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.
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