ATI Pharmacology Proctored Exam Remediation
Adjuvant Medications for Pain: Adverse Effects of Hydroxyzine (RN QSEN - Safety, Active Learning Template -
... [Show More] Medication, RM Pharm RN 7.0 Chp 37)
●Sedation
○Advise clients to avoid hazardous activities, such as driving or operating heavy machinery
○Reduce dosage in older adults
●Dry mouth
○Advise clients to increase fluid intake, sip fluids throughout the day, and chew sugarless gum or suck on hard sugarless candy
Blood and Blood Products: Priority Finding of Fluid Overload (Active Learning Template - System Disorder, RM Pharm RN 7.0 Chp 27)
●Cough, shortness of breath, crackles, hypertension, tachycardia, distended neck veins
●If manifestations occur, stop the transfusion, place the client in a sitting position with legs down, and notify the provider
●Administer diuretics and oxygen as appropriate and monitor I&O
Antibiotics Affecting the Bacterial Cell Wall: Plan of Care for Client Administered Antibiotics (Active Learning Template - Medication, RM Pharm RN 7.0 Chp 44)
●Monitor for allergic reactions to penicillin and cross-sensitivity to penicillin
●Monitor for adverse reactions to antibiotics
●Instruct clients to complete the entire course of therapy, even if symptoms resolve Chemotherapy Agents: Monitoring for Toxicity (Active Learning Template - Medication, RM Pharm RN 7.0 Chp 42)
●Methotrexate can cause reproductive toxicity
○Advise female clients against becoming pregnant while taking this medication and for 6 months after
●Mercaptopurine can cause liver toxicity and reproductive toxicity
○Liver: monitor liver enzymes and for signs of jaundice
○Reproductive: advise female clients against becoming pregnant while taking this medication and for 6 months after
●Asparaginase can cause liver, pancreas, and renal toxicity
○Liver and pancreas: monitor liver enzymes, indications of jaundice, and also monitor pancreatic enzymes
○Renal: monitor kidney function; increase fluids and administer a diuretic if indicated
Depressive Disorders: Adverse Effects of Sertraline (RN QSEN - Safety, Active Learning Template - Medication, RM Pharm RN 7.0 Chp 8)
●Sexual dysfunction: anorgasmia, impotence, decreased libido
●CNS stimulation: inability to sleep, agitation, anxiety
●Weight loss early in therapy; can be followed by weight gain with long-term treatment
●Serotonin syndrome: can begin 2 to 72 hours after starting treatment and can be lethal
●Withdrawal syndrome: resulting in headache, nausea, visual disturbances, anxiety, dizziness, and tremors
●Hyponatremia: more likely in older adult clients taking diuretics
●Rash
●Sleepiness, faintness, lightheadedness
●Gastrointestinal bleeding
●Bruxism [Show Less]