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BUNDLE FOR ATI PHARMACOLOGY EXAM 2023
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Pharmacology ATI 2023 Questions and Answers 2023
A Nurse is caring for a client recieving gentamycin.for which of the following should the nurse monitor the client? -Tinitus A Nurse is reenfor... [Show More] cing discharge teaching with the client who has a new diagnosis of type 2 diabetes mellitus and a prescription of exenatide of the following instructions should the nurse include in the teaching? -inject the medication into subcutaneous tissue of your abdomen A nurse is preparing to dminister digoxin to client.For which of the following findings should the nurse to withhold the medication? -apical pulse 54/min A nurse is preparing to administer medication to a client.Which of the following client identifiers should the nurse use to verify that the correct client is recieving the medication? (SATA) -Date of birth -Room number -Name A nurse is collecting a medication history from the parent of a preschooler who comes to the clinic for routine immunization....For which of of the following findings should the nurse withold the varicella immunization? Recieving treatment for leukemia A nurse is reviewing the laboratory values of a client who is taking warfarin for treatment of deep-vein thrombosis.Which of the following findings should indicate to the nurse that the medication is effective? INR 2.5 A nurse is caring for a client who has a new diagnosis of schizoprenia.which of the following medication should the nurse expect to administer? Respiridone A nurse is caring for a client who has taking epoetin alfa for 3 months. Which of the following laboratory test should the nurse monitor to determine the effectiveness of the medication? -Hgb and Nurse is preparing to mix NPH insulin and regular insulim for adminstration. Whicever the following action should the nurse take? -inject air into each vial and nurse is collecting data from a client who has a new prescription for warfarin. Which of the following medication in the client's history should the nurse report to theh provider? -aspirin a nurse is reinforcing teaching with a client who has a prescription of phenytoin. Which of the following findings should the nurse include the sudden adverse effect of phenytoin? gingival hyperplasia a nurse who is preparing to administer medicatoins to a client is unfamiliar with the medicatoin that the client takes at home. Which of the following resources should the nurse consult? nursing drug guide a nurse is caring for a client who has a prescription of cephalexin 1 g PO daily to be given in divided doses every 6 hr available is cephalexin 250 mg tablets. How many tablets should the nurse adminster with each does? (road the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 1 tablet a nurse is caring for a client who is postoperative following Arthroscopy and erports a joint pain level of 6 on a scale of 0 to 10 after receiving ketorolac 1 hr ago. Which of the following action should the nurse take? administer oxycodone 5 mg orally a nurse is reinforcing teaching with a new licensed nurse about administration of meoprolol. Which of the following findings should the nurse identify as a contraindication for this medication? -sinus brady cardia a nurse is caring for a client who has hyperlipidemia and has been taking rosuvastatin for the past year. The client tells the nurse that he has been experiencing muscle tenderness. Which of the following laboratory values should the nurse review? -serum potassium a nurse is monitoring a client who recently began lisinopril for hypertension. Then there should identify that which of the following findings is an adverse effect of the medication to report to the provider? -persistent cough a nurse is reinforcing reaching aboutt he rights of medication administration to a newly licensed nurse. Then there should include which of the following as rights of medication administration? (SATA) -right time -right documentation -right medication -right dose a nurse is preparing to administer the hepatitis B vaccine IM to a 2-month-old infant. Which of the following actions should the nurse take? administer the vaccinen in the vastus lateralis a nurse is reinforcing teaching with a client who has a new prescription of furosemide. Which of the following shold the nurse include as an adverse effect of the medication that the client should erport to the provider? -visual disturbances a nurse is preparing to adminster phenobarbital 3mg/kg/day PO in two divided doses to a client who weighs 145 lbs. the amount avilable is phenobarbital 100mg/tablet. how many tablets should the nurse administer per dose? (road the answer to the nearest whole number. use a leading zero if it applies. do not use a trailing zeros.) 1 tablet a nurse is collecting data on a client prior to administering digoxin. for which of the following findings shold the nurse withhold the medication? -apical pulse 52/min a nurse is reinforcing teaching with the family of a client who is to start therapy with risperidone. which the following therapeutic effects should the nurse instruct the family to expect? improve social interaction a nurse is reviewing the laboratory values of a client who is taking atorvastatin. Then there should identify that a change in which of the following laboratory values indicates an adverse effect of the medication? -creatinine kinase a nurse is reinforcing teaching with eight client who has a new prescription for verapamil PO. which of the following beverages should the nurse recommend avoiding while taking this medication? grapefruit juice a nurse is reviewing the medical record of a client who has a new prescription for celecoxib to treat oseoarthiritis. which of the following should then nurse recognize as a contraindication for this medication? -sulfonamide allergy and there sis caring for a client who is receiving heparin therapy. If the client requires a reversal of the effect of heparin. which of the following medications should the nurse expect the provider to prescribe? protamine a nurse is collecting data from a client who has been taking diazepam several times per day but recently ran out of the meidication. which of the following findings should the nurse ercognize as a manifestation of withdrawal from diazepam? -tremors a nurse is reinforcing teaching with a client who has a prescription of omeprazole. Which of the following instructions should the nurse include in the teaching? -notify your privider if you develop diarrhea a nurse is caring for a client who has a prescription of morphine 4mg IM stat. the medicatoin is dispensed in a 5mg/mL prefilled syringe. Which of the folllowing action should the nurse take? -discard medication witha second nurse as a witness a nurse is reifnorcing teaching about the iPLEDGE program with a female client who has a new prescription for isotretinoin. the nurse should tell the client that which of the following is a requirement of the program? -sexually active female client must use two forms of birth control during treatment a nurse is reinforcing teaching with a client who has a new prescription of prednisone to treat rheumatoid arthritis. We share with the father who statement shold indicate to the nurse that the client understands the teaching? -I will report a sore throat to my provider a nurse is preparing to administer an insulin injection for a client. which of the following action should the nurse take? insert the needle into the right thigh at a 90* angle a nurse is caring for a client who started taking amitriptyline 6 days ago. The client reports that the medication is not helping. Which of the following responses should the nurse take? -you will need to take this medicaton on an empty stomach for it to be more effective a nurse is assisting in the care of a client who is receiving morphine via a continuous epidural infusion. which of the following findings should the nurse report to the provider immediately? -respiratory rate 10/min a nurse is caring for a client who has chronic hypertension. The clilent's morning vital sign includes BP 140 / 80 mm Hg. heart rate 54/min, and respiratory rate 18/min. which of the folliwng medications should the nurse plan to withold? -atenolol a nurse is collecting data from a client who is taking chlorpromazine. which of the following the highest priority finding? dry mouth a nurse is monitoring a client following the adminstration of an oral glucose solution for the treatment of hyoglycemia. Which of the following findings indicates that the client is continuing to experience hypoglycemia? -polyuria a nurse is reinforcing teaching witha client who had a recent myocardia infraction nad has a new prescription for low dose aspirin therapy. which of the following instrcutions should the nurse include? -take the medication with a sip of water a nurse is collecting data from a client who reports nausea and has vomited clear emesis. which of the following medications should the nurse administer? promethazine [Show Less]
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ATI Pharm CMS Questions and Answers 2023
A client has a new prescription for spironolactone (Aldactone). Which of the following laboratory values should the nurse recognize as a reason to withhold... [Show More] the morning dose of the medication and notify the provider? a. Serum sodium 138 mEq/L b. Serum potassium 5.2 mEq/L c. Serum creatinine 1.2 mEq/L d. Serum chloride 106 mEq/L b. Serum potassium 5.2 mEq/L A nurse is caring for a client who is prescribed daily doses of both digoxin (Lanoxin) and furosemide (Lasix). The client’s potassium level is 3.2 mEq/L. For which of the following medication interaction is the client at risk? a. Toxic levels of furosemide b. Toxic levels of digoxin c. Sub-therapeutic levels of furosemide d. Sub-therapeutic levels of digoxin b. Toxic levels of digoxin Propranolol (Inderal) is contraindicated for a client who has which of the following conditions? a. Asthma b. Diabetes c. Angina d. Dementia a. Asthma A nurse is reinforcing teaching for a client who has a prescription for verapamil (Calan). Which of the following statements by the clients indicates a need for further teaching? a. “I should increase the amount of fiber in my diet since the medication causes constipation.” b. “I should eliminate grapefruit juice from my diet while taking verapamil.” c. “I should decrease the amount of calcium in my diet while taking the medication.” d. I should take the medication with food if it causes an upset stomach.” c. “I should decrease the amount of calcium in my diet while taking the medication.” A nurse is caring for a client with prescription for nifedipine (Procardia) to treat angina pectoris. The nurse should plan to monitor the client for which of the following findings? a. Weight loss b. Reflex tachycardia c. Grand mal seizures d. Urinary Retention b. Reflex tachycardia A nurse is caring for a client on a medical unit who takes regular doses of propranolol (Inderal) for hypertension. Before administering the client’s morning dose of propranolol, which of the following should the nurse plan to monitor? (SATA) a. Urinary output b. Pulse rate c. Temperature d. Blood pressure e. Deep tendon reflexes b. Pulse rate d. Blood pressure 7. A nurse is reinforcing teaching for a client who is prescribed digoxin (Lanoxin). Which of the following should the nurse instruct the client to report to the provider? (SATA) a. Fatigue b. Constipation c. Anorexia d. Rash e. Diplopia a. Fatigue c. Anorexia e. Diplopia A nurse is caring for a client who is prescribed isosorbide mononitrate (Imdur) for chronic stable angina. The nurse should plan to monitor the client for which of the following findings? a. Bradycardia b. Fever c. Hypertension d. Headache d. Headache A nurse is obtaining a medication history from a client who is to start a new prescription for warfarin (Coumadin). Which of the following over-the-counter medications should the nurse instruct the client to avoid? a. Ranitidine (Zantac) b. Docusate sodium (Colace) c. Acetaminophen d. Aspirin d. Aspirin A nurse is