ATI Pharmacology 2019 B, Pharmacology Practice 2019 A

ATI Pharmacology 2019 B, Pharmacology Practice 2019 A

Terms in this set (120)

Nurse contacts a pt's provider on telephone to

obtain prescription for pain med. Which of

following actions should nurse take?

Have the provider spell out the unfamiliar medication names.

The nurse should ask the provider to spell out the name of the medication if the

stated name is one the nurse is not familiar with.

Nurse in clinic is caring for a pt who is taking aspirin

for Tx of arthritis. Nurse should identify which of

following findings as indication that pt is beginning

to exhibit salicylism?

Tinnitus

Tinnitus is a manifestation of aspirin toxicity, also called salicylism. Other

manifestations include sweating, headache, and dizziness.

Circulating nurse is planning care for pt who is

schedule for surgery and has latex allergy. Which of

following actions should nurse include in plan of

care?

Place monitoring cords and tubes in a stockinet.

The nurse should place monitoring devices in a stockinet to prevent direct contact

with the client's skin.

Nurse is assessing pt who is receiving epoetin alfa

to Tx anemia. Which of following findings should

nurse monitor?

Increased blood pressure

The therapeutic effect of epoetin alfa is an increase in hematocrit levels, which can

result in an increase in a client's blood pressure. If the client's hematocrit level rises

too rapidly, hypertension and seizures can result. The nurse should monitor the

client's blood pressure and ensure hypertension is controlled prior to

administering the medication.

Nurse is preparing to administer

hydrochlorothiazide to pt. Which of following

actions should nurse take prior to administering the

med?

Obtain the client's blood pressure.

HCTZ is a thiazide diuretic administered to promote urine output and reduce

blood pressure and edema. The nurse should obtain the client's blood pressure

prior to administration of the medication.

Nurse is caring for pt who is receiving Tx for opioid

use disorder. Which of following medications

should nurse expect to administer?

Methadone

The nurse should expect to administer methadone for treatment of opioid use

disorder. Methadone can be administered for withdrawal and to assist with

maintenance and suppressive therapy.

The nurse should administer bupropion to assist the client with smoking cessation.

The nurse should administer disulfiram as an aversion therapy to assist with

maintaining abstinence from alcohol.

The nurse should administer modafinil to assist with the fatigue and prolonged

sleep from methamphetamine withdrawal.

Nurse is reviewing medical record of pt who has

HTN. Nurse should identify which of following

findings as contraindication for receiving

propranolol?

Asthma

Asthma is a contraindication for receiving propranolol. Propranolol is an

adrenergic antagonist which blocks the beta2 receptors in the lungs, causing

bronchoconstriction and leading to serious airway resistance and possibly

respiratory arrest.

Nurse is caring for pt who has pneumonia. Pt tells

nurse she is pregnant and that she hasn't told

provider yet. Nurse should identify that pregnancy

is contraindicated for receiving which of following

meds?

Doxycycline

Doxycycline is a tetracycline antibiotic. The nurse should identify that doxycycline

can cause teratogenic effects such as staining of the infant's teeth when exposed

to this medication. Therefore, this medication is contraindicated for the client.

Nurse is teaching about self-administration of

transdermal medication w/ male pt who has new

prescription for nitroglycerin. Nurse should identify

that which of following statements by pt indicates

understanding of teaching?

"I will remove the patch after 14 hours."

The client should remove the patch after 12 to 14 hr to prevent tolerance of the

medication.

Nurse is administering cefotetan via intermitten IV

bolus to pt who suddenly develop dyspnea and

widespread hives. Which of following actions

should nurse take 1st?

Discontinue the medication IV infusion.

The greatest risk to the client is respiratory arrest from anaphylaxis. Therefore, the

first action the nurse should take is to discontinue the medication IV infusion to

prevent the client from receiving more medication. However, the nurse should not

remove the IV catheter. Instead, the nurse should change the tubing and

administer 0.9% sodium chloride by continuous IV infusion.

Nurse administers ceftazidime to pt who has severe

penicillin allergy. Nurse should identify which of

following pt findings as indication that she should

complete incident report?

The client reports shortness of breath.

A severe penicillin allergy is a contraindication for taking ceftazidime, a

cephalosporin antibiotic, due to the potential for cross-sensitivity. Shortness of

breath can indicate the client is developing anaphylaxis.

Nurse is preparing newly licensed nurse who is

caring for 4 pts. Nurse should complete incident

report for which of following actions by newly

licensed nurse?

