally given for GERD. What health factors may decrease the effectiveness of this drug class?
Which is a potential adverse effect of Valproic Acid?
A patient has been taking antiepileptic drugs for a year. The nurse is reviewing his recent history and will monitor for which condition that may develop during this time?
Loss of appetite
Suicidal thoughts or behavior
What is the rationale for administering a PPI to a client diagnosed with GERD?
PPI meds neutralize the gastric secretions.
PPI meds block H2 receptors on the parietal cells.
PPI meds inhibit the enzyme that generates gastric acid.
PPI meds form a protective barrier against acid and pepsin