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NURS 180 Test 4 ATI

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NURS 180 Test 4 ATITest 4 New ATI Exam Review  When patients take antihistamines such as Benadryl, due to its effect on the CNS, patient should avoid any alcoholic drinks and operating heavy mac ... hinery due to its possible side effects of Drowsiness/ sleepiness.  What are the concerns of prolonged use of Oxymetazoline (Afrin)?  Review important considerations for patient education when patients are using MDI inhalers.  Why are most beta blockers contraindicated for asthma?  If patients have severe cough and MD prescribes opiates such as Hydrocodone, the nurse must advise patient to monitor bowel movements for constipation.  Sudafed, which is a combination drug can lead to increase in heart rate, Blood pressure and can also lead to dysrhythmias thus what type of patients would the nurse be concern when they use these medications?  Whenever glucocorticoids are prescribed the patient should be notified to never stop the medication abruptly. The medication should be tapered down instead  A patient in a pulmonary unit, should have as one of the nurse’s first intervention administration of O2 if their O2 Sats are dropping  Theophyline (Theodur) belongs to the class of drugs known as methylxanthines. This class has a very narrow range of safety that varies from 5-20 mg/dl. So Nurse should question administration of medication if the levels are higher than 20. That can lead the patient to develop adverse effects such as seizures. Keep in mind that Theophylline can increase cardiac stimulation and cause tachycardia. Nurse must educate patient to stay away from caffeinated products while on this medication.  Non-narcotics antitussive work by suppressing the cough reflex in the medulla in the brain.  If your patient is receiving asthma medications, you will know that the medication is working if you hear the patient’s lung sounds and they are clear. [Show More]

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