";s:4:"text";s:5441:" It is used in the treatment of emesis after surgery, chemotherapy, and radiation.141.) Long-term treatment of a recovering alcoholic requires counseling, group support therapy, and treatment for cravings. Other GI side effects include nausea and ileus. The nurse understands that which of the following are concerns related to the administration of this medication?3.
Not occur for 2 to 3 weeks of administration Rationale: The therapeutic effects of administration of imipramine hydrochloride may not occur for 2 to 3 weeks after the antidepressant therapy has been initiated.
A health care provider instructs a client with rheumatoid arthritis to take ibuprofen (Motrin).
The client should report decreased urine output or cloudy urine, which could indicate kidney rejection or infection, respectively. A client taking fexofenadine (Allegra) is scheduled for allergy skin testing and tells the nurse in the health care provider’s office that a dose was taken this morning. These medications will kill the bacteria and decrease acid production.43.) Feverfew is used to prevent migraine headaches and to treat rheumatoid arthritis. Before administering the medication, the nurse reviews the action of the medication and understands that it:2. The nurse understands that the primary action of this medication is to:4. "This medication should only be taken with water."
Seizure disorders Rationale: Clients with seizure disorders may have a lowered seizure threshold when baclofen is administered. Cisplatin may cause ototoxicity, tinnitus, hypokalemia, hypocalcemia, hypomagnesemia, and nephrotoxicity. The client should avoid intake of Swiss cheese, fish such as tuna, and foods containing tyramine because they may cause a reaction characterized by redness and itching of the skin, flushing, sweating, tachycardia, headache, or lightheadedness. Options 1, 3, and 4 are unrelated to this medication.35.) Normal decreases in blood pressure and heart rate are expected. Which of the following would the nurse include in the client-teaching plan regarding this medication?2. This can be frightening to the client and dangerous because it can result in dizziness and client falls. 4 g daily Rationale: Aspirin may be used to treat the client with rheumatoid arthritis. The other options are incorrect.144.)
The nurse reinforces the instructions, knowing that the normal adult dose for this client is which of the following?3. Its onset of action is 1 to 2½ hours, it peaks in 4 to 12 hours, and its duration of action is 24 hours. At bedtime Rationale: A single daily dose of ranitidine is usually scheduled to be given at bedtime.
The nurse determines that the client understands the instructions if the client states that he or she will immediately report:2. This medication should be used with caution in clients with impaired hepatic function, older clients, and debilitated clients. Institute seizure precautions. The nurse reinforces instructions regarding the medication to the client. The client is instructed to avoid exposure to the sun because the medication increases photosensitivity.
This drug should be combined with well-balanced calorie controlled diet that is rich in fruits and vegetables.Take the tablet at the same time each day, so as to avoid forgetting the dose. Rationale: Alcohol will lower the seizure threshold and should be avoided. Bupropion frequently causes a drop in body weight. At a level higher than 20 mcg/mL, involuntary movements of the eyeballs (nystagmus) appear. An older client recently has been taking cimetidine (Tagamet). Hence, the nurse should hold the medication and question the HCP regarding this prescription.
Offer hard candy or gum periodically. At lunchtime, a tray is delivered to the client. They are weak diuretics that are used in combination with potassium-losing diuretics. The nurse should have which item available for possible use after giving this medication?4. Select all that apply.1. No more than 30 g (1 oz) should be used. Rationale: Morphine sulfate suppresses the cough reflex. Antiemetics from the phenothiazine class should not be used because they block the therapeutic action of dopamine. A tentative diagnosis of digoxin toxicity is made. Cinoxacin (Cinobac), a urinary antiseptic, is prescribed for the client. What information would be important for the nurse to gather regarding the adverse effects related to the medication?2. It's a "blood thinner". It is also contraindicated in severe heart disease, psychosis, or hypersensitivity related to the medication.105.) Buspirone hydrochloride is most often indicated for the treatment of anxiety and aggression.110.) Clopidogrel belongs to a class of medicines called antiplatelet. Decreased urination, rapid weight gain, confusion, seizures, and coma also may occur in overhydration.
Rationale: The client taking a single daily dose of theophylline, a xanthine bronchodilator, should take the medication early in the morning.