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RN Capstone ATI Pharmacological. docx

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A nurse is caring for a client with many different medications who is newly prescribed acetazolamide. What medications can interact with acetazolamide?  Some medications that can interact with acetazolamide are aspirin, quinidine, lithium, phenytoin, sodium bicarbonate. A nurse is caring for a client prescribed the inhaled glucocorticoid beclomethasone (QVAR) for the treatment of asthma. What is a potential adverse effect of this medication and what are two (2) teaching points to discuss to address these adverse effects?  Potential adverse effects are difficulty speaking, hoarseness, and candidiasis.  Some teaching points include: 1) Advise client to monitor for redness, sores, or white patches and to report to provider if they occur. Treat candidiasis with nystatin oral suspension. 2)Advise clients to rinse their mouth or gargle with water after use. A client has a new prescription for an albuterol inhaler and a beclomethasone inhaler. What instructions should the nurse include concerning use of these inhalers?  If the patient is prescribed an albuterol inhaler and a beclomethasone inhaler, the nurse should instruct the patient to use the albuterol inhaler first and then the beclomethasone inhaler. The nurse should explain to the patient that the albuterol inhaler is used first because it will open the bronchioles, which will increase the absorption of the beclomethasone. These medications should be taken at the same time every day, and they are for long-term maintenance of asthma.  Instruct the patient to monitor heart rate before using because it can increase the heart rate, Complications of albuterol are tachycardia and angina. If female, notify your doctor if you become pregnant, as it is a pregnancy risk C.  Instruct the patient to rinse out their mouth after administration of beclomethasone and monitor oral mucosa for white patches in the tongue, redness of the oral mucosa and open sores. A client has been prescribed timolol eye drops. What are three (3) possible adverse effects of this medication and nursing interventions/client education related to these effects?  Stinging discomfort – Educate the client that this effect is transient  Occasional conjunctivitis, blurred vision, photophobia, dry eyes – instruct clients to report these effects to provider  Systemic effects of beta blockade on heart and lungs – warn clients that overdose could cause or increase the chance of systemic effects. Monitor for bradycardia.

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