A client has been prescribed pregabalin for simple partial seizures. What is a
contraindication for this medication?
● Benzodiazepines, alcohol and opioids intensify CNS effects.
● Also, Pregabalin is a pregnancy risk
...
A client has been prescribed pregabalin for simple partial seizures. What is a
contraindication for this medication?
● Benzodiazepines, alcohol and opioids intensify CNS effects.
● Also, Pregabalin is a pregnancy risk category C: administer only if the benefits
outweigh the risks
A nurse is caring for a client with a latex allergy. What steps should the nurse take when
initiating an IV line on this client?
● Use latex free gloves
● Document in the chart the patient has a latex allergy
● Place warning label on I.V. bags not to use latex injection ports
● Use non latex tourniquet. If none are available, use a latex tourniquet over clothing
Benzodiazepines are the first-line treatment for alcohol withdrawal due to their ability to
decrease the intensity of withdrawal symptoms. List two (2) nursing considerations for
clients on benzodiazepines.
● Provide seizure precautions, such as padded bed rails and suction
● In case of IV toxicity, administer flumazenil
A nurse is caring for a client prescribed acetaminophen as needed for pain relief. The
nurse knows acetaminophen should not exceed grams per day. The nurse will
monitor for early signs of toxicity. Name three (3) manifestations of toxicity.
● 4 grams/day
○ Undernourished clients limit 3g/day
○ Those who consume more than 3 alcoholic drinks per day, limit
acetaminophen to 2g/day
● Toxicity:
○ Nausea
○ Vomiting
○ Diarrhea
○ Sweating
○ Abdominal discomfort
What is one common adverse effect of an inhaled anticholinergic, such as ipratropium?
Provide two (2) points for a nurse to include when teaching the client on this medication.
● Local anticholinergic effects: dry mouth, hoarseness
○ Sip in fluids
○ Suck on sugar free hard candy or chew sugar free gum
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