caring for a client who has angina pectoris and is prescribed a nitroglycerin patch (Nitro-Dur) once daily. Which of the following are true regarding the administration of transdermal nitroglycerin? (SATA) a. Apply the patch at the same time each morning b. Leave the patch in place for 24 hr before replacing. c. Put patch on a hairless area of skin. d. Rotate the sites of administration with each application. e. Cut patches in half to allow for smaller doses of prescribed medication. a. Apply the patch at the same time each morning c. Put patch on a hairless area of skin. e. Cut patches in half to allow for smaller doses of prescribed medication. After instilling an eye drop that has a systematic effect, the nurse should press on which of the following to prevent absorption into the circulation? a. The bony orbit b. The nasolacrimal duct c. The conjunctival sac d. The outer cantus of the eye b. The nasolacrimal duct A nurse is caring for a client who has just been diagnosed with primary open-angle glaucoma (POAG) during a screening examination. Which of the following data collection finding should the nurse expect? a. Sudden loss of central vision b. Intraocular pressure 19 mm Hg c. No reports of pain d. Intact peripheral vision c. No reports of pain A nurse is preparing to administer timolol (Timoptic) ophthalmic drops into the eye of a client who has glaucoma. For which of the following adverse effects should this client be monitored? a. Hypertension b. Bradycardia c. Seizures d. Jaundice b. Bradycardia A nurse is caring for a client who has a prescription for tizanidine (Zanaflex) for relief of muscle spasm following a back injury. Which of the following lab values should the nurse expect to monitor while the client is taking this medication? a. Serum creatinine b. Liver enzymes c. WBC count d. RBC count b. Liver enzymes A nurse is reinforcing teaching to a client with asthma about how to use cromolyn (Intal). Which of the following should the nurse include in the teaching? (Select all that apply) a. Take the medication 15 min before exercising. b. Follow a fixed-dosage schedule for long-term control of asthma. c. Expect to lose weight while taking the medication. d. Observe for adverse effects such as tremors, restlessness, and palpitations. e. Do not crush or chew tablets. a. Take the medication 15 min before exercising. b. Follow a fixed-dosage schedule for long-term control of asthma. A nurse is reinforcing teaching for a client with a prescription for a beclomethasone (QVAR) inhaler to be used for the long-term management of asthma. Which of the following dietary supplements should the client be sure to consume in sufficient amounts to prevent a deficiency while taking the QVAR inhaler? a. Iron and Protein b. Calcium and Vitamin D c. Vitamin B¹² and folic acid d. Vitamin E and K b. Calcium and Vitamin D A nurse is caring for a client who is prescribed oral prednisone (Deltasone) for the treatment of chronic asthma. The nurse should plan to monitor the client for which of the following findings? a. Weight loss b. Infection c. Hypoglycemia d. Angina Pain b. Infection A nurse is caring for a client who states she has been taking phenylephrine (Neo-Synephrine) nasal drops for the past 10 days for her upper respiratory symptoms. The nurse should plan to monitor the client for which of the following findings? a. Sedation b. Nasal congestion c. Productive cough d. Constipation b. Nasal congestion A nurse is caring for a preschool-age child who may have taken an overdose of diphenhydramine (Benadryl). To identify antihistamine toxicity, the nurse should plan to monitor the child for which of the following? a. Hallucinations b. Bradycardia c. Pinpoint pupils d. Pallor a. Hallucinations A nurse is reinforcing teaching for a client who has hypertension and is prescribed hydrochlorothiazide (HydroDIURIL) twice daily. Which of the following instructions should the nurse include in the client’s teaching? a. “You should avoid foods high in potassium.” b. “Take the second dose of the day by early afternoon.” c. “Watch for ankle swelling that may appear late in the evening.” d. “Limit your daily fluid intake to 1½ L.” b. “Take the second dose of the day by early afternoon.” A nurse is reinforcing teaching to a client who is prescribed lovastatin (Mevacor). Which of the following should be included in the teaching? a. Take the medication with the evening meal. b. Change position slowly when rising from a chair. c. Maintain a steady intake of green leafy vegetables. d. Consume no more than 1L of fluid/day. a. Take the medication with the evening meal. A nurse is reinforcing teaching for a client who is to begin taking a new prescription for niacin (Niacor). The nurse should instruct the client to expect which of the following? a. Facial flushing b. Frontal headache c. Blurred vision d. Dry mouth a. Facial flushing A nurse is caring for a client who takes a daily dose of warfarin (Coumadin). The client begins vomiting blood. Which of the following medications should the nurse prepare to give to reverse the effects of warfarin? a. Vitamin K b. Atropine sulfate c. Protamine sulfate d. Calcium gluconate a. Vitamin K A nurse is caring for a client who has been taking a daily dose of warfarin for the past two weeks following an acute myocardial infarction. The client’s most recent INR is 1 to 2. If the client has been taking the warfarin as prescribed, the nurse should expect which of the following changes to the client’s prescription? a. The warfarin will be continued at the same dose. b. The warfarin will be discontinued. c. The warfarin dosage will be increased. d. The warfarin dosage will be decreased. c. The warfarin dosage will be increased. When caring for a client taking aspirin to reduce the risk for a myocardial infarction, the nurse should monitor for which of the following adverse effects? (Select all that apply) a. Petechiae b. Hypertension c. Tinnitus d. Bruising e. Black stools a. Petechiae d. Bruising e. Black stools Which of the following interventions should the nurse implement when preparing to administer filgrastim (Neupogen) for the first time to a client who has undergone a bone marrow transplant? a. Administer intramuscularly in a large muscle mass to prevent injury. b. Give orally with a meal or snack to prevent severe gastrointestinal upset. c. Shake vial gently to mix well before withdrawing dose. d. Discard vial after removing one dose of the medication. d. Discard vial after removing one dose of the medication. A nurse is caring for a client who has been receiving epoetin alfa (Epogen) three times a week for several weeks. At a visit to the clinic, the client’s Hgb has increased from 7 g/dL to 8.5 g/dL in the past week. Which of the following actions should the nurse expect to take regarding today’s dose of epoetin alfa? a. To increase today’s dose. b. To administer the ordered dose. c. To withhold today’s dose. d. To discontinue the medication. c. To withhold today’s dose. A nurse is monitoring a client who is receiving sargramostim (Leukine) following a bone marrow transplant. For which of the following adverse reactions should the nurse monitor the client? a. Constipation b. Bone pain c. Insomnia d. Hair loss b. Bone pain [Show Less]
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ATI Pharmacology Proctored exam review Questions and Answers 2023
A nurse is providing teaching for a client who has received a liver transplant and has a prescription to transition from cyclosporine to tacrolimus. Which ... [Show More] of the following instructions should the nurse include in the teaching? A. Take both the medications together for 72hr and then stop taking the cyclosporine B. Stop taking the cyclosporine for 24hr and then begin taking the tacrolimus C. Alternate taking the medications for 48hr and then take only the tacrolimus D. If adverse reactions to the tacrolimus occur stop taking it and restart the cyclosporine B. Stop taking the cyclosporine for 24hr and then begin taking the tacrolimus A nurse is caring for a client who has atrial fibrillation and is scheduled for cardioversion. The nurse should anticipate a prescription from the provider for which of the following medications for this procedure? A. Amlodipine B. Diltiazem C. Nifedipine D. Lidocaine B. Diltiazem A nurse is planning to administer diltiazem via IV bolus to a client who has atrial fibrillation. When assessing the client, the nurse should recognize that which of the following findings is a contraindication to administration of diltiazem? A. Hypotension B. Tachycardia C. Decreased level of consciousness D. History of diuretic use A. Hypotension A nurse is caring for a client who has bronchitis and a prescription for a mucolytic agent. Which of the following findings should the nurse identify as an adverse effect of this type of medication? A Fluid Overload B. Bronchospasm C. Electrolyte imbalance D. Tachycardia B. Bronchospasm A nurse is teaching a client about the proper placement of a nitroglycerin patch. Which of the following statements by the client indicates an understanding of the teaching? A. I'll apply the patch over areas of my body with little fatty tissue B. I can place the patch on any area of my body without hair. C. I'll put the patch on the same site as the previous patch D. I have to apply the patch directly over my heart. B. I can place the patch on any area of my body without hair. A nurse is preparing to administer meperidine 100 mg IM to a client who has a BMI of 23. Which of the following needle lengths should the nurse use to administer the medication? A. 1/2 in B. 1 1/2 in C. 2 1/2 in D. 3 in B. 1 1/2 in A nurse is reviewing laboratory values for a client who reports fatigue and cold intolerance. The client has an increased thyroid-stimulating hormone (TSH) level and a decreased total T3 and T4 level. The nurse should anticipate a prescription for which of the following medications? A. Methimazole B. Somatropin C. Levothyroxine D. Propylthiouracil C. Levothyroxine A nurse is caring for a client with multiple sclerosis and neurogenic bladder who is receiving bethanechol. The nurse should identify that which of the following client statements indicates a therapeutic action of the medication? A. My mouth seems very dry lately B. Ive noticed my heart beating faster C. I am able to urinate more freely D. Ive noticed I can take a deep breath more easily C. I am able to urinate more freely A nurse is caring for a client who had a myocardial infarction 2 hours ago and is receiving alteplase. Which of the following findings should the nurse identify as an adverse effect of receiving this medication? A. Bleeding B. Increased clot formation C. Shortness of breath D. Blockage of the central venous catheter C. Shortness of breath A nurse is caring for a client who takes scheduled morphine for cancer pain. The client reports experiencing breakthrough pain. The nurse should anticipate a prescription from the provider for which of the following medications to treat breakthrough pain? A. Meperidine B. Buprenorphine C. Methadone D. Fentanyl D. Fentanyl A nurse is caring for a client who has a prescription for subdermal etonogestrel. The nurse should alert the provider about which of the following findings in the client's medical history? A. Takes St. John's wort B. Breastfeeds a 6-month-old infant C. Has a parent with hypertension D. Has a positive human papillomavirus (HPV) test result A. Takes St. John's wort A nurse is caring for a client who is receiving sumatriptan for cluster headaches. Which of the following findings should the nurse expect as an adverse effect? A. Hypotension B. Tinnitus C. Urinary retention D. Chest pressure D. Chest pressure A nurse is planning care for a client who is receiving gentamicin IM and has a new prescription to obtain gentamicin peak and trough levels. At which of the following times should the nurse plan to obtain a blood sample to evaluate the gentamicin peak? A. 1 hour after administering the IM injection B. Just before administering the IM injection C. 12 hours after the last IM injection D. 30 minutes after administering the IM injection A. 1 hour after administering the IM injection A nurse is preparing to administer IV nitroprusside for a client who had a myocardial infarction. Which of the following actions should the nurse take? A. Regulate the infusion pump rate using the client's weight in the calculation B. Change the IV solution bag every 48 hr after the time of preparation C. Ensure the freshly prepared IV solution has a slight greenish tint D. Cover the medication with an amber plastic bag to protect it from light A. Regulate the infusion pump rate using the client's weight in the calculation A nurse is caring for a client who is experiencing acute pain and is receiving morphine. Which of the following findings should indicate to the nurse the need to withhold the client's next dose of morphine? A. The client reports an inability to void. B. The client's respiratory rate is 10/min. C. The client has hypoactive bowel sounds. D. The client has vomited once in the last 4 hours B. The client's respiratory rate is 10/min. A nurse is assessing a client with rheumatoid arthritis who has been taking high doses of prescribed hydroxychloroquine. