100%(21)21 out of 21 people found this document helpful
This preview shows page 15 - 18 out of 38 pages.
effects of the drug, the nurse should understand that the most common adverse effects of the drug includeResponse Feedback:Adverse effects of oxytocin are dose related and take two forms—maternal and fetal. The most common maternal adverse effects are nausea, vomiting, uterine tachysystole, and cardiac arrhythmias. Less common but potentially fatal are severe water intoxication and
hyponatremia.Question 101 out of 1 pointsA patient has acquired primary hypogonadism and has been prescribed testosterone transdermal (Androderm) patches. When educating the patient on howto administer the drug, the nurse will instruct him toResponse Feedback:The patient should place the patch on the back, abdomen, upper arms, or thighs. He should not place it on the scrotum or on bony areas such as the shoulder or the hip. The skin area should not be oily, damaged, or irritated. The patch should stay in place for 7 days before replacement.Question 111 out of 1 pointsA patient is receiving radiotherapy for an overactive thyroid gland and asks whether her milk is safe for her baby. If her treatment cannot be discontinued, what should the nurse recommend?Response Feedback:A breast-feeding woman who is receiving any radioactive compounds should pump her breasts during the time that breast milk is radioactive and discard the milk into a biohazard container designed for radioactive materials. Breast-feeding can resume whenthe drug is stopped and the breast milk contains no radioactivity. It isnot the role of the nurse to recommend alternative medication.Question 121 out of 1 pointsA nurse is working in a women's hospital where she is caring for a new mother who is experiencing postpartum urinary retention. Bethanechol (Urecholine) has been ordered. The nurse will observe for which of the following?Response Feedback:The nurse will monitor the patient's blood pressure for possible hypertension. Adverse effects of bethanechol are the same as with pilocarpine, which are hypertension, tachycardia, bronchiolar spasm,pulmonary edema, salivation, sweating, and nausea and vomiting. Bradycardia and decreased salivation are not identified adverse effects. If the drug is taken with a ganglionic blocking agent, a decrease in blood pressure could result.Question 131 out of 1 pointsA nurse is working with a patient in the clinic who has erectile dysfunction. The patient has been prescribed sildenafil (Viagra). The patient wants to do everything he can to promote effectiveness of the drug. The nurse will instruct him to
Response Feedback:Maximum plasma concentrations of sildenafil are reached within 30 to 120 minutes of oral dosing when taken on an empty stomach. Themost frequent peak time is 60 minutes. However, when the drug is taken with a high-fat meal, absorption is slow and 60 extra minutes are needed to reach peak plasma levels. A high-fat meal reduces peak serum concentrations by 29%. Therefore, the patient should beadvised to avoid high-fat meals when ingesting the drug. Avoiding a high-protein meal or drinking fluids will not help achieve quick effectsfrom the drug. It is not advisable to increase the dosage of the drug