Asess 3 Flashcards
(67 cards)
How should the nurse respond to an injection to relieve pain?
Anesthetic creams, sprays, suppositories can be rubbed on the skin before an injection
How should the nurse best respond to apply a local anesthetic?
rubbed on the skin before an injection
What type of local anesthetic are anesthetic creams?
locals and lidocaine
What is a prototype drug for topical anesthesia?
lidocaine aka Xylocaine
What essential information should the nurse include in the medication instruction to apply topical lidocaine? (4)
- Apply a thin layer on small areas of skin
- I must wear gloves when I apply the lotion
- Do not allow it to come into contact with the eyes.
- Wash hands after use/before touching eyes
Why should topical lidocaine not be applied to large areas?
there can be significant absoption
Which priority lab result should the nurse assess for Direct-acting antispasmodics?
Assess aspartate aminotransferase (AST) and alanine aminotransferase (ALT)
What are some adverse affects of Direct-acting antispasmodics?
Hepatitis
hepatitic toxicity/necrosis
What is the MOA of Direct-acting antispasmodics?
interferes with release of calcium ions in skeletal muscle to relieve dystonias and leg cramps
What information should the nurse include in the teaching plan for the pharmacokinetics of Dantrolene Sodium?
Onset is 1-2h , Peak is 5 hours, and duration is variable
What priority assessment question should the nurse ask the client prior to administration of an Dantrolene Sodium (Dantrium)?
Assess for pregnancy/lactation prior to administration
What information should the nurse include in the teaching plan for Cyclobenzaprine taking?
Increase the intake of fiber while taking this medication because it causes constipation
What priority assessment should the nurse complete prior to administering cyclobenzaprine? Why?
How old are you, because those older than 65 can experience confusion, hallucinations, and adverse cardiac events from the drug
and younger patients
Which assessment finding should the nurse instruct the client to report immediately when taking Cyclobenzaprine?
Experience confusion, hallucinations, and adverse cardiac events from the drug
What information should the nurse include in the teaching plan for Osteoporosis nonpharmacologic interventions?
avoid drinking alcohol
exercise 3-5 times/wk
Walk every day for 30 minutes
drink milk regularly
What types of exercise are effective for osteoporosis?
weight-bearing
walking for 30 minutes/day
What information should the nurse include in the teaching plan for calcium supplement therapy?
Take calcium supplement and vitamin D
Avoid alcohol
Take with meals
What priority physical assessment should the nurse complete prior to administering this calcium supplement therapy? (3)
Assess IV site for extravasation
Look for necrosis of the tissue
What teaching should the nurse include in the plan of care for Vitamin D therapy?(2)
Spending 20 mins/day in the sunlight on most days provides all the Vitamin D required
What physical priority assessment question should the nurse ask the client prior to administration of Bisphosphonates for Osteoporosis?
Muscle spasms and facial twitching
What does Muscle spasms and facial twitching when taking bisphosphonates mean in terms of electrolytes?
low calcium levels
What essential information should the nurse include in how to take Alendronate (Fosamax) instruction?
Remain in an upright position for at least 30 minutes after a dose and until after the first food of the day to reduce esophageal irritation.
What information should the nurse include in the teaching plan for Alendronate swallowing? (3)
All doses must be taken on an empty stomach, preferably in a fasting state 2 hours before breakfast
With a full glass of water to ensure absorption
Do not lie down for at least 30 minutes after taking the medication.”
Which priority lab result should the nurse assess for Alendronate administration?
Perform a bone density scan (test)
During and after treatment – to determine effectiveness of the medication
