ATI Pharm Practice B Questions and Answers with Complete Solutions.
A nurse is reviewing the medication administration record for a client who has a
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prescription for tobramycin to treat a pulmonary infection. Which of the following
medications should the nurse identify as increasing the risk for ototoxicity while taking
tobramycin?
A. Furosemide
B. Propranolol
C. Gabapentin
D. Guaifenesin
Correct ans - A. Furosemide
Rationale: Tobramycin is an aminoglycoside antibiotic that can cause ototoxicity.
Furosemide is a diuretic that also can cause ototoxicity. The client's risk for hearing loss
is increased if receiving both of these medications at the same time.
B. Propranolol
- Propranolol is a beta blocker that does not interact with tobramycin.
C. Gabapentin
- Gabapentin is an anticonvulsant that does not interact with tobramycin.
D. Guaifenesin
- Guaifenesin is an expectorant that does not interact with tobramycin.
A nurse is reinforcing teaching with a client who is newly diagnosed with HTN and is
taking metoprolol. The nurse should instruct the client to report which of the following
manifestations to the provider as an AE of this medication?
A. Tachycardia
B. Tinnitus
C. Peripheral edema
D. Urinary retention
Correct ans - C. Peripheral edema
Rationale: The nurse should instruct the client to monitor for and report the development
of peripheral edema because this can be an indication of heart failure, which is an
adverse effect of metoprolol.
A. Tachycardia
- Bradycardia
B. Tinnitus
- Blurred vision
D. Urinary retention
ATI Pharm Practice B with Complete Solution
- Urinary frequency
A nurse is caring for a client who has schizophrenia and is to start therapy with
risperidone. For which of the following manifestations should the nurse monitor to
determine whether the tx is effective?
A. Improved social interactions
B. Decreased obsessive-compulsive thoughts
C. Decreased hand tremors
D. Improved urinary control
Correct ans - A. Improved social interactions
Rationale: Clients who have schizophrenia typically have difficulty interacting with
others and maintaining relationships. Manifestations can include dull affect and speech
deficiency. Risperidone is an atypical antipsychotic that can minimize these
manifestations, improving social interactions with others.
B. Decreased obsessive-compulsive thoughts
- Risperidone does not decrease obsessive-compulsive thoughts. Clients who have
obsessive-compulsive disorder might take an SSRI, such as fluoxetine, to decrease
obsessive-compulsive thoughts.
C. Decreased hand tremors
- Risperidone does not decrease hand tremors. Clients who have bipolar disorder might
take a beta-adrenergic blocking agent, such as propranolol, to decrease hand tremors.
D. Improved urinary control
- Risperidone does not improve urinary control. Clients who have an overactive bladder
might take oxybutynin to reduce urinary urgency and frequency, nocturia, and urge
incontinence. [Show Less]