ATI pharm proctored Exam With Verified Answers

Safe Medication Administration and Error Reduction: Identify a Situation Requiring an Incident Report (Active Learning Template - Basic Concept, RM Pharm RN 7.0 Chp 2) - Answer - Wrong medication or IV fluid - Incorrect dose or IV rate - Wrong client, route, or time - Administration of an allergy‐inducing medication - Omission of a dose or administration of extra doses - Incorrect discontinuation of a medication or IV fluid - Inaccurate prescribing - Inadvertently giving a medication that has a similar name Treatment of Malignant Hyperthermia-Ch.15 - Answer - Stop succinylcholine and other anesthetics. -Administer oxygen at 100%. -Initiate cooling measures including administration of iced 0.9% sodium chloride, applying a cooling blanket, and placing ice bags in groin and other areas. -Administer dantrolene to decrease metabolic activity of skeletal muscle. Substance Use Disorders: Treatment for Cocaine Toxicity (Active Learning Template - System Disorder, RM Pharm RN 7.0 Chp 12) - Answer Benzodiazephone (lorazepam, diazepam, chlordiazepoxide, oxazepam) naloxone watch glucose Adverse Effects, Interactions, and Contraindications: Using an Epinephrine Auto-