ATI capstone Pharmacological and Parenteral Therapies quiz 1
Pharmacological and Parenteral Therapies Quiz
Pharmacological and Parenteral Therapies
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Quiz
A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The health care
provider prescribes atropine sulfate. Which of the following best describes the
intended action of atropine for this client?
Select one:
a. To reduce peristalsis and urinary bladder tone.
b. To stimulate the SA node and sympathetic fibers to increase the rate.
c. To accelerate the heart rate by interfering with vagal impulses.
d. To dry oral and tracheobronchial secretions.
c. To accelerate the heart rate by interfering with vagal impulses.
Atropine does not have a direct effect on the SA node.
A client is prescribed digoxin 1mg by mouth QID. The client states that the objects
in his room have a yellowish tinge and he is nauseated. Select the most
appropriate nursing action at this time.
Select one:
a. Count the apical pulse; if it is regular and above 60, administer the drug as
ordered.
b. Hold the medication and count the apical pulse before the next dose is to be
given.
c. Administer the medication and observe the client for further nausea.
d. Hold the drug and call the health care provider.
d. Hold the drug and call the health care provider.
This client is showing signs of digitalis toxicity. The most appropriate action is to
hold the drug and call the health care provider. Severe arrhythmia may develop if
action is not taken.
A client diagnosed with preterm labor has been prescribed nifedipine. The client
asks the nurse why this particular medication has been prescribed. Which of the
following statements by the nurse is correct?
Select one:
a. To relax your muscles of your uterus
b. To lower your blood pressure
c. To promote development of your baby's lungs
d. To decrease the intensity of your pain
a. To relax your muscles of your uterus
The use of nifedipine for the treatment of preterm labor is an unlabeled use of
the drug. Nifedipine, a calcium channel blocker, is more commonly used to treat
high blood pressure and heart disease. Smooth muscle tissue, like the uterus,
needs calcium to contract. Nifedipine blocks the passage of calcium into certain
tissues, relaxing the uterine muscles and smooth muscles of blood vessels
throughout the body.
A client is admitted to the hospital with a diagnosis of diabetic ketoacidosis (DKA).
An intravenous infusion of regular insulin has been started. Which of the
following nursing interventions is most appropriate for this client?
Select one:
a. Obtain an arterial blood gas every 2 hours
b. Monitor blood glucose levels every 4 hours
c. Add the prescribed dose of NPH insulin to the IV infusion
d. Ensure glucagon is readily available
d. Ensure glucagon is readily available
Glucagon and D50 are used for rapid treatment of hypoglycemia which can occur
when insulin is administered intravenously
A nurse is evaluating a client's understanding of lithium. Which statement by the
client indicates a need for further education?
Select one:
a. "I will contact my provider if I develop diarrhea."
b. "I should have my blood level drawn as directed."
c. "I will drink 8-12 glasses of water a day."
d. "I should take the medication on an empty stomach."
d. "I should take the medication on an empty stomach."
Lithium has a narrow therapeutic window which should be monitored closely
(Lithium therapeutic level: 0.4-1 mEq/L for maintenance therapy). Clients should
be taught about signs and symptoms of toxicity, and instructed to withhold
medication and notify provider if they develop.
A nurse is caring for a client taking captopril. Which finding would require
immediate attention for this client?
Select one:
a. Blood pressure 96/48
b. Pulse 56
c. Potassium 5.8
d. Sodium 133
c. Potassium 5.8
These findings are outside normal values. The B/P and pulse are both a bit low
and would warrant looking at patient baselines, plus assessing for symptoms
related to low B/P and pulse
A nurse is caring for a client taking captopril who has started experiencing a
frequent dry cough. What action should the nurse take?
Select one:
a. Notify the provider of the client's symptom.
b. Instruct the client to decrease the dosage of the medication.
c. Encourage the client to use over the counter cough syrup for the cough.
d. Encourage the client to continue taking the medication as prescribed.
a. Notify the provider of the client's symptom.
An adverse effect of ACE inhibitors is a cough related to inhibition of kinase II
which results in an increase in bradykinin. The provider should be notified if a dry
cough occurs so that the medication can be discontinued.
A nurse is caring for a client receiving total parenteral nutrition (TPN). Which of
the following outcomes best demonstrates that TPN therapy is effective?
Select one:
a. The client gains one kilogram per day.
b. The client's urinary output increases by 800 mL per day.
c. The client maintains an albumin level of 5.0 g/100mL.
d. The client reports less frequent bowel movements.
c. The client maintains an albumin level of 5.0 g/100mL.
When clients are on TPN therapy, laboratory values such as electrolytes, CBC,
BUN, and plasma glucose should be monitored closely. All laboratory values
should be within normal range. Normal range for albumin is 4.5-5.0 g/100ml.
A client with Type 1 diabetes has the following values from the morning
laboratory testing: fasting plasma glucose = 115 mg/dL and HgA1C = 7.5%. How
would a nurse interpret these values with regard to the client's glucose control?
Select one:
a. Short term values normal, long-term values elevated
b. Short term values elevated, long term values elevated
c. Short term values normal, long term values normal
d. Short term values elevated, long-term values normal
a. Short term values normal, long-term values elevated
Fasting plasma glucose is normal. Normal fasting plasma glucose range for the
diabetic client is 90-130 mg/dl.
HgA1C level is elevated. HgA1C normal level range is less than 7% with the
optimal range being 4-6% in the diabetic. HgA1C level indicates the client's
glucose average over the last 120 day period and is considered to be the best
indicator of long term glycemic control.
A nurse is reviewing the morning laboratory results while preparing to administer
a client their dose of digoxin. Which result would the nurse need to report to the
primary care provider? [Show Less]