Administers isosorbide mononitrate to a client who has BP 82/60 mm Hg

Isosorbide mononitrate is a nitrate used for clients with angina. Taking isosorbide

mononitrate leads to vasodilation, which can result in hypotension. The nurse

should withhold the medication and notify the provider if the client's systolic blood

pressure is below the expected reference range of 120/80.

Nurse is planning to teach about inhalant meds to

pt who has new Dx of exercise-indused asthma.

Which of following weds should nurse plan to

instruct pt to use prior to physical activity?

Cromolyn

Cromolyn sodium stabilizes mast cells, which inhibit the release of histamine and

other inflammatory mediators. The client should use cromolyn 10 to 15 min before

planning to exercise to prevent bronchospasms.

Nurse is caring for pt who is taking atorvastatin for

hyperlipidemia. Which of following client lab values

should nurse monitor?

Creatinine kinase

The client who is taking atorvastatin can develop an adverse effect called

rhabdomyolysis, which causes muscle weakness or pain and can progress to

myositis. Creatinine kinase levels rise in response to enzymes released with muscle

injury.

Nurse is preparing to mix and administer

dantrolene via IV bolus to pt who had developed

MH during surgery. Which of following actions

should nurse take?

Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic

agent.

The nurse should dilute the medication with 60 mL of sterile water without a

bacteriostatic agent and inject rapidly.

Nurse is providing teaching to pt who is to start

therapy w/ digoxin. For which of following adverse

effects should nurse instruct pt to monitor and

report to provider?

Yellow-tinged vision

The nurse should instruct the client to monitor for and report yellow-tinged vision,

which is a sign of digoxin toxicity. Other manifestations of digoxin toxicity include

nausea, vomiting, loss of appetite, and fatigue. As the digoxin levels increase, the

client can experience cardiac dysrhythmias.

Nurse is providing teaching to pt who is to start

taking sumatriptan. Which of following adverse

effects should nurse instruct pt to monitor for and

report to Dr?

Chest pressure

Sumatriptan is an antimigraine agent which can cause coronary vasospasms,

resulting in angina. The client should report chest pressure or heavy arms to the

provider.

Nurse is planning discharge teaching for pt who has

prescription for furosemide. Nurse should plan to

include which of following statements in teaching?

"Drink a glass of milk with each dose of medication."

The client should take furosemide with food or milk to reduce gastric irritation.

Nurse is teaching about zolpidem to pt who has

insomnia. Nurse should identify that which of

following pt statements indicates an understanding

of teaching?

"I will use this medication for a short period of time."

Zolpidem is used for short-term treatment of insomnia. Therefore, the provider

should reassess the client before refilling the prescription.

Nurse is providing teaching to pt who has new

prescription for ferrous sulfate. Nurse should

instruct pt to take med w/ which of following to

promote absorption?

Orange juice

The absorption of ferrous sulfate is enhanced by a vitamin C source, such as

orange juice.

Nurse is teaching about new prescription to pt who

has new UTI. Nurse should identify which of

following statements as an indication that pt

understands teaching?

"I will report any signs of tendon pain or swelling."

Ciprofloxacin, a fluoroquinolone, is associated with a risk of tendon rupture. This

risk is increased in older adult clients, so the client should notify the provider at the

onset of tendon pain or swelling.

Nurse is providing teaching to pt who has

prescription for trimethoprim/sulfamethoxazole.

Which of following instructions should nurse

include in teaching?

Drink 8 to 10 glasses of water daily.

MYANSWER

The nurse should instruct the client to increase water intake to 1,920 to 2,400 mL

(65 to 81 oz) a day to decrease the chance of kidney damage from crystallization.

The nurse should instruct the client to take the medication on an empty stomach

either 1 hr before or 2 hr after meals.

The nurse should instruct the client to notify the provider if a rash develops,

because this can be an indication of Stevens-Johnson syndrome. However, the

client should not expect to have a fine, red rash as a transient effect.

The nurse should inform the client to store trimethoprim/sulfamethoxazole in a

light-resistant container at room temperature.

Nurse is caring for pt who is receiving end-of-life

care and has prescription for fentanyl patches.

Which of following information regarding adverse

effects of fentanyl should nurse plan to give to pt

and family?

Take a stool softener on a daily basis.

Constipation is an adverse effect of opioid use. Stool softeners can decrease the

severity of this adverse effect.