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of hydroxychloroquine? A. "I have developed sores in my mouth." B. "I often feel like the room is spinning." C. "I noticed that the whites of my eyes look yellow." D. "I have had a change in my vision recently. B. "I often feel like the room is spinning." A nurse is teaching about levodopa with a family member of a client who has Parkinson's disease. Which of the following pieces of information should the nurse include? A. "A full therapeutic response may take several months to happen." B. "The medication should be taken with high-protein foods." C. "A full therapeutic response might cause vivid dreams." D. "The medication is given at the onset of mild symptoms." A. "A full therapeutic response may take several months to happen." A nurse is caring for a client who has asthma and a prescription for zileuton. Which of the following laboratory values should the nurse monitor while the client is taking this medication? A. Alanine aminotransferase (ALT) B. WBC count C. Potassium D. Chloride A. Alanine aminotransferase (ALT) A nurse is caring for a client who is 12 hours postoperative following a total hip arthroplasty. Which of following medications should the nurse anticipate administering to this client to prevent deep vein thrombosis (DVT)? A. Aspirin B. Warfarin C. Ticagrelor D. Enoxaparin D. Enoxaparin A nurse is monitoring a client who received diphenoxylate-atropine. Which of the following statements by the client should indicate to the nurse that the medication has been effective? A. "I feel a little drowsy with this medication." B. "I am now drinking much more water. C. "I have not had a bowel movement today." D. "I no longer feel chest tightness." C. "I have not had a bowel movement today." A nurse is assessing a client who has a new prescription for chlorpromazine to treat schizophrenia. The client has a mask-like facial expression and is experiencing involuntary movements and tremors. Which of the following medications should the nurse anticipate administering? A. Amantadine B. Bupropion C. Phenelzine D. Hydroxyzine A. Amantadine A nurse is teaching a client who has diabetes mellitus about a new prescription for pioglitazone. Which of the following statements should the nurse include in the teaching? A. "Monitor for hypoglycemia 6 hours after taking the medication." B. "This medication cannot be taken if you have a sulfa allergy." C. "This medication can be taken when using insulin." D. "This medication is effective for people with type 1 diabetes mellitus. C. "This medication can be taken when using insulin." A nurse is caring for a client who was recently diagnosed with Addison's disease and has been placed on long-term mineralocorticoid therapy with fludrocortisone. Which of the following pieces of information should the nurse provide when explaining the purpose of this therapy? A. Mineralocorticoids help the body metabolize carbohydrates, fats, and proteins. B. Mineralocorticoids support secondary sexual development. C. Mineralocorticoids maintain electrolyte and fluid balance. D. Mineralocorticoids reduce the risk of cardiac dysrhythmias. C. Mineralocorticoids maintain electrolyte and fluid balance. A nurse in a postpartum unit is caring for a client who plans to breastfeed her newborn exclusively. The client has a prescription for depot medroxyprogesterone acetate (DMPA). At which of the following times should the nurse schedule the client to receive the first dose of the medication? A. After 3 months postpartum B. At 6 weeks postpartum C Within the first 5 days postpartum D. During the first week of the first postpartum menstrual cycle B. At 6 weeks post partum A nurse is providing a teaching to a client who has a prescription for famotidine to treat a gastric ulcer. Which of the following statements should the nurse include in the teaching? A. this medication is more effective when taken on an empty stomach B. you should take this medication with an antacid for pain control C. this medication is less effective for people who smoke. D. you should expect to experience dizziness when taking this medication. A. this medication is more effective when taken on an empty stomach A nurse in an emergency department is caring for a client who has heroin toxicity. The client is unresponsive with pinpoint pupils and a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer? A. Methadone B. Naloxone C. Diazepam D. Bupropion B. Naloxone A nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? A. Carbamazepine B. Sumatriptan C. Atenolol D. Glipizide A. Carbamazepine [Show Less]
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ATI Pharmacology Proctored Assessment Questions and Answers 2023
A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO daily. After 6 weeks of treatment the nurse determines tha... [Show More] t the medication was effective if the: 1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL 2) Total t4 level is 2 mcg/dL 1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL A nurse providing teaching to a client who has just been prescribed prazosin (Minipress) which of the following client statement indicates understanding of teaching: 1) I will not use a salt substitute while taking meds 2) I will move slowly from sitting to standing to prevent falls 2) I will move slowly from sitting to standing to prevent falls A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which statement by the patient indicates further teaching: 1) I should expect a rash to develop 2) I may develop hair or face or chest 1) I should expect a rash to develop A nurse is receiving a telephone prescription for an antibiotic from a client's provider. Which of the following is the nurse required to do: 3) Read the prescription back to the provider after transcribing 4) Write the trade name for the prescribed medicine 3) Read the prescription back to the provider after transcribing A nurse is providing teaching to an adolescent and her family regarding a new prescription of phenytoin (Dilantin) for a newly diagnosed seizure disorder. Which of the following client statements indicates the understanding of the teaching: 1) I will keep a seizure frequency chart 2) I will skip a dose if I am experiencing nausea 1) I will keep a seizure frequency chart A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and digoxin (Lanoxin). Routine laboratory results reveal a potassium level of 2.6 mEq/L. Which of the following actions should the nurse take first: 1) Apply a cardiac monitor 2) Provides foods high in potassium 1) Apply a cardiac monitor A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy. Which of the following client findings requires an incident report: 1) The client is also taking linsinophrel (Prinivil) 2) The client reports shortness of breath 2) The client reports shortness of breath A nurse is providing teaching to a female client who has been newly diagnosed with a seizure disorder and has begun phenytoin (Dilantin). The nurse should tell the client that phenytoin can decrease the effectiveness of which of the following: 1) Ethunyl estradiol/desogestrel (Cyclessa) 2) Fluroxetine (Prozac) 1) Ethunyl estradiol/desogestrel (Cyclessa) A nurse providing teaching to a client who is diagnosed with migrane headaches. The client is prescribed ergotamine (Ergostat) sublingual (SL). Which of the following should the nurse include in her instructions: 1) Take 1SL tablet three times a day before meals 2) Take 1SL tablet at onset of migrane 2) Take 1SL tablet at onset of migrane A nurse is reviewing a client's daily laboratory findings before administering 0.125 mg of digoxin (Lanoxin). The client's serum digoxin level is 0.7 mg/mL. Which of the following actions should the nurse take: 1) Give the medication 2) Request a dose increase 1) Give the medication A nurse is planning to provide medication education for a client who will begin a course of therapy with metronidazole (Flagyl). Which of the following should the nurse instruct the client to avoid during the course of therapy: 3) Coffee 4) Beer 4) Beer A nurse is teaching a client who has heart failure about a new prescription for captopril (Capoten). Which of the following statements by the client indicates a need for further teaching: 3) I will take the medication 1 hr before my meals 4) I will use a salt substitute with my meals 4) I will use a salt substitute with my meals A client is experiencing acute angle closure glaucoma and IV mannitol (Osmitrol) 25% is prescribed. Which of the following client findings should the nurse recognize as being the best indication that the medication is achieving it's therapeutic effect: 3) Decrease in intraocular pressure 4) Lung fluids clear to auscultation 3) Decrease in intraocular pressure A nurse is educating a client who has a new prescription for simvastatin (Zacor). Which of the following instructions should the nurse include in the teaching plan: (Select all that apply): 1) Report muscle pain to provider 2) Do not take the medication with grapefruit juice 3) Take the medication in the early morning 4) Minimize intake of alcoholic beverages 5) Expect therapy with this medication to be life long 1) Report muscle pain to provider 2) Do not take the medication with grapefruit juice 4) Minimize intake of alcoholic beverages 5) Expect therapy with this medication to be life long A client taking IV heparin and oral warfarin (coumadin) for deep thrombosis. The client aPTT is 4x the normal value and his INR is 2. Which of the following actions should the nurse plan to take: 1) Decrease the heparin 2) Increase the warfarin 1) Decrease the heparin The nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin) by continuous IV infusion, piggy backed into a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first: 1) Turn the client to side lying position 2) Discontinue the client's IV meds 2) Discontinue the client's IV meds A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit smoking. For which of the following side effects should the nurse assess the client: 3) Insomnia 4) Tinnitus 3) Insomnia A nurse is teaching a client about the use of risedronate (Actonel) to treat osteoporosis. Which of the following client statements indicates a need for further teaching: 3) I need to set up or stand after taking the risedronate 4) I need to take the risedronate with food 4) I need to take the risedronate with food A nurse is caring for a client who is receiving haloperidol (Haldol). For which of the following adverse effects should the nurse be observing: 1) Vomiting 2) Akathesia 2) Akathesia A nurse is caring for a client who is receiving oprelvekin (Interleukin ll). which should the nurse document to indicate the effectiveness of the therapy: 1) Increased platelet count 2) Increased RBC count 1) Increased platelet count A nurse is administering baclofen (Lioresal) for a client with a spinal cord injury. Which of the following should the nurse document as a therapeutic outcome: 1) Increase in seizure threshold 2) Decrease flexor & extension spasticity 