1. A nurse is teaching a client who is to begin cyclosphamide therapy to treat cancer. Which of the following adverse effects of this medication should the nurse include in the teaching? 1. Bradycar... dia 2. Hyperglycemia 3. Hypotension 4. Leukopenia - immunosuppressive therapy 2. A nurse is providing teaching to a client who has new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects. a. Metallic taste b. Insomnia c. Tachypnea d. Blurred vision Rationale: 3. A nurse is teaching a client who has a new prescription for alendronate to treat osteoporosis. Which of the following instructions should the nurse include? a. Swallow the medication with an antacid - (wait 30 mins after administration to take antacids/supplements) b. Drink orange juice with the medication (take meds on an empty stomach with at least 8 oz of water) c. Sit upright for at least 30 minutes after taking the medication (or ambulate) d. Take the medication immediately after eating breakfast. (take med first thing in the AM) Alendronate is a bisphosphonates - decreases number and action of osteoclasts, and inhibit bone resorption (p 274 ) 4. A nurse is preparing to administer nitroglycerin topical ointment to a client. Which of the following actions should the nurse plan to take? a. Spread the medication over a 12.7 cm (5 in) area of the clients skin (use applicator - spread 2.5- 3.5 inches of paper) b. Measure the dosage of medication using the applicator paper c. Apply the medication to the same site for three consecutive days (rotate sites to prevent skin irritation) d. Cover the medication on the clients skin with a sterile gauze pad (cover with clear plastic wrap) Nitroglycerin - an organic nitrates. Dilates veins, decreases venous return (preload), which decreases O2 demand (p. 183) CONTINUED........ [Show More]
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