Question 10 1 out of 1 points A nurse is providing discharge planning for a 45-year-old woman who has a prescription for oral albuterol. The nurse will question the patient about her intake of which of the following? Response Feedback : The nurse should assess the patient's intake of caffeine, including coffee, tea, soda, cocoa, candy, and chocolate. Caffeine has sympathomimetic effects that may increase the risk for adverse effects. Alcohol, salt, and vitamin C intake is important to assess, but does not potentiate the effects of albuterol. Question 11 1 out of 1 points A 70-year-old woman has a complex medical and a current drug regimen that includes calcium and vitamin D supplements for osteoporosis, metformin (Glucophage) for type 2 diabetes, phenelzine (Nardil) for depression, and metoprolol (Lopressor) and furosemide (Lasix) for hypertension. The woman is requesting dextromethorphan for the treatment of a recurrent cough. What component of her drug regimen contraindicates the use of dextromethorphan? Response Feedback: Dextromethorphan can block neuronal uptake of serotonin and may produce serotonin syndrome. The concurrent use of dextromethorphan and metformin, calcium supplements, and metoprolol is not problematic. Question 12 1 out of 1 points Which of the following will a nurse inform the patient is one of the most common adverse effects of guaifenesin (Robitussin)? Response Feedback: The most common adverse effects of guaifenesin use are GI symptoms, including nausea, vomiting, and anorexia. Increased blood pressure, increased blood glucose, and urinary retention are not commonly identified adverse effects of this drug. Question 13 1 out of 1 points A 47-year-old woman has been diagnosed with open-angle glaucoma. Pilocarpine drops are prescribed. The nurse's assessment reveals that the patient has worn soft contact lenses for 15 years. The nurse will instruct the patient to Response Feedback : The nurse should instruct the patient to remove the contact lenses before applying the drops to the eyes. If pilocarpine drops are applied to the eyes when soft contact lenses are in place, the
lenses can deteriorate or absorb the drug. There is no need to stop wearing contact lenses during this therapy, but application of the lenses should take place after the drops have been applied. Question 14 1 out of 1 points A nurse is caring for a female patient who has developed atelectasis because of thick mucus secretions. The nurse is monitoring IV administration of acetylcysteine (Mucomyst) and notices that the patient's face is flushed. The appropriate nursing action would be to Response Feedback : A frequent adverse reaction to IV acetylcysteine is facial flushing. If this occurs, the nurse should slow the IV infusion and administer diphenhydramine, which is an antihistamine ordered by the physician whenever acetylcysteine is ordered. A patient receiving IV acetylcysteine should also be monitored for anaphylactic reaction, which is indicated by tightness in the chest, rash, hypotension, and tachycardia. If any of these signs occurs, the
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- Summer '15
- adverse effects, bronchial asthma , Nurs 6521 Diarrhea, It is Typically Self-limiting,