2) Decrease flexor & extension spasticity A nurse is assessing a client who is receiving epoetin alfa (Procit) to treat anemia. For which should the nurse monitor related to this medication: 1) Paresthesias 2) Increased BP 2) Increased BP A nurse is planning teaching for a client who has depression and is to start a new prescription for tranylcypromine (Parnate). Which should be included in teaching: 1) Avoid eating citrus fruits while taking this medication 2) Move slowly when changing to a standing position 2) Move slowly when changing to a standing position Provide teaching new prescription: exenatide (Byetta) for Type 2 Diabetes. What should the nurse monitor and report: 1) Abdominal pain 2) Increased thirst 1) Abdominal pain A nurse is reviewing lab results, for a patient who has chronic asthma and is taking prednisone (Deltasome) every other day. Which of the following lab values should the nurse report to the doctor: 3) Blood glucose 200 mg/dL 4) BUN 14 mg/dL 3) Blood glucose 200 mg/dL A nurse is caring for a client receiving zidovudine (Retrovir) for which of the following lab results should the nurse prepare to monitor: 3) Serum creatine 4) Hemoglobin 4) Hemoglobin A client informs the nurse at the primary care providers office that he received a prescription for timolol (timoptic) to treat glaucoma. Which of the following in the client's history should concern you: 3) The client has a history of bradycardia 4) The client reports that he is taking loratadine (Claritan) 3) The client has a history of bradycardia A mom of a newborn asks the nurse when her newborn should receive his 1st diptheria, tetanus, and pertusis vaccine (DTAP). Which of the following should the nurse say: 1) Birth 2) 2 months 2) 2 months A nurse is preparing to administer warfarin (coumadin) to a client diagnosed with atrial fibrillation. Which action should the nurse take before administering warfarin: 1) Check INR results 2) Monitor the aPTT level 1) Check INR results A nurse caring for a client diagnosed with sickle cell anemia who is taking hydroxyurea (Droxia). Which findings should the nurse report- select all that apply: 1) hemoglobin 4.2 g/dL 2) Hematocrit 42% 3) RBC 4,700,000/ mm3 4) Platelets 75,000/mm3 5) Neutrophils 1,400 /mm3 1) hemoglobin 4.2 g/dL 4) Platelets 75,000/mm3 5) Neutrophils 1,400 /mm3 A nurse assesses a patient with chronic back pain who is receiving 650 mg acetaminophen (Tylenol) every 4 hours for pain. PCP has prescribed oxycodone/acetaminophen (Percocet) every 4 to 6 hours PRN for breakthrough pain. Which action should the nurse take: 3) Place the client on seizure precautions 4) Notify the PCP 4) Notify the PCP A nurse is teaching a patient who has a peptic ulcer disease and is to start a new prescription for sucralfate (Carafate). The nurse explains to the patient this medication: 3) Forms a protective barriers over ulcers 4) Treats ulcers by eradicating H. pylor 3) Forms a protective barriers over ulcers Which of the following statements made by a client after a teaching session about Warfarin (Coumadin) indicates a need for further teaching: 1) I may take aspirin as needed for pain 2) I should limit the amount of green, leafy vegetables 1) I may take aspirin as needed for pain A nurse is caring for a patient who has pneumonia. The patient tells the nurse that she is pregnant, but has not told her provider. Which of the following medication orders should the nurse question: 1) Acetaminophen (Tylenol) 2) Doxycycline (Doxycin) 2) Doxycycline (Doxycin) A nurse is providing teaching to a patient who has hypertension and is to start a new prescription for lisinopril (Zestril). For which of the following should the nurse instruct the client to monitor and report to the PCP: 3) Facial Flushing 4) Dry cough 4) Dry cough A nurse caring for the following patient with acute ST elevation myocardial infarction. The patient is receiving nitroglycerin (Nitro-bid IV) by continuous IV infusion to maintain a systolic blood pressure between 130-150 mmHg: 1) Increase the dose when the Systolic BP is 120 mmHg 2) Increase the dose when the Systolic BP is 160 mmHg 2) Increase the dose when the Systolic BP is 160 mmHg Older adult taking procainamide (Pronestyl) is admitted to ER with an acute myocardial infarction and ventricular premature beats. Which finding should indicate to the nurse to withhold medication and notify PCP: 1) Drowsiness 2) A QRS widening increase than 50% 2) A QRS widening increase than 50% A nurse is caring for a client who is taking tamoxifen (Nolvadex) for treatment of breast cancer. The nurse should inform the client that which of the side effects can develop:(Select all that apply) 1) Bradycardia 2) Menstrual irregularities 3) Petechia 4) Hot flashes 5) Vaginal discharge 2) Menstrual irregularities 4) Hot flashes 5) Vaginal discharge A nurse is providing teaching to a patient with chronic asthma, is prescribed beclomethsdone (QVAR). What instructions should be included in the nursing care plan: 1) Use inhaler as soon as asthma attack begins 2) Take extra Vitamin B & C when using medication 1) Use inhaler as soon as asthma attack begins A client with history of hypertension tells the nurse that he uses over-the counter oral decongestant for nasal congestion. The nurse should advise client that decongestions? 3) Can constrict blood vessels 4) Are less effective than antihistamines 3) Can constrict blood vessels [Show Less]
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ATI PHARMACOLOGY 2023 Questions and Answers 100% correct
A nurse is reinforcing discharge teaching about sublingual nitroglycerin w/ a client who has angina. Which of the following statements indicates an underst... [Show More] anding of the instructions I understand this medication can slow my heart rate. A nurse is reinforcing teaching about the varicella vaccine w/ the guardian of a toddler. Which of the following statements should the nurse include in the teaching ? The vaccine should be avoided in children who have leukemia. Another possible question Contraindication is pregnancy A nurse is reinforcing discharge teaching with a client who has a new prescription for rifampin. Which of the following information should the nurse include? Take this medication 1-2 hr before a meal,you should expect orange urine,report anorexia,fatique and malaise,use non hormonal contraceptive A nurse is reinforcing teaching w/ a client who is taking oral prednisone for long term management of chronic asthma. Which of the following information should the nurse include in the teaching? “You must rinse your mouth out after each dose” A nurse is collecting data from a client who has been taking diazepam several times per day but recently ran out of the medication. Which of the following findings should the nurse recognize as a manifestation of withdrawal from diazepam Tremors A nurse is an acute care facility is collecting data from a client who has received the meningococcal vaccine. The nurse should monitor the client for which of the following findings as an adverse effect of the vaccine? redness and tenderness,fever,hypotension A nurse is caring for a client who is receiving acetaminophen for mild pain. The nurse should monitor the client for which of the following adverse effect of this medication nausea, vomitting,diarrhea,sweating,abdominal discomfort A nurse is reinforcing teaching with a newly licensed nurse about monitoring morphine PCA. Which of the following information should the nurse include only client can touch is answer if that answer is not there its the answer that involves the nurse looking at the PCA setting A nurse is reinforcing teaching w/ a client who has a new prescription for fexofenadine tablets to treat seasonal allergies. Which of the following information should the nurse include ... A nurse who is preparing to administer medications to a client is unfamiliar w/ a medication that the client takes at home. Which of the following resources should the nurse consult 6 Wheezing A nurse is collecting data from a client who has a new prescription for amoxicillin. Which of the following findings indicates that the client is having an allergic reaction to the medication wheezing A nurse is preparing to admninster somatropin 0.24 mg/kg/ week subcutaneously to be divided into 6 daily doses to a school age child who weighs 66 lb. How many mg should the nurse administer per dose? 1.2 A nurse is preparing to mix NPH insulin & regular insulin for administration. Which of the following actions should the nurse take? Inject air A nurse is reinforcing teaching w/ a client who is to start therapy w/ insulin lispro & insulin glargine. Which of the following should the nurse include in the teaching? take insulin lispro right before meal A nurse is collecting data from a client who has hypertension. The nurse should recognize that which of the following over the counter medications is contradicted for this client? Calcium Supplements A nurse is reinforcing teaching w/ a newly licensed nurse about age related changes that affect medication administration for older adult clients. Which of the following information should the nurse include? ... A nurse is preparing to administer digoxin to a client. Fow which of the following findings should the nurse w/ hold the medication? ... A nurse is collecting data from a client who has taken an overdose of oxycodone. Which of the following findings should the nurse expect? Sedation A nurse is talking w/ a client who has been taking levothyroxine to treat hypothyroidism. The nurse should instruct the client to avoid taking which of the following over-the-counter medications w/ in 4 hr of taking levothyroxine ... A nurse is preparing to administer an antibiotic via intermittent IV bolus for a client who has a continuous IV infusion. Which of the following steps should the nurse take first? Check the IV site for signs of infiltration. A nurse is obtaining a medication hx from a client who has systemic SLE & reports taking several herbal supplements daily. The nurse should identify that SLE is a contradiction for taking which of the following herbal supplements Echinacea A nurse is preparing to administer an IM injection to a client who has gonorrhea. Which of the following actions should the nurse take Use the Z-Track technique to administer the medication A nurse is reviewing the medication hx of a client who reports urinary retention. The nurse should recognize that which of the following medications can cause this adverse reaction ... A nurse is preparing to administer enoxaparin subcutaneously to a client using a prefilled syringe. The nurse should plan to use which of the following techniques when administering this medication Inject the medication into abdominal tissue A charge nurse is evaluating a newly licensed nurse caring for a client who is using PCA device which of the following actions by the nurse requires interventions by the charge nurse ... A nurse is preparing to administer medications to a client through eternal feeding tube. Which of the following actions should the nurse take Flush the tube with normal saline following medication administration A nurse is collecting data from a client who received levalbuterol 30 mins ago. Which of the following findings should the nurse identify as a therapeutic effect of the medication Wheezing decreases A nurse is monitoring a client who received naloxone to counteract the effects of an opiod overdose. Which of the following findings should indicate to the nurse that the medication is effective Increased Respiratory rate A nurse is collecting data from a client who is taking aspirin. Which of the following findings should the nurse report to the provider ... A nurse is reinforcing teaching w/ the family of a client who has a new prescription for donepezil. which of the following therapeutic effects should the nurse inform the family to expect ... A nurse is collecting data from a client following his first dose of captopril. The client's BP is 88/60 mm Hg which of the following actions should the nurse take first ... A nurse is assisting in the care of a client who is receiving morphine via a continous epidural infusion. which of the following findings should the nurse report to the provider immediately ... A nurse is reviewing the medication list of a client who has a new prescription for tetracycline. The nurse should instruct the client to take which of the following medications 3 hrs before or after taking the tetracycline ... A nurse is planning to administer medications to a client who has trigeminal neuralgia. Which of the following medications should the nurse plan to administer to manage the client's pain? Carbamazepine A nurse is reinforcing teaching about the iPLEDGE program w/ a female client who has a new prescription for isotretinoin. The nurse should tell the client that which of the following is a requirement of the program. Sexually active female clients must use two forms of birth control during treatment. A nurse is caring for an older adult client who has heart failure & a prescription for a repeat dose of furosemide 40 mg orally. Which of the following actions is the nurse's priority Review the clients electrolyte levels A nurse is caring for a client who is experiencing an acute asthma attack. The nurse should expect to administer which of the following medications Levalbuterol [Show Less]
