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pharmocology post assessment.Question 1: A nurse is caring for a client with many different medications who is newly prescribed
acetazolamide. What medications can interact with acetazolamide?
Answer 1: Acetazolamide is carbonic anhydrase inhibitor. The medications that are interacted with
acetazolamide are:
1. Lithium’s excretion can be increased via renal and therefore can decrease blood levels of lithium.
2. Amphotericin B and corticosteroids may accelerate potassium loss
3. If patient is using high doses of aspirin, metabolic acidosis can occur
4. Sodium bicarbonate can increase the risk for kidney stones
5. It increases the risk of toxic effects of Quinidine
Question 2: What class of medication is amitriptyline and why is this medication used as an adjuvant
medication for pain?
Answer 2: Pharmacological class is Tricyclic Antidepressant. This medication is used with an
opioid for chronic pain such as head ache, lower back pain, fibromyalgia, neuropathic pain. And it
blocks reuptake of serotonin and norepinephrine and has sedation effects and also helps relax
muscles.
Question 3: 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 this education?
Answer 3: The adverse effects are dizziness, headache, tremor, palpitations, respiratory arrest, and
tachycardia. The instructions that the nurse should include in the education are instructing to
monitor cardiovascular status such as tachycardia. Do not use an additional dose prior to exercise.
Question 4: 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?
Answer 4: Albuterol inhaler is a beta 2 agonist and it is a bronchodilator and it should be used first
before the beclomethasone inhaler which is glucocorticoid because it enhances the absorption of
the glucocorticoid.
Question5: A nurse is teaching a client who has a new prescription for alprazolam. What
instructions should the nurse include?
Answer 5: Alprazolam causes sedation, dizziness, and syncope, so nurse should encourage client to
not to drive or engage in potentially hazardous activity and try to make position changes slowly
because this drug may increase the risk for fall. Avoid alcohol and other antianxiety medication.
Question 6: A nurse is administering a unit of packed red blood cells (PRBCs) to a client. What
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