Levothyroxine Take it on empty stomach. It is for lifetime. Notify PCP for s/s of hyperthyroidism such as rapid heartrate, insomnia or irritability/restlessness.-Prazosin (Minipress) patient teaching will be I will move slowly from sitting to standing to prevent falls -Following is an indication for further teaching to a patient who is prescribed phenytoin (Dilantin) “ I should expect a rash to develop” Gingival hyperplasia is expected. Meticulous oral care. Update the dentist. Use a soft toothbrush.Ataxia, slurred speech and rash (Ste-Levothyroxine was effective when TSH level is 2 microunits/mL ven Johnson symptoms) and suicidal thoughts are adverse effects.Therapeutic range is 10-20.Hold an hour before or after G. Tube feedings.
- Always read the prescription back to the provider after transcribing
- Document if patient refuses medications
- For high or low potassium level of 2.6 mEq/L apply a cardiac monitor
A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy. Which of
the following client findings requires an incident report:
1) The client is also taking linsinophrel (Prinivil) 2) The client reports shortness of breath A nurse is providing teaching to a female client who has been newly diagnosed with a seizure disorder and has begun phenytoin (Dilantin). The nurse should tell the client that phenytoin can
decrease the effectiveness of which of the following:
Ethunyl estradiol/desogestrel (Cyclessa) A nurse providing teaching to a client who is diagnosed with migrane headaches. The client is prescribed ergotamine (Ergostat) sublingual (SL). Which of the following should the nurse
include in her instructions:
1) Take 1SL tablet three times a day before meals 2) Take 1SL tablet at onset of migrane A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg of digoxin (Lanoxin). The client's serum digoxin level is 0.7 ng/mL. Which of the following actions CMS pharmacology Proctored Exam Questions and Answers Revision Guide 2022/2023 1 / 2
should the nurse take:
1) Give the medication 2) Request a dose increase A nurse is teaching a client who has heart failure about a new prescription for captopril (Capoten). Which of the following statements by the client indicates a need for further teaching: 3) I will take the medication 1 hr before my meals 4) I will use a salt substitute with my meals A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% is -Best indication that the IV mannitol (Osmitrol) 25% is achieving it's therapeutic effect is decrease in intraocular pressure A nurse is educating a client who has a new prescription for simvastatin (Zacor). Which of the following instructions should the nurse include in the teaching plan: (Select all that apply): 1) Report muscle pain to provider 2) Do not take the medication with grapefruit juice 3) Take the medication in the early morning 4) Minimize intake of alcoholic beverages 5) Expect therapy with this medication to be life long A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The client aPTT is 4x the normal value and his INR is 2. Which of the following actions should the nurse plan to
take:
1) Decrease the heparin 2) Increase the warfarin The nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin) by continuous IV infusion, piggy backed into a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first: 1) Turn the client to side lying position 2) Discontinue the client's IV meds A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit smoking. For which of the following side effects should the nurse assess the client:
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