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ATI Pharmacology proctored Questions and Answers 2023
A nurse in a providers office is preparing to teach a middle aged adult client who has a new diagnosis of metabolic syndrome and an HbA1c of 6.5%. Which of... [Show More] the following medication should the nurse plan to teach the client about first? Metformin A nurse is reviewing a client laboratory results before administering furosemide 40 mg IV bolus. For which of the following values should the nurse with hold the medication and contact the provider? Potassium 2.5 mEq/L A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor which of the following as an indication of an allergic reaction following the injection? Urticaria A nurse is caring for a client who has diabetes mellitus and is taking piogiltazole. The nurse should plan to monitor the client for which of the following adverse effects? Orthostatic hypotension A nurse is assessing a client who takes glipizide for the treatment of type two diabetes. Which of the following findings indicate effectiveness of the medication? HgbA1c 6.5% A nurse is reviewing a clients medical record before administering acetaminophen 650 mg PO every 6 hours. Which of the following findings indicates a need for the nurse to notify the provider? History of alcohol use disorder A nurse is assessing a client who has been taking lithium for one year. Which of the following client reports is a nurses priority? Mild thirst A client who has Graves' disease is prescribed methimazole. Which of the following affects should the nurse expect to see you after the client has taken the medication for two months? Increased sleeping A nurse is preparing to administer 4000 units of heparin subcutaneously to a client who has deep vein thrombosis. Available is heparin 10,000 units/ mL. How many ML's of heparin should the nurse administered? 0.4 A nurse is teaching a client who is to begin cyclophosphamide Therapy to treat cancer. Which of the following adverse effects of this medication should the nurse include in the teaching? leukopenia A nurse is teaching a client who has HIV in a new prescription for efavirenz. Which of the following instruction should the nurse include in the teaching? Notify the provider for the appearance of a skin rash A nurse is assessing a client who has been taking digoxin for about a month. Which of the following findings should the nurse identify as an indication that the client has developed a digoxin toxicity? Blurred vision A nurse receives a prescription to give tobramyosin to a client daily. Which of the following laboratory value should the nurse report to the provider? Serum creatinine 2.5 Mg/dL A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following interventions as a priority at this time? Implement seizure precautions A nurse is reviewing a clients medical record before administering a new prescription for atropine. Which of the following client conditions is contraindicated. Glaucoma A nurse is teaching a client who has a prescription for Ferris gluconate. Which of the following statements by the client indicates an understanding of the teaching? I should stay upright for at least 15 minutes after taking this medication. A nurse is teaching a client who has multiple allergies about using Epinephrine auto injector. Which of the following instruction should the nurse include. Administer the medication through clothing if necessary. A nurse is assessing a client who is receiving heparin therapy for deep vein thrombosis. Which of the following findings should indicate to the nurse said the therapy as effective? Platelets within the expected reference range A charge nurse is observing a newly licensed nurse provide care to a group of clients. Which of the following actions by the newly licensed nurse requires the charge nurse to complete an incident report? A client has a lithium level of 1.8 and receives her morning dose of lithium A nurse is caring for a client who is postoperative following a thyroidectomy and is receiving morphine for pain. Which of the following findings should the nurse recognize as an adverse effect of morphine? Bladder Distention A nurse is teaching a client who is to start cromolyn. Which of the following information should the nurse include in the teaching? Cromolyn is a long term management medication A nurse is preparing to administer methylprednisolone sodium succinate 80 mg IV bolus. The nurse reconstitutes the 125 mg in the vial in powder form to 2 mL. How many mL should the nurse administer? 1.3 mL A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider? Bruxism OR Confusion A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first? Inject air into the NPH vial A nurse is teaching a client who has a new prescription for nitroglycerin patches. The nurse should identify which of the following statements as an indication that the client understands the teaching ? I will rotate the application site avoid skin irritation A nurse is caring for a client who requires a re-insertion of a short peripheral venous catheter. In which of the following locations should the nurse place the catheter? A vein on the clients wrist A nurse is providing teaching to a client who has a new prescription for phenelzine. Which of the following foods should the nurse instruct the client to avoid? Cheddar cheese A nurse is providing discharge dietary teaching to a client who has a new prescription for theophylline. Which of the following instructions should the nurse include? Avoid caffeinated beverages A nurse is caring for a client who received neostigmine 1 hr ago and is experiencing a muscarinic response. Which of the following manifestations should the nurse expect? Excessive salvation A nurse is caring for a client who is taking azathioprine to treat rheumatoid arthritis. Which of the following lab values indicates an adverse effect of this medication? WBC 3,000/mm A nurse is assessing a client who received dinoprostone gel to stimulate cervical ripening. Which of the following findings is the nurse's priority. Uterine tachysystole A nurse is reviewing the medical record of a client who is receiving vancomycin daily. The nurse should review which of the following lab results prior to administering the next dose? Creatinine level [Show Less]
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ATI Pharmacology Practice Test A Questions and Answers 2023
A nurse is preparing to administer ciprofloxacin 15 mg/kg PO every 12 hr to a child who weighs 44 lb. How many mg should the nurse administer per dose? (Ro... [Show More] und the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 300 mg/dose Follow these steps for the Dimensional Analysis method of calculation: Step 1: What is the unit of measurement the nurse should calculate? (Place the unit of measure being calculated on the left side of the equation.) Step 2: Determine the ratio that contains the same unit as the unit being calculated. (Place the ratio on the right side of the equation, ensuring that the unit in the numerator matches the unit being calculated.) 15 mgX mg/dose = 1 kg Step 3: Place any remaining ratios that are relevant to the item on the right side of the equation, along with any needed conversion factors, to cancel out unwanted units of measurement. 15 mg1 kg44 lb12 hrX mg/dose = × × × x2.2 lb12 hr1 dose Step 4: Solve for X. X mg/dose = 300 mg/dose Step 5: Round if necessary. Step 6: Determine whether the amount to administer makes sense. If the prescription reads 15 mg/kg every 12 hr and the child weighs 20 kg, it makes sense to give 300 mg/dose every 12 hr. A nurse is developing a teaching plan for a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include in the teaching plan? (Select all that apply.) a. Report muscle pain to the provider. b. Avoid taking the medication with grapefruit juice. c. Take the medication in the early morning. d. Expect a flushing of the skin as a reaction to the medication. e. Expect therapy with this medication to be lifelong. a. b. e. Report muscle pain to the provider is correct. Myopathy is an adverse effect of simvastatin that can lead to rhabdomyolysis. The nurse should instruct the client to report this to the provider. Avoid taking the medication with grapefruit juice is correct. When taken with grapefruit juice, simvastatin increases the risk of muscle injury from elevations in creatine kinase. Expect therapy with this medication to be lifelong is correct. If medication therapy is discontinued, cholesterol levels will return to their pretreatment range within several weeks to months. Take the medication in the early morning is incorrect. This medication is most effective when taken in the evening because cholesterol production generally increases overnight. Expect a flushing of the skin as a reaction to the medication is incorrect. The nurse should identify flushing of the skin as an adverse effect of the medication niacin, which can be used to decrease the client's triglyceride levels. A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following findings should the nurse identify as an indication that the medication has been effective? a. Decrease in WBC count b. Decrease in amount of time sleeping c. Increase in appetite d. Increase in ability to focus Increase in ability to focus: client who has Graves' disease can experience psychological manifestations such as difficulty focusing, restlessness, and manic-type behaviors. Propylthiouracil is a thyroid hormone antagonist that decreases the circulating T4 hormone, reducing the manifestations of hyperthyroidism. An increased ability to focus indicates that the medication has been effective. Propylthiouracil is a thyroid hormone antagonist used in the treatment of hyperthyroidism, or thyroid storms. A decreased WBC count is an adverse effect of propylthiouracil, which can cause myelosuppression. Therefore, a decrease in WBC count indicates the medication has not been effective. Graves' disease, a form of hyperthyroidism, has neurologic manifestations, including insomnia. Therefore, a decrease in the amount of time sleeping indicates the medication has not been effective. Graves' disease can result in gastrointestinal manifestations such as increased appetite, weight loss, and increased gastrointestinal motility. Therefore, an increase in appetite indicates the medication has not been effective. A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? a. Administer the medication outside the 5-cm (2-in) radius of the umbilicus. b. Aspirate for blood return before injecting. c. Rub vigorously after the injection to promote absorption. d. Place a pressure dressing on the injection site to prevent bleeding. Administer the medication outside the 5-cm (2-in) radius of the umbilicus: The nurse should administer the heparin by subcutaneous injection to the abdomen in an area that is above the iliac crest and at least 5 cm (2 in) away from the umbilicus. The