ATI Pharmacology Proctored Exam, Test Bank (100 % of 313 Verified Questions and ALL CORRECT Answers), GRADED A+ latest update 2022/2023
. 6.) The burn
... [Show More] client is receiving treatments of topical mafenide acetate(Sulfamylon) tothe site of injury. The nurse monitors the client, knowing that which of the following indicates that a systemic effect has occurred? 1.Hyperventilation
2.Elevated blood pressure 3.Local pain at the burn site 4.Local rash at the burn site
7. 7.) Isotretinoin is prescribed for a client with severe acne. Before the administration of this medication, the nurse anticipates that which laboratory test will be prescribed?
1. Platelet count
2. Triglyceride level
3. Complete blood count
4. White blood cell count
8. 8.) A client with severe acne is seen in the clinic and the health care provider (HCP) prescribes isotretinoin. The nurse reviews the client's medication record and would contact the (HCP) if the client is taking which medication?
1. Vitamin A
2. Digoxin (Lanoxin)
3. Furosemide (Lasix)
4. Phenytoin (Dilantin)
9. 9.) The nurse is applying a topical corticosteroid to a client with eczema. The nurse would monitor for the potential for increased systemic absorption of the medication if the medication were being applied to which of the following body areas?
1. Back
2. Axilla
3. Soles of the feet
4. Palms of the hands
10. 10.) The clinic nurse is performing an admission assessment on a client. The nurse notes that the client is taking azelaic acid (Azelex). Because of the medication prescription, the nurse would suspect that the client is being treated for:
1. Acne
2. Eczema
3. Hair loss
4. Herpes simplex
1. Hyperventilation Rationale:
Mafenideacetate is a carbonic anhydraseinhibitor and can suppress renalexcretion of acid, thereby causing acidosis. Clients receiving this treatment should be monitored for signs of an acid-base imbalance (hyperventilation). If this occurs, the medication should be discontinued for 1 to 2 days. Options 3 and 4 describe local rather than systemic effects. An elevated blood pressure may be expected from the pain that occurs with a burn injury.
2. Triglyceride level Rationale:
Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be measured before treatment and periodically thereafter until the effect on the triglycerides has been evaluated. Options 1, 3, and 4 do not need to be monitored specifically during this treatment.
1. Vitamin A Rationale:
Isotretinoinis ametabolite of vitamin Aand canproducegeneralizedintensification of isotretinoin toxicity. Because of the potential for increased toxicity, vitamin A supplementsshould be discontinued beforeisotretinointherapy.Options 2, 3, and 4 are not contraindicated with the use of isotretinoin. [Show Less]