1. A nurse is caring for a client who has a new prescription for alosetron. What are the
expected therapeutic effects of this medication?
Alosetron MoA/Use: selective blockade of serotonin receptors, which innervate t
...
1. A nurse is caring for a client who has a new prescription for alosetron. What are the
expected therapeutic effects of this medication?
Alosetron MoA/Use: selective blockade of serotonin receptors, which innervate the
viscera and result in increased firmness in stool and decrease in urgency/frequency of
defecation. This med is approved only for female clients who have severe IBS-D that
has lasted more than 6 months and has been resistant to conventional management.
2. An oncology client is prescribed filgrastim. What are the indications for this therapy?
Filgrastim (Neupogen) Indications: Prevention of febrile neutropenia, reduction of time
for neutrophil recovery and duration of fever in patients undergoing chemotherapy,
mobilization of hematopoietic progenitor plantation, management of chronic severe
neutropenia
3. A critical care client is in need of adenosine. What is the indication of this medication
and how is this medication administered?
Adenosine (Adenocard) Indications: paroxysmal supraventricular tarchycardia
Administer via IV bolus, flushed with saline after administration.
4. The client has been ordered ranitidine. List three (3) teaching points to discuss with the
client prior to the first administration.
Ranitidine Pt. Teaching: Take medication as directed for the full course of the therapy,
take missed doses as soon as remembered but not if almost time for next dose, do not
double doses.
5. A client with an upper respiratory infection is prescribed guaifenesin. Identify two (2)
teaching points to discuss with the client prior to administering this medication.
Guaifenesin Pt. Teaching: Do not crush, report cough longer than 1 week, increase fluid
intake
6. The client with Klebsiella in the urine is ordered the medication ciprofloxacin. Identify
three (3) complications associated with this medication the client can develop with
administration of this medication.
Ciprofloxacin SE: GI discomfort (Nausea, vomiting, diarrhea), Achilles tendon rupture,
suprainfection (thrush, vaginal yeast infection), phototoxicity (severe sunburn)
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