1. A patient in her first pregnancy has spent many hours in laborand has made little progress. She i

1. A patient in her first pregnancy has spent many hours in laborand has made little progress. She is becoming exhausted, and the uterine contractions have decreased in strength. She is now receiving an oxytocin (Pitocin) infusion. What are the nursing priority assessments?2. The nurse is reviewing an antibiotic prescription for a patient. The patient tells the nurse that she is taking an OCP and asks the nurse if there will be any problems with the antibiotic. What is the nurse’s best answer?3. List 4 clinical symptoms of EPS that can be observed in a client.4. List the exclusion criteria for a live vaccine.5. Which clients would benefit most from immunizations?6. Differentiate between adverse effects and toxic effects of lithium carbonate (Lithane) [anti-manic agent].7. List 3 adverse reactions associated with a blood transfusion, and a nursing intervention for each.8. A client is instructed to take aspirin, 81 mg every morning with breakfast, as part of treatment after having a myocardial infarction. When discussing the aspirin therapy, he asks the nurse, “Will this also help my aching bones?” What is the nurse’s best answer?9. The nurse is talking to a patient about what adverse effects to expect when taking a muscle relaxant. What is the priority adverse effect the nurse needs to discuss with the patient? Explain.10. A patient with Parkinson’s disease will be starting therapy with amantadine (Symmetrel). He asks the nurse, “How long will I have to take this medicine?” What would be the nurse’s best response?11. List 4 clinical symptoms of tardive dyskinesia that can be observed in a client.12. An elderly patient has been taking an SSRI antidepressant for 3 weeks. His daughter calls and expresses concern because he has started to give away some of his keepsakes. What is the nurse’s priority action at this time?13. A patient has been admitted to the hospital because of a suspected overdose of a tricyclic antidepressant. What two problems are the nurse’s priorities at this time?14. After having vomiting and diarrhea from the flu for the previous 24 hours, a patient is admitted for treatment of dehydration. The nurse knows that the priority action is to administer which type of fluid? Explain your answer.15. During a transfusion of packed red blood cells (PRBCs), the patient complains that his back is starting to “hurt” and he feels anxious. His temperature is 37.4° C. What is the nurse’s priority action at this time?16. During an office checkup, a patient tells you, “Ever since I started that pill for my prostate gland I’m having trouble with sex. I just don’t have the interest anymore. What is the nurse’s best response? Explain.17. A patient with a history of decreased renal function tells the nurse, “I have finally found an antacid that gives me great relief!” The nurse checks the antacid’s content and finds that the antacid is a combination of aluminum hydroxide and magnesium hydroxide. What is the nurse’s priority action at this time? Explain.18. A patient tells the nurse, “I like taking antacids because they coat my stomach and protect my ulcer.” What is the nurse’s priority when answering the patient’s question?19. A patient who has received chemotherapy has PRN orders for both ondansetron (Zofran) and prochlorperazine (Compazine). Which drug would be the best choice for the nurse to administer for the adverse effects of chemotherapy? Explain your answer.20. A patient has been receiving TPN with high glucose content, and the nurse has just discovered that the central intravenous access line is clogged. What is the nurse’s priority action? Explain.21. A patient has been prescribed tamsulosin (Flomax) for treatment of BPH. He lives at home with his wife and uses a cane to help him walk. During the patient education session, the nurse should emphasize which issue of highest priority?22. List success criteria for a client taking an antipsychotic medication23. List success criteria for a client taking a SSRI24. Identify the adverse effects associated with Anticholinergic agents25. Identify the adverse effects associated with Antiepileptic agents26. Identify the adverse effects associated with Antimuscarinic agents27. Identify the adverse effects associated with Antipsychotic agents28. You are the home health nurse assigned to care for a client who is in the terminal phases of breast cancer. The client has recently been diagnosed with metastasis to the bone. She has been taking oxycodone (one 5-mg tablet every 6 hours) at home but is not sleeping through the night and is now complaining of increasing pain to the point that her quality of life has decreased significantly. She wants to stay at home during the terminal phases of her illness but needs to have adequate and safe pain control.a) The client’s recent increase in pain has been attributed to bone metastasis. Currently, the oxycodone is not beneficial. When discussing her pain medications with her nurse practitioner, what type of medication would you expect to be ordered to relieve the bone pain, and what is the rationale for this medication?b) The client continues the new pain controlling drug for her bone pain and is prescribed another opioid medication that is given QID, plus an additional immediate-release opioid medication to help with any breakthrough pain.c) One morning, the client is found by her partner, awake but lethargic, and speaking with slurred speech. What do you think has happened?d) The client is taken to the emergency department and is treated for over sedation. How can this problem be prevented in the future?29. A 7-year-old client has been diagnosed with otitis media. What prn medication would be most beneficial for the client’s pain and fever?a) The client’s caregiver is unsure if the suggested medication is safe for a child under the age of 8 year. What is the nurse’s best response?30. What are 3 major side-effects of opioid analgesics for the elderly population? How can they be mitigated?31. Discuss the importance of taking analgesia for pain before the pain becomes severe.32. A client states, “I like taking antacids because they coat my stomach and protect my ulcer.” What is the nurse’s response when answering the client’s question?33. How does food affect the activity (mechanism of action) of an antacid?34. What effect do antacids have on bowel activity?35. How could cultural factors affect the decision to receive ongoing vaccinations in Ontario?36. Differentiate between an attenuated vaccine and one that is not. Which vaccine type would be contraindicated in those who are immune compromised? Why?37. List the type of clients who are at a higher risk for disease and will benefit from immunizations.38. A client has begun taking a monoamine oxidase inhibitor.a) What conditions may this client likely taking the medication for?b) What education can the nurse provide regarding foods and adverse reactions with this medication classification?c) What are some common adverse effects seen, and what are the strategies to mitigate them?d) The client has been taking the medication for 10-days and wants to change to another medication because “…this medication is not working…”. What is the nurse’s best response?39. Why are anxiolytics not recommended for long-term use?40. What is the mechanism of action of a benzodiazepine?41. What are some common adverse effects seen with benzodiazepine agents, and what are the strategies to mitigate them?42. What is the mechanism of action of antipsychotics, and how can this be best explained to a client?43. What is the cause of EPS?44. What are the clinical symptoms of EPS?45. What are the common adverse effects of lithium, and what are the strategies to mitigate them?46. What health teaching should be provided to the client who is taking lithium (Carbolith) [anti-manic/mood stabilizer]?47. Which clients would benefit most from Depo-Provera (medroxyprogesterone acetate) [injectable progesterone]?48. Why might a client be placed on two different classifications of antipsychotics?49. Outline health teaching made to a client who is taking an antacid that contains a magnesium salt. Health Science Science Nursing NURS 218 Share QuestionEmailCopy link Comments (0)

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