A pediatric client with asthma has just received Omalizumab (Xolair). The nurse determines that the client might be suffering a life-threatening effect in which of the following?
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Solution
Monitoring the frequency and consistency of bowel movements.
Crohn’s disease is a condition in which the body attacks the lining of the digestive tract, causing pain, diarrhea, weight loss, and fever. Infliximab works by reducing the inflammation in the colon, thereby decreasing diarrhea.
Options A, B, and D are not related to this medication.
A nurse is giving teachings to a client receiving Desloratadine (Clarinex). Which of the following statements made by the client will need further instructions?
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Solution
Relief from GERD.
Omeprazole is used to treat symptoms of gastroesophageal reflux disease (GERD) and other conditions caused by excess stomach acid. It is also used to promote healing of erosive esophagitis (damage to your esophagus caused by stomach acid).
Options B, C, and D are not related to this medication.
The nurse is giving medication teachings to a client receiving theophylline. The nurse instruct the client to limit the intake of which of the following?
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Solution
Cola and chocolate.
Theophylline is a methylxanthine bronchodilator. The nurse instructs the client to limit the intake of xanthine-containing foods such as chocolate, cola, and coffee.
Montelukast (Singulair) is prescribed to a client with asthma. During the medication therapy, which of the following laboratories should be monitored?
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Solution
ALT and AST.
Montelukast (Singulair) is a leukotriene receptor and is used with caution in clients with impaired renal function. Alanine aminotransferase (ALT) and Aspartate aminotransferase (AST) should be monitor while taking this medication.
Options A, B, and C are not related to the use of this medication.
A client with a chronic obstructive pulmonary disease is prescribed with Ipratropium (Combivent). Upon reviewing the medical history of the patient, the nurse questions the prescription if which of the following is noted?
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Solution
History of allergy to peanut.
The client with a peanut allergy should not take ipratropium because the product contains soy lecithin, which is in the same plant family as peanuts.
A client is receiving theophylline intravenously. After several dosages, the client started to become restless and complains of palpitations. The nurse determines that the client is experiencing theophylline toxicity in which of the following?
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Solution
Theophylline level of 25mcg/ml.
Theophylline toxicity is likely to occur when the serum level is higher than 20 mcg/ml. Early signs of toxicity include restlessness, nervousness, tachycardia, tremors and palpitations.
A nurse is about to administer Naloxone hydrochloride (Narcan) to a client with known opioid overdose. Which of the following equipment should be readily available at the bedside?
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Solution
Resuscitative equipment.
While administering Narcan, resuscitation equipment, oxygen, mechanical ventilator should be readily available.
Options A, C, and D are not used during the medication therapy.
A nurse is about to administer Albuterol (Ventolin HFA) 2 puff and Budesonide (Pulmicort Turbohaler) 2 puff by metered dose inhaler. The nurse plans to administer by?
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Solution
Albuterol inhaler first then the budesonide.
If two different inhaled medications are prescribed and one of the medications contains a corticosteroid, administer the bronchodilator (Albuterol) first and the corticosteroid (Budesonide) second. This will allow for the widening of the air passages by the bronchodilator, making the corticosteroids more effective.
A client is prescribed with Guaifenesin (Mucinex). The nurse determines that the client understands the proper administration of this medication if the client states that he or she will:
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Solution
Patient undergoing radiotherapy.
Metoclopramide can be safely administered to patients having vomiting episodes following radiation, chemotherapy, and surgery.
Options A and B: It is contraindicated in patients with conditions where stimulation of gastrointestinal motility might be harmful, such as mechanical bowel obstruction, bowel perforation, or gastrointestinal hemorrhage.
Option D: Hypertensive crises may occur in patients with pheochromocytoma due to induction of catecholamine release from the tumor.
A Cromolyn sodium (Intal) inhaler is prescribed to a client with asthma. A nurse provides instructions regarding the side effects of this medication. The nurse tells the client that which undesirable effect is associated with this medication?
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Solution
Drink extra fluids while taking this medication.
Guaifenesin is an expectorant. Drink extra fluids to help loosen the congestion and lubricate the throat while taking this medication.
Option B: The medication does not have to be taken with meals.
Option C: Additional doses should not be taken without the prescription of the doctor.
Option D: Fluids are needed to loosen the secretions.