Which nursing intervention is most important when caring for a client receiving the antimetabolite

The best sequence of administration is (C, D, A and B). Status asthmaticus is potentially a life-threatening respiratory event, so albuterol (C), a beta2 adrenergic agonist and bronchodilator, should be administered by inhalation first to provide rapid and deep topical penetration to relieve bronchospasms, dilate the bronchioles, and increase oxygenation. In stepwise management of persistent asthma, a long-action bronchodilator, such as salmeterol (Serevent Diskus) (D) with a 12-hour duration of action should be given next. Prednisone (A), an oral corticosteroid, provides prolonged anti-inflammatory effects and should be given after the client's respiratory distress begins to resolves. Gentamicin (B), an antibiotic, is given deep IM, which can be painful, and may require repositioning the client, so should be last in the sequence.

Which medications should the nurse caution the client about taking while receiving an opiod analgesic?

Agonist/antagonist analgesics (i.e., pentazocine, nalbuphine, butorphanol, and buprenorphine) should be administered with caution to a patient who has received or is receiving a course of therapy with a pure opioid agonist analgesic such as meperidine.

Which method of medication administration provides the client with the greatest first pass effect oral sublingual intravenous subcutaneous?

Intravenous administration is the best way to deliver a precise dose quickly and in a well-controlled manner throughout the body. It is also used for irritating solutions, which would cause pain and damage tissues if given by subcutaneous or intramuscular injection.

Which symptoms are serious adverse effects of beta adrenergic blockers such as propranolol?

Seek medical attention right away if you experience any of the following side effects while taking beta-blockers: Signs of a heart problem: shortness of breath, a cough that worsens with exercise, chest pain, irregular heartbeat, swollen legs or ankles. Signs of a lung problem: shortness of breath, tight chest, ...

What is the most important information for the nurse to include when teaching a client about metronidazole?

IMPORTANT WARNING: Metronidazole can cause cancer in laboratory animals. Talk to your doctor about the risks and benefits of taking this medication.