Exam 2: Detecting and Managing Adverse Drug Reactions

To monitor the peak efficacy after providing oral Dilaudid (hydromorphone)Immediate Release for a patient reporting pain ranked 6 out of 10 on a numeric pain scale.The patient should report some relief in pain at the peak action of the drug.Which of the following reflects the peak action of Dilaudid Immediate Release?

The nurse is caring for an individual receiving intravenous Vancocin (vancomycin).Which of the following assessments is most important to prevent permanent complication?

The nurse receives a call from an 82-year-old patient with advanced prostate cancer who is being treated with Eligard (leuprolide)therapy.Which of the following statements requires immediate notification of the physician?

The nurse recognizes that which of the following individuals will need to receive supplemental vitamin B₁₂ injections?

While preparing to discharge a patient who has started taking Lopressor (metoprolol)during their hospitalization,the nurse recognizes further teaching is necessary by which of the following statements:

The nurse is caring for a patient who is NPO after midnight for a cardiac catheterization scheduled for 1 p.m.The patient normally receives Glucophage (metformin)1,000 mg po BID,and the morning dose is due at 8:30 a.m.The patient's blood glucose result was 115.Which of the following actions should the nurse take?

An individual with a history of angina takes sublingual nitroglycerine to relieve chest pain ranked 6/10.Five min later,the chest pain is 4/10.What action should the nurse take next?

A nurse caring for a patient who's prescribed Inderal LA (propranolol)is being tapered off over a 2-wk period.The nurse would include which of the following statements in the patient teaching?

A student nurse caring for a patient who is taking Creon (pancrelipase)would include which of the following statements when reviewing medications with the instructor?

A neighbor says to the nurse,"My arthritis is getting worse in this cold weather;what can I take?" The nurse would base the response on the knowledge that which of the following medications would provide both pain relief and help decrease inflammation associated with arthritis.Select all that apply.

The nurse is caring for a patient who recently started taking Compro (prochlorperazine)10 mg po QID.Which of the following symptoms would cause the nurse to contact the physician immediately?

At a follow-up appointment at the urologist's office,the nurse is gathering data on a patient who takes VESIcare (solifenacin)for an overactive bladder.Which of the following statements would be most concerning to the nurse?

The nurse is caring for a patient receiving Aredia (pamidronate)for the treatment of Paget's disease.Which of the following symptoms would be most concerning to the nurse?

A nurse working in the health department recognizes that the shingles vaccine (Zostavax)is contraindicated for which of the following individuals? Select all that apply.

An infant being treated for colic was prescribed Mylicon (simethicone)drops and has returned to the clinic for follow-up evaluation.Which of the following nursing action has the highest priority?

The nurse is caring for a woman in labor who is given Talwin (pentazocine).Which of the following actions should the nurse take next?

A nurse working at an adult care center for individuals with mental illness provides an individual with their dose of Risperdal (risperidone).The nurse should intervene if the client mixes the liquid medication with which of the following?

A student nurse caring for a client with a history of anxiety disorder would expect which of the following medications to be included in the patient's treatment plan?

A nurse caring for an individual taking Avandia (rosiglitazone)monitors which of the following lab results to help evaluate treatment effectiveness?

The nurse prepares to provide Zofran (ondansetron)in orally disintegrating tablet.Which of the following instructions should the nurse provide?