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Pharm vers 1 2019 1 - Exam.
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Pharm vers 1 2019 1 - Exam.
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lOMoARcPSD|16248954Pharm vers 1 2019 1 - Exam
nursing (Chamberlain University)
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, lOMoARcPSD|16248954
Version 1 2019
1. A nurse is caring for a client who is taking phenytoin, for which of the following adverse effects should the
nurse monitor and report to the provider
a. Cognitive impairment
b. Tachycardia
c. Elevated blood pressure (HYPOTENSION and DYSRHYTHMIAS)
d. Tinnitus
Phenytoin (Dilantin) - Anticonvulsant. monitor for any manifestations of CNS effects (such as cognitive
impairment), notify the provider if they occur. (p. 96 ATI PHARM)
2. MISSING
3 MISSING
4. A nurse is teaching a client who has a history of acute myocardial infarction about taking metoprolol to treat
angina. Which of the following instructions should the nurse include? Page 158
a. Stop taking the medication if you become dizzy (NEVER discontinue abruptly)
b. Check your pulse rate daily (Bradycardia, withhold if pulse under 50)
c. Expect to see an increase in your urinary output
d. Call you provider if you lose more than 1 pound per week (complication of decreased CO - weight gain -
call provider)
metropolol (Lopressor) - Beta Blockers. Beta1 - affects only the heart. Decreases HR - decreases myocardial
contractility
5. A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After
assessing the client’s respiratory status and stopping the medication infusion, which of the following actions
should the nurse take next?
A. Elevate the client’s legs and feet (Raises BP & pulse, maybe just supplementary though)
B. Administer epinephrine IM (Only thing that’ll stop the reaction immed, first line treatment)
C. Replace the solution with with 0.9 % sodium chloride
D. Give diphenhydramine IM
Rationale: If manifestations occur, stop transfusion (ATI’s specific to BLOOD TRANSFUSION, but wouldn’t you still
give epi?), notify provider, and then keep IV line open with NS (in this case, replace the bag with NS?) Then, Have
epi ready for IM or IV injection. Or do you elevate the legs? LOL
6. A nurse is assessing a client who is receiving OXYTOCIN via continuous IV infusion for labor augmentation.
The nurse notes six contractions in a 10 minute period with a nonreassuring FHR. Which of the following
actions should the nurse take first ?
a. Administer Terbutaline 0.25 mg subcutaneously
b. Discontinue the oxycontin IV infusion (INC flow to fetus, control contractions, but not priority)
c. Turn the client on the left side (greatest risk is injury from uteroplacental insufficiency, priority!)
d. Apply oxygen at 10 L / min via face mask
Rationale: Idk. I hate maternity. Someone else rationalize this shit.
Looking through Padgham’s OB notes, reposition goes first apparently. And then I have a note on the bottom, per
TB, O2 first.
7. A nurse is administer lactated ringer's solution at 100ml/hr. The drop factor of the manual IV tubing is 15
gtt/ml. The nurse should set the manual IV infusion to deliver how many drops per minute? Round the answer
to the nearest whole number? mL / min x gtts
100 x 15/60 = 25 gtt/min
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