nurse should not aspirate by pulling back on the plunger of the heparin syringe to check for a blood return, because this will cause the injection site to bruise. The nurse should apply firm pressure to the injection site for 1 to 2 min after the administration of the heparin to prevent bruising. The nurse does not need to apply a dressing over the injection site if pressure is held for at least 1 min to prevent bleeding. A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? a. Tingling toes b. Sexual dysfunction c. Absence of dreams d. Pica Sexual dysfunction: Sexual dysfunction, including a decreased libido, impotence, and delayed orgasm, or anorgasmia, is a common adverse effect of fluoxetine and occurs in about 70% of clients who take this SSRI antidepressant. Fluoxetine is an SSRI that can cause muscle twitching. However, distorted sensations in the extremities are not adverse effects of fluoxetine. Fluoxetine can cause CNS adverse effects including abnormal dreaming, sedation, delusions, hallucinations, and psychosis. However, an absence of dreams is not associated with fluoxetine. Fluoxetine can cause neurologic adverse effects such as agitation, euphoria, and sedation. However, an eating disorder such as pica is not associated with fluoxetine. A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching? a. "I will drink a glass of milk when I take the risedronate." b. "I will take the risedronate 15 minutes after my evening meal." c. "I should take an antacid with the risedronate to avoid nausea." d. "I should sit up for 30 minutes after taking the risedronate." "I should sit up for 30 minutes after taking the risedronate.": Sitting upright for at least 30 min after taking risedronate will reduce the adverse gastrointestinal effects of esophagitis and dyspepsia. Risedronate is contraindicated for a client who cannot sit or stand upright for this length of time. The nurse should reinforce that risedronate should be taken with a full glass of water, rather than any other liquid. Although the delayed release form of the medication can be taken after eating, the immediate release form of the medication should be taken at least 30 min prior to consuming food or other liquids. Both forms of medication should be taken in the morning. The absorption of risedronate, a bisphosphonate, will be reduced if it is taken with antacids containing calcium, aluminum, or magnesium. The nurse should instruct the client to take the antacid 2 hr after taking risedronate. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following instructions should the nurse include? a. "Take the medication on an empty stomach for full effectiveness." b. "You may discontinue this medication when stomach discomfort subsides." c. "Report yellowing of the skin." d. "Store the medication in the refrigerator." "Report yellowing of the skin.": Ranitidine can be hepatotoxic and cause jaundice. The nurse should instruct the client to monitor for and report yellowing of the skin or eyes to the provider. The client can take ranitidine with or without food because food does not affect the medication's effectiveness. For clients who have a gastric ulcer, ranitidine is prescribed to inhibit gastric secretion and must be taken for the full course of therapy to be effective. The client should store ranitidine at room temperature. A nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching? a. "I should take the medication with food." b. "I should take naproxen if I develop joint pain." c. "I should tell my provider if I develop a sore throat." d. "I should expect the medication to cause my urine to look orange." "I should tell my provider if I develop a sore throat.": The client should report a sore throat to the provider because this can indicate neutropenia, a serious adverse effect of captopril. Neutropenia can be reversed if it is identified early and the medication is promptly discontinued. The client should take captopril on an empty stomach because food reduces absorption of the medication. The nurse should instruct the client to take the medication 1 hr before or 2 hr after a meal. Naproxen and other NSAIDs can interact with captopril, which can decrease the effect of the antihypertensive and increase the risk of kidney dysfunction. Captopril affects the urinary system by causing dysuria, urinary frequency, and changes in the normal amount of urine. However, captopril does not affect the color of the urine. A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first? a. Obtain the client's blood pressure. b. Contact the client's provider. c. Inform the charge nurse. d. Complete an incident report. Obtain the client's blood pressure: When using the nursing process, the first action the nurse should take to prevent injury to the client is to assess the client for adverse effects of atenolol, such as hypotension. The nurse should contact the provider, who can provide direction to the nurse to prevent injury to the client. However, there is another action the nurse should take first. The nurse should alert the charge nurse about the medication error. However, there is another action the nurse should take first. The nurse should complete an incident report, which is used as part of a facility's quality assurance program. However, there is another action the nurse should take first. A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor? a. Muscle weakness b. Sedation c. Tinnitus d. Peripheral edema Sedation: Metoclopramide has multiple CNS adverse effects, including dizziness, fatigue, and sedation. Metoclopramide is a central dopamine receptor antagonist that increases gastrointestinal motility and prevents nausea. Tardive dyskinesia is an adverse effect of metoclopramide. However, metoclopramide does not cause muscle weakness. Metoclopramide does not cause ringing in the ears. Metoclopramide does not cause peripheral edema. A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. The nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report? a. 1000 b. 0900 c. 0830 d. 1200 0830: The nurse should identify that an antibiotic can be administered 30 min before or after the scheduled time to maintain therapeutic blood levels without requiring an incident report. A nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse should report which of the following findings to the provider as a manifestation of neuroleptic malignant syndrome (NMS)? a. Temperature of 39.7° C (103.5° F) b. Urinary retention c. Heart rate 56/min d. Muscle flaccidity Temperature of 39.7° C (103.5° F): The nurse should report fever to the provider as an indication of NMS, an acute life-threatening emergency. Other manifestations can include respiratory distress, diaphoresis, and either hyper- or hypotension. The nurse should report incontinence as a manifestation of NMS. The nurse should report tachycardia as a manifestation of NMS. The nurse should report severe muscle rigidity as a manifestation of NMS. A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? a. Vomiting b. Blood in the urine c. Positive Chvostek's sign d. Ringing in the ears Blood in the urine: The nurse should report blood in the urine to the provider because this can be a manifestation of heparin toxicity. Other manifestations can include bruising, hematomas, hypotension, and tachycardia. Vomiting is not an expected adverse effect of heparin therapy. The nurse should assess the client for other causes for vomiting. Chvostek's sign is seen in clients who have hypocalcemia or hypomagnesemia. Ringing in the ears is not an expected adverse effect of heparin therapy. Aminoglycosides, such as vancomycin, are medications that cause ringing in the ears. A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the docusate sodium daily can minimize which of the following adverse effects of morphine? a. Constipation b. Drowsiness c. Facial flushing d. Itching Constipation: Constipation is a common adverse effect of morphine that can be minimized by taking docusate sodium, a stool softener that promotes easier evacuation of stool by increasing water and fat in the intestine. Drowsiness, facial flushing, and ithching are not adverse effects of morphine that can be minimized by taking docusate sodium. A nurse is providing teaching to a client who is to start treatment for asthma with beclomethasone and albuterol inhalers. Which of the following instructions should the nurse include in the teaching? a. "Take beclomethasone to avoid an acute attack." b. "Use beclomethasone 5 minutes before using albuterol." c. "Limit your calcium and vitamin D intake when taking beclomethasone." d. "Rinse your mouth after inhaling the beclomethasone." "Rinse your mouth after inhaling the beclomethasone.": The client should rinse their mouth after using beclomethasone, a glucocorticoid inhaler, to prevent oropharyngeal candidiasis and hoarseness. The client should take albuterol, a short-acting beta2-adrenergic agonist, to avoid an acute asthma attack. The client should use the bronchodilator, albuterol, prior to taking beclomethasone, a glucocorticoid inhaler, to enhance its absorption. The client should increase the intake of calcium and vitamin D to minimize bone loss while taking beclomethasone, a glucocorticoid inhaler. A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident? a. IV fluid infused over 4 hr instead of the prescribed 8 hr. Client tolerated fluids well, provider notified. b. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified. c. 1 L of 0.9% sodium chloride completed at 0900. Client denies shortness of breath. d. IV fluid initiated at 0500. Lungs clear to auscultation. 0.9% sodium chloride 1 L IV infused over 4 hr. Vital signs stable, provider notified.: The nurse should document the type and amount of fluid, how long it took to infuse, provider notification, and the client's physical status. The nurse should only chart factual information in the client's medical record without indicating the error that occurred. This documentation is not complete because it does not include the amount of fluid that was infused over the amount of time. A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking the warfarin. Which of the following responses should the nurse make? a. "It is safe to take an enteric-coated aspirin." b. "Aspirin will increase the risk of bleeding." c. "Acetaminophen may be substituted for aspirin." d. "The INR lab work must be monitored more frequently if aspirin is taken." "Aspirin will increase the risk of bleeding.": Aspirin inhibits platelet aggregation and can potentiate the action of the anticoagulant warfarin. Therefore, the client should avoid taking aspirin because it increases the risk for bleeding. Although it is common for clients to consider an occasional aspirin harmless, salicylates inhibit platelet aggregation and increase the potential for hemorrhage. Therefore, the client should avoid taking enteric-coated aspirin. Acetaminophen, an analgesic, can potentiate the action of the anticoagulant warfarin when administered in high doses and is not a safe substitute for aspirin. The client should continue to follow the provider's prescription for monitoring the PT and INR levels to adjust warfarin dosages. However, the nurse should discourage the client from using aspirin products because these medications increase the antiplatelet action of the warfarin and can result in bleeding. [Show Less]
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ATI Pharmacology Made Easy 4.0 Infection Questions and Answers 2023
