ATI PHARMACOLOGY COMPLETE SOLUTION
A nurse is caring for a client with many different medications who is newly prescribed acetazolamide. What medications can interact with acetazolamide?
• High-dose aspirin (metabol
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ATI PHARMACOLOGY COMPLETE SOLUTION
A nurse is caring for a client with many different medications who is newly prescribed acetazolamide. What medications can interact with acetazolamide?
• High-dose aspirin (metabolic acidosis)
• Quinidine (can increase risk of toxic effects)
o Instruct client to notify provider of concurrent use and to watch for indications of toxicity, such as decreased heart rate
• Lithium (decrease blood levels)
o Teach clients to watch for increased indications of mania. Monitor lithium levels regularly
• Phenytoin (increase osteomalacia)
o Teach clients to watch for bone pain or weakness and report symptoms to provider
• Sodium bicarbonate (increases risk of kidney stones)
o Question clients about use of sodium bicarbonate and other OTC antacids
A nurse is preparing to administer ipratropium by metered dose inhaler. What adverse effects should the nurse instruct the client to monitor for?
• Local anticholinergic effects (dry mouth, hoarseness)
o Advise client to sip fluids and suck on sugar-free hard candies to control dry mouth
A client has a new prescription for salmeterol. The nurse is teaching the client about adverse effects of the medication. What instructions should the nurse include in thus education?
• Tachycardia, angina
o Advise client to observe for chest, jaw or arm pain/palpitations and to notify provider if they occur
o Instruct to check pulse and to report an increase of greater than 20-30/bpm
o Advise to avoid caffeine
o Dosage might need to be reduced
• Tremors
o Usually resolve with continued medication use
o Dosage might need to be reduced
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?
• Difficulty speaking, hoarseness, candidiasis
o Advise client to rinse mouth or gargle with water after use
o Advise client to monitor for redness, sores, or white patches and to report to provider if they occur. Treat candidiasis with nystatin oral suspension
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