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Terms in this set (20)
Which class of cardiac medication improves the perfusion of the myocardium and reduces the metabolic demand on the heart and myocardial pain?
The practical nurse (PN) is preparing to administer 2 tablets of 125 mcg of digoxin to a client prescribed 250 mcg of digoxin. The client questions the PN about the 2 pills of digoxin because they take a different brand and only one pill of 250 mcg digoxin at home. Which actions should the PN perform in response to this medication administration?
-Explain to the client that the two tablets of 125 mcg is the same dose as one pill of 250mcg.
-Administer the two medication tablets of 125 mcg as prescribed, but closely monitor client after the administration.
-Auscultate the apical pulse for one full minute and if below 60 beats per minute, do not administer the medication.
The practical nurse (PN) is providing care to a client prescribed enoxaparin (Lovenox). Which health outcome would indicate this medication is effective?
The client does not develop deep vein thrombosis (DVT) after abdominal surgery.
The practical nurse (PN) is providing care to a client that has been prescribed an anti-diarrheal. The PN should notify the healthcare provider immediately while performing an abdominal focused assessment for which condition?
Absence of bowel sounds.
The practical nurse (PN) is providing care to a client who has developed diarrhea after taking a prescribed antacid for the past two days for heartburn as needed. Which type of antacid may have caused this non-therapeutic outcome?
The practical nurse (PN) is providing care to a client who has dialysis treatment three times a week and is administered darbepoetin (Aranesp) once a week. Which lab value is an effective outcome for this medication?
Hemoglobin level around 11 g/dL.
A female client newly diagnosed with hypothyroidism has been prescribed levothyroxine. The client states that she takes multivitamins which include iron, calcium, magnesium and aluminum every morning with her breakfast. The practical nurse (PN) should reinforce which medication instructions to the client?
Wait at least four hours between taking levothyroxine and products with calcium, aluminum, magnesium and iron in them.
The practical nurse (PN) is providing care to a client who had begun levothyroxine for the treatment of hypothyroidism two months ago. Which health outcomes would indicate a therapeutic response to the medication?
-Absence of signs or symptoms of depression.
-Client's hair appears shiny and healthy
-Improved appetite and client denies constipation.
A client is prescribed calcium carbonate for heartburn. The practical nurse (PN) should reinforce which instructions to the client to help lessen the risk of constipation while taking this antacid?
-Increase fluids to at least 2 liters per day, unless contraindicated.
-Along periods of being sedentary and be mobile throughout the day.
-Consume more foods with roughage and bulk such as fresh fruits and vegetables.
A client who is 16-weeks pregnant and diagnosed with urinary tract infection is prescribed cephalexin, a pregnancy category "B" medication under the FDA labeling guidelines. The practical nurse (PN) should take which action?
Administer the medication as prescribed by the healthcare provider.
A mother calls the community clinic stating that her child was sent home from school because of head lice. Which medication is used to treat the head lice?
A male client has been prescribed an antibiotic to treat a respiratory infection. The client asks the practical nurse (PN) how long he will be required to take the medication. Which is the best response?
The time period is usually for ten to fourteen days in a row.
The practical nurse (PN) is reinforcing teaching to a client prescribed hydrochlorothiazide twice a day. Which instructions should be included in the reinforcement of teaching?
-Carry a medical identification card in their wallet.
-Administered the second dose of the day before 6:00 pm
-Weigh daily at the same time of day, wearing the same type of clothing each time.
-Notify their healthcare provider if their heart rate is less than 60 beats/minute or more than 100 beats/minute.
The practical nurse (PN) is reviewing the medication history for a client diagnosed with ovulation failure who is trying to become pregnant. Which medication will the healthcare provider most likely prescribe?
A client is taking beclomethasone (Beconase AQ) for seasonal allergies. Which factor has an impact on the effectiveness of the medication?
The regular use of the medication as prescribed.
A client has been prescribed levodopa-carbidopa (Sinemet) for the treatment of Parkinson's disease. The practical nurse (PN) should instruct the client to limit consumption of which foods while taking this medication?
The practical nurse (PN) is assisting in the care of a client undergoing chemotherapy who has developed oral mucositis and candidiasis. The client has a prescription for benzocaine topical (Orajel). Which health outcome indicates that this medication is effective?
-increase of oral intake by client.
-Decrease of oral redness and swelling.
-Lessening of oral soreness and tenderness.
The practical nurse (PN) administered sumatriptan (Imitrex) nasally 1 spray in one nostril for a client experiencing a migraine headache. When should the PN administer another dose of the nasal spray?
If headache returns, repeat dose every two hours, not to exceed 40mg/24 hours.
The practical nurse (PN) is reinforcing discharge instructions for a client who has a prescription for 5 mg of oral concentration of oxyCodone (OxyFast) 20mg/ml for pain relief every 4 to 6 hours as needed. Which statement by the client indicates the client understands the proper administration of this medication?
Add 0.25ml of medication to 15ml of liquid and drink solution immediately.
A client was administered cyclobenzaprine (Flexeril) approximately one hour ago. The practical nurse (PN) identifies which physiological response has the expected therapeutic outcome?
The client states the pain level has gone from 8 to 3.
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