A nurse is caring for a client who has streptococcal pharyngitis and an allergy to penicillin. The nurse should recognize that which of the following drugs... [Show More] can be safely administered to this client? Azithromycin/Erythromycin. Rationale: Azithromycin, a macrolide, is an acceptable alternative to penicillin for patients who have bacterial infections and are allergic to penicillin. The medication is effective against many gram-positive and gram-negative bacteria and is used for streptococcal pharyngitis. - Nafcillin and amoxicillin/clavulanic acid are penicillins and are contraindicated for those w/a penicillin allergy. Vancomuycin and clindamycin are safer alternatives. - A small percentage of clients who are allergic to penicillin have a cross sensitivity to cephalosporins. Cephalexin is a cephalosporin and is an inappropriate choice for the client. A nurse is administering cefotetan IV to a client to treat an intra-abdominal infection. The nurse notes that the IV insertion site is warm, edematous, and painful to the touch. Which of the following actions should the nurse take? Stop the cefotetan infusion. Rationale: The nurse should stop the infusion, remove the IV catheter, assess for tissue damage, and treat the client accordingly. The nurse should then initiate IV access via another site, continuing cefotetan therapy according to prescribed parameters. - Because the client could have thrombophlebitis, slowing the infusion will not alleviate the potential tissue damage or risk of embolus, and the IV site should be changed. To prevent thrombophlebitis, the nurse should dilute cefotetan, a second-generation cephalosporin, and infuse it slowly over 20 to 30 min. - The edematous, painful, and warm IV insertion site does not indicate an allergic reaction. The nurse should administer an antihistamine, such as diphenhydramine, if the client has hives, a rash, or other indications of an allergy to cephalosporins. - Switching the client to another antibiotic is essential when the current drug is ineffective or the client has an intolerable reaction to it. A nurse is caring for a client who has a new prescription for aztreonam to treat a respiratory tract infection. Which of the following findings in the client's medical record should the nurse recognize as requiring cautious use for this rx and report to the provider? Renal impairment. Rationale: Aztreonam, a monobactam, requires cautious use with clients who have renal dysfunction because it is excreted in the urine. Renal impairment could affect the excretion of aztreonam, allowing the level of the drug to accumulate. The nurse should report this finding to the provider, so the provider can prescribe a lower dose for the client or prescribe a different antimicrobial drug. - Contraindicated in those with a viral infection, used cautiously in older adults. - Metronidazole is an antimicrobial drug that req's cautious use in those with HF. A nurse is providing teaching for a client who takes an oral contraceptive and is about to begin rifampin therapy to treat TB. Which of the following instructions should the nurse include? Use additional/non-hormonal form of contraception, as the drug can increase the metabolism of oral contraceptives. A nurse is caring for a client who has a gynecologic infection and a hx of alcohol use disorder. The nurse should identify that which of the following drugs can cause a rxn similar to disulfiram if the client drinks alcohol while taking it? SATA. Cefotetan + Metronidazole Rationale: Cefotetan, a second-generation cephalosporin, can cause a reaction similar to what disulfiram causes when clients consume alcohol. This reaction manifests as nausea, severe vomiting, headache, weakness, and hypotension. Metronidazole, an antiparasitic drug, can cause a reaction similar to what disulfiram causes when clients consume alcohol. This reaction manifests as nausea, severe vomiting, headache, weakness, and hypotension. Does not: - Nitrofurantoin (urinary tract antiseptic) can cause diarrhea, N/V. - Amoxicillin (penicillin) can cause diarrhea, N/V. - Aztreonam (a monobactum) can cause a superinfection with Candida albicans A nurse is caring for a client who is about to begin receiving acyclovir IV to treat a viral infection. The nurse should recognize that cautious use of the drug is essential if the client also has which of the following conditions? Dehydration Rationale: Acyclovir, an antiviral drug, can cause renal toxicity, especially in clients who are dehydrated. Hydration during and after IV infusion of the drug can help prevent crystalluria. Drugs to use cautiously for other options: - HF: metronidazole (antiparasitic) - Asthma: amoxicillin - Tinnitus: vancomycin (antimicrobial) A nurse in a provider's office receives a call from a client who was recently hospitalized and treated with imipenem IV for a bacterial infection and reports an inability to eat due to mouth pain. The nurse should identify that the client might be experiencing which of the following as an adverse effect of this drug? Superinfection. Rationale: Imipenem, a carbapenem, can cause the superinfection Candida albicans in the mouth, throat, or vagina. It can also cause glossitis, an inflammation or infection of the tongue. Clients taking the drug should report any mouth pain or vaginal discharge and itching because they might require treatment with an antifungal drug. - Unlikely to cause malabsorption, but can cause gastroenteritis, abdominal pain, and vomiting; unlikely to cause anorexia or dental caries. A nurse is reviewing a client's prescriptions prior to administering gentamicin to the client to treat a systemic infection. The nurse should clarify the use of gentamicin with the provider if the client is taking which of the following drugs? Ethacrynic acid or furosemide (Lasix), as they are loop diuretics and ototoxic drugs. Concurrent use increases the client's risk for hearing loss. Others: - Amphotericin B (antifungal) increases risk for nephrotoxicity. - NSAIDs (ex: ibuprofen) inc risk of nephrotoxicity. - Vancomycin (antimicrobial) increases risk of ototoxicity. Drugs that do not specifically interact w/gentamicin: - Diphenhydramine - Acetaminophen - Levothyroxine When administering oral erythromycin to a client who has acute diphtheria, a nurse should monitor for which of the following adverse effects? Cardiac dysrhythmias, as the drug can cause ECG changes, such as a prolonged QT interval. Report palpitations, fainting, and dizziness. Other effects include fever, hearing loss, and diarrhea. A nurse is caring for a client who is taking warfarin and has a new rx for trimethoprim/sulfamethoxazole to treat a UTI. The nurse should clarify the prescriptions w/the provider b/c taking these two drugs concurrently can increase the client's risk for which of the following? Bleeding. Rationale: Trimethoprim/sulfamethoxazole, a sulfonamide combination, can increase the effects of warfarin and increase the client's risk for bleeding. The nurse should request another prescription to treat the infection, or, if the client decides to take the drug, ask the provider to prescribe a lower warfarin dose and monitor prothrombin time carefully. The client should report any sign of bleeding, such as easy or unexplained bruising. Other options and rationales: - Thrombosis: rifampin decreases warfarin levels and inc risk of thrombosis - ECG changes: erythromycin - Ototoxicity: erythromycin + gentamicin A nurse is caring for a client whose sputum culture results indicate methicillin-resistant MRSA. The nurse should recognize that which of the following medications will likely be administered to this client? Vancomycin A nurse is caring for a client who is about to begin taking isoniazid to treat TB. The nurse should instruct the client to report which of the following adverse effects of the drug? Jaundice, numbness of the hands, and dizziness. Rationale: Isoniazid, an antimycobacterial drug, can cause liver toxicity, especially in clients who abuse alcohol. The nurse should monitor liver enzymes during therapy and instruct the client to report indications of liver damage, such as jaundice, abdominal pain, and fatigue. The nurse should instruct the client to report numbness, pain, or tingling in the hands or feet. Administering pyridoxine (vitamin B6) can help minimize these effects. Isoniazid can cause dizziness, ataxia, and seizures. The nurse should instruct the client to report these CNS effects. - Also: visual disturbances and dry mouth. A nurse is caring for a client who has a prescription for rifampin to treat TB. The nurse should expect the provider to prescribe which of the following drugs to the client to prevent possible resistance to rifampin? Isoniazid (INH). Rationale: Isoniazid is used to treat tuberculosis and reduces the possibility of resistance to rifampin when combined with the drug. Drug resistance can develop quickly if the client only takes rifampin. - Gentamicin, vancomycin, and metronidazole are not used to treat TB. A health care professional is caring for a patient who is about to begin taking metronidazole (Flagyl) to treat an anaerobic intra-abdominal bacterial infection. The health care professional should recognize that cautious use of the drug is indicated if the patient also has which of the following? a. seizure disorder b. hearing loss c. asthma d. anemia Seizure disorder. Rationale: Metronidazole, an antiparasitic drug, can cause ataxia, vertigo, and seizures. It requires cautious use with clients who have a history of seizure activity, liver or renal failure, or heart failure. - Hearing loss: vancomycin - Asthma: amoxicillin - Anemia: Amphotericin B A nurse is caring for a client who is about to begin gentamicin therapy to treat an infection. The nurse should monitor the client for an alteration in which of the following:? A. Bowel function B. Peripheral pulses C. Urine output D. LOC Urine output. Rationale: Gentamicin, an aminoglycoside, can cause nephrotoxicity. The nurse should monitor the client's BUN and creatinine levels and for an increased output of diluted urine. It is also essential to monitor serum gentamicin levels and maintain a therapeutic range. - Can also cause N/V, hypotension, hypertension, vertigo, and skeletal muscle weakness. A health care professional is caring for a patient who is about to begin taking nitrofurantoin (Macrodantin) to treat a urinary tract infection. The health care professional should tell the patient to report which of the following adverse effects of the drug? A. Constipation B. Dark brown urine C. Cough D. Tremors Cough. Rationale: Nitrofurantoin, a urinary tract antiseptic, can cause cough, shortness of breath, chest pain, and fever. These adverse effects can indicate an acute allergic reaction and require immediate discontinuation of drug therapy. - Can also cause diarrhea and peripheral neuropathy. - Dark colored urine is harmless effect. A nurse in a provider's office receives a call from a patient who is taking tetracycline orally to treat a chlamydia infection and reports severe blood-tinged diarrhea. The nurse should suspect the client is experiencing which of the following? A. Hemorrhoids B. C. diff-associated diarrhea C. Diverticular disease D. Small bowel obstruction C. diff-associated diarrhea. Rationale: Severe diarrhea, often containing mucus and blood, can indicate Clostridium difficile-associated diarrhea. Treatment includes stopping drug therapy and replacing fluids and electrolytes. Clients should immediately report severe diarrhea and blood in the stools. A nurse in a provider's office receives a call from a client who is taking ciprofloxacin to treat a respiratory tract infection and reports dyspepsia. Which of the following instructions should the nurse give the client? Take an antacid at least 2 hr after taking the drug. Rationale: The nurse should recommend that the client take an antacid to relieve the dyspepsia at least 2 hr after taking ciprofloxacin, a fluoroquinolone. This is because antacids decrease the absorption of the drug. - Avoid caffeine b/c it can increase CNS effects. - Avoid taking supplemental iron b/c iron dec absorption of drug. - Avoid taking drug w/milk or other dairy products b/c calcium decreases absorption. A nurse is preparing to administer amphotericin B IV to a patient who has a systemic fungal infection. Which of the following drugs should the health care professional administer prior to the infusion to prevent or minimize adverse reactions during amphotericin B administration? (Select all that apply.) A. Aspirin B. Hydrocortisone C. Acetaminophen D. Diphenhydramine E. Ibuprofen Acetaminophen + diphenhydramine. Rationale: Infusion reactions to amphotericin B IV, such as fever, chills, nausea, and headache, start 1 to 2 hr after the infusion begins and subside within 4 hr. The nurse can help prevent these effects by administering acetaminophen prior to the infusion. The nurse can help prevent adverse reactions by administering diphenhydramine prior to the infusion. - Aspirin inc risk of renal injury. - Hydrocortisone decreases client's resistance to infection. - Ibuprofen inc risk of renal injury. [Show Less]
