An older client is to receive cyclophosphamide for treatment of lymphoma. Medical history includes atrial fibrillation, arthritis, and cataracts. Digoxin 0.125 mg daily and naproxen 500 mg at bedtime are the current drugs the client is on. Which information will the nurse need to be aware of when giving these drugs? 

A 10-year-old child with ADHD has been prescribed methylphenidate to help manage symptoms at home and school. The child’s parents express concerns about how the medication will affect their child’s behavior and school performance. Based on your understanding of the medication and ADHD management, which plan should the nurse create to ensure safe and effective treatment? (Select all that apply)

A patient with hypertension has been prescribed a medication that stimulates adrenergic receptors to dilate blood vessels and lower blood pressure. The nurse is evaluating the patient’s understanding of their medication’s mechanism of action. Which adrenergic receptor is responsible for vessel dilation and a decrease in blood pressure when stimulated?

A child will begin taking methylphenidate [Ritalin] for attention-deficit/hyperactivity disorder. Which baseline assessment will the nurse ensure is documented to facilitate coordination of care?

A nurse is administering epinephrine to a patient during a cardiac arrest in the presence of the patient’s family. The family is visibly distressed and asks the nurse about the purpose of the medication. How should the nurse respond to address the family’s concerns and explain the primary desired action of epinephrine during a cardiac arrest?

Some OTC drugs for cold symptoms contain substances that have sympathetic properties. These drugs are contraindicated in patients with which disease process? 

Question 32 & 33 will be based off this case study: A 65-year-old client presents to the clinic with nasal congestion and requests an over-the-counter decongestant. The client’s medical history includes: Hypertension Type 2 Diabetes Mellitus Chronic Kidney Disease (Stage 3) Controlled Atrial Fibrillation Prescribed Medications: Lisinopril, Metformin, and Warfarin Scenario: The client asks if it is safe to take an over-the-counter decongestant. The nurse must evaluate the safety of using decongestants in light of the client’s medical conditions and current medications. Based on the client’s medical history, which conditions or factors should the nurse consider as contraindications or requiring caution when using decongestants? Select all that apply.

A patient with a serum potassium level of 2.7 mEq/L will receive intravenous potassium to replace serum losses. The patient expresses anxiety about receiving the treatment, worried about potential side effects. How will the nurse address the patient’s concerns while administering the potassium safely?

A patient experiences a blood clot in one leg, and the provider has ordered a thrombolytic medication. The patient expresses concern about the high cost of the medication and asks the nurse if it is really necessary. How should the nurse respond to address both the medical importance of the medication and the patient’s financial concern?

The nurse is caring for a patient who will receive 10% calcium gluconate to treat a serum potassium level of 5.9 mEq/L. The nurse performs a drug history prior to beginning the infusion. Which drug taken by the patient would cause concern?