ATI Pharmacology Nursing 2022
1. A nurse is caring for a client who has acute respiratory distress syndrome (ARDS), and requires mechanical
... [Show More] ventilation. The client receives a prescription for pancuronium. The nurse recognizes that this medication is for which of the following purposes?
A. Decrease chest wall compliance
C. Induce sedation
D. Decrease respiratory secretions
2. A nurse is caring for a client who is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication?
B. Increase of HDL cholesterol
C. Prevention of bipolar manic episodes
D. Improved sexual function
3. A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?
A. Draw a trough level at 0900 and a peak level at 2100.
B. Draw a peak level 90 min prior to administering the medication and a trough level 90 min after the dose.
D. Draw a peak level at 0900 and a trough level at 2100.
4. A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports having discontinued the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause of the client's distress?
A. The client demonstrated an allergic response to the medication.
B. The client experienced a common side effect to the medication.
D. The client took an overdose of the medication.
5. A nurse on an oncology unit is preparing to administer doxorubicin to a client who has breast cancer. Prior to beginning the infusion, the nurse verifies the client's current cumulative lifetime dose of the medication. For which of the following reasons is this verification necessary?
A. An excess amount of doxorubicin can lead to myelosuppression.
B. Exceeding the lifetime cumulative dose limit of doxorubicin might cause extravasation.
D. Exceeding the lifetime cumulative dose limit of doxorubicin might produce red tinged urine and sweat.
6. A nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?
A. The medication is to be applied when the client is experiencing eye pain.
B. The medication will be used until the client's intraocular pressure returns to normal.
D. The medication is to be used for approximately 10 days, followed by a gradual tapering off.
7. A nurse is providing teaching to a client who has emphysema and a new prescription for theophylline. Which of the following instructions should the nurse provide?
A. Consume a high-protein diet.
B. Administer the medication with food.
D. Increase fluids to 1L/per day.
8. A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?
A. "I will notify my doctor before taking any other medications."
B. "I have made an appointment to see my dentist next week."
C. "I know that I cannot switch brands of this medication."
9. A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?
A. "I can walk a mile a day."
B. "I've had a backache for several days."
C. "I am urinating more frequently."
10. A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia. The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals. Which of the following responses should the nurse make?
A. "Taking the medication between meals will help you avoid becoming constipated."
B. "Taking the medication with food increases the risk of esophagitis."
D. "The medication can cause nausea if taken with food."
11.A A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?
A. Glucose
C. Potassium
D. Bicarbonate
12.A A nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as part of antiretroviral therapy. The nurse should monitor the client for which of the following adverse effects of this medication?
A. Cardiac dysrhythmia
B. Metabolic alkalosis
C. Renal failure [Show Less]