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ATI Pharmacology Practice Questions and Answers 100% correct
Aa nurse working in an ED is caring for a client who has benzodiazepine toxicity due to an overdose. Which of the following actions is the nurse's priority... [Show More] ? A: Administer Flumazenil B: Identify the client's level of orientation C: Infuse IV fluids D: Prepare the client for gastric levage Answer: B the first action the nurse should take when using the nursing process is to assess the client. The other answers are correct just no the first priority A nurse is teaching a client who has a new prescription for escitalopram for treatment of generalized anxiety disorder. Which of the following statements by the client indicates understanding of the teaching? A: I should take the medication on an empty stomach B: I will follow a low sodium diet while taking this medication C: I need to discontinue this medication slowly D: I shouldn't crush this medication before swallowing Answer: C when discontinuing escitalopram the client should taper the medication slowing to reduce the risk of withdrawal syndrome A nurse is providing teaching to a client who has a new prescription for buspirone to treat anxiety, Which of the following information should the nurse include? A: take this medication on an empty stomach B: Expect optimal therapeutic response effects within 24 hours C: take this medication when needed for anxiety D: this medication has a low risk for dependency Answer: D A nurse is teaching a client who has OCD and has a new prescription for paroxetine. Which of the following instructions should the nurse include? A: it can take several weeks before you feel like the medication is helping B: take the medication just before bedtime to promote sleep C: you should take the medication when needed for obsessive urges D: monitor for weight gain while taking this medication Answer: A A nurse is caring for a client who takes paroxetine to treat PTSD and reports he grinds his teeth together during the night. The nurse should identify which of the following interventions to manage bruxism? (select all that apply) A: concurrent administration of buspirone B: administration of a different SSRI C: use of a mouth guard D: changing to a different class of antidepressant medication E increasing the dose of paroxetine Answer: A, C, D [Show Less]
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ati pharmacology practice assessment A Questions and Answers 2023
a nurse is instructing a client on the application of nitroglycerin transdermal patches. which of the following statements by the client indiciates an unde... [Show More] rstanding of the teaching I will take the patch off right after my evening meal a nurse receives a verbal order from the provider to administer morphine 5 mg every 4 hours subQ for sever pain as needed. the nurse should identify which of the following entries as the correct format doe the medications administration record (MAR) morphine 5 mg subcut every 4 hr PRN severe pain a nurse is caring for a client who is taking acetazolamide for chronic open-angle glaucoma. For which of the following adverse effects should the nurse instruct the client to monitor and report? tingling fingers A nurse administers a dose of metformin to client instead of the prescribed dose of metoclopramide. Which of the following actions should the nurse take first? check the client's blood glucose A nurse is caring for a client who has cancer and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the docusate sodium daily can minimize which of the following adverse effects of morphine. constipation A nurse is assessing a client's vital signs prior to the adminstration of PO digoxin. The client's BP is 144/86 mmHG, heart rate 55/min and respiratory rate is 20/min. The nurse should withhold the medication and contact the provider for which of the following findings? heart rate A nurse is caring for a client who received 0.9% sodium chloride 1 L over 4 hr instead of over 8 hr as prescribed. Which of the following information should the nurse enter as a complete documentation of the incident? 0.9% sodium chloride 1L IV infused over 4 hr. Vital signs stable, provider notified A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching. Forms a protective barrier over ulcers A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following findings as an indication of hypokalemia? Presence of U waves A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. the nurse should report which of the following findings to the provider as an adverse effect of the medication? tinnitus A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take? administer the medication outside the 5 cm radius of the umbilicus A nurse at an urgent care clinic is collecting a history from a female client who has a urinary tract infection. The nurse anticipates a prescription for ciprofloxacin. The nurse should identify that which if the following client statements indicates a contraindication for administering this medication? I have tendonitis, so I haven't been able to exercise A nurse is reviewing the laboratory results for a client who is receiving heparin via continuous IV infusion for deep-vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings? Platelets 96,000/mm3 A nurse is caring for a client who is in labor. The client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. The external FHR monitor indicates late decelerations. Which of the following actions should the nurse take first? Turn the client to a side-lying position a nurse is preparing to administer medications to a client who tells the nurse, "I don't want to take my fluid pill until I get home today" Which of the following actions should the nurse take? Document the refusal and inform the client's provider a nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? sexual dysfuction A nurse is preparing to administer PO sodium polystrene sulfonate to a client who has hyperkalemia. Which of the following actions should the nurse plan to take? monitor the client for constipation A nurse is preparing to administer a scheduled antibiotic at 0800 to a client and discovers the antibiotic is not present in the client's medication drawer. the nurse should identify that administration of the medication can occur at which of the following time periods without requiring an incident report? 0830 A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. For which of the following adverse effects should the nurse monitor sedation a nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the following information should the nurse include in the teaching? decreased respirations might occur a nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication insomnia a nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately dyspnea a nurse is teaching a client about warfarin. the client asks if they can take aspirin while taking Warfarin. Which of the following responses shoudlthe nurse make? Aspirin will increase the risk of bleeding A nurse is preparing to administer dextrose 5% in water D5W 400 ml IV to infuse over 1 hr. The drop factor of the manual IV tubing is 15 gtt/ml. the nurse should set the manual IV infusion to deliver how many gtt/min? (round the answer to the nearest whole number. Use a leading zero if it applies 100 gtt/min a nurse is teaching a client about cyclobenzaprine. which of the following client statements should indicate to the nurse that the teaching is effective? I will taper of the medication before discontinuing a nurse is providing teaching to a client who is to begin taking oxybutynin for urinaryv incontinence. which of the following adverse effects should the nurse include in the teaching? dry mouth blurred vision dry eyes a nurse is preparing to administer medication to a client who has gout. the nurse discovers that an error was made during the previous shift and the client received atenolol instead of allopurinol. Which of the following actions should the nurse take first? obtain the client's blood pressure A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for methylprednisolone. Whcih of the following instructions should the nurse include? Blood glucose levels will be monitored during therapy avoid contact with people who have known infection grapefruit juice can increase the effects of the medication A nurse is assessing a client who has schizophrenia and is taking haloeridol. The nurse should report which of the following findings to the provider as a manifestation of neuroleptic malignant syndrome NMS? temperature of 39.7 C (103.5 F) A nurse is teaching a group of unit nurses about medication reconciliation. Which of the following information should the nurse include in the teaching? a transition in care requires the nurse to coduct medication reconciliation a nurse is caring for 20 year old female client who has a prescription for isotretinoin for severe nodulocystic acne vulgaris. Before the client can obtain a refill, the nurse should advise the client that which of the following tests is required? preganancy test a nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to teat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? blood in the urine a nurse is planning care for a client who has hypertension and is to start taking metoproplol. Which of the following interventions should the nurse include in the plan of care? determine apical pulse prior to administering A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should identify which of the following findings as the best indication that the morphine has been effective? The client rates pain as 3 on a scale from 0-10 a nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching? I should tell my provider if I develop a sore throat a nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects? bibasilar crackles A nurse is assessing a client who has myasthenia gravis and is taking neostigmine. Which of the following findings should indicate to the nurse that the client is experiencing an adverse effect? miosis a nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medication? acetylcysteine A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in the instructions? take one tablet at onset of migraine a nurse is reviewing the medication administration record of a client who has hypocalcemia and a new prescription for IV calcium gluconate. The nurse should identify that which of the following medications can interact with calcium gluconate? digoxin A nurse in an emergency department is caring for a client whose family reports the client has taken large amounts of diazepam. Which of the following medications should the nurse anticipate adminstering? flumazenil a nurse is collectiing a medication history from a client who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over-the-counter medications? ibuprofen a nurse is developing a teaching plan for a client who has a new prescription for simvastatin. which of the following instructions should the nurse include in the teaching plan. report muscle pain to the provider avoid taking the medication with grapefruit juice expect therapy with this medication to be lifelong a nurse is caring for the parent of a newborn. The parent asks the nurse when their newborn should receive the first diphtheria, tetanus, and pertussis vaccine dtap. The nurse should instruct the parent that their newborn should receive the immunization at which of the following ages? 2 months a nurse is reviewing the medication list of a client who wants to begin taking oral contraceptives. The nurse should identify that which of the following client medications will interfere with the effectiveness of oral contraceptives? carbamazepine [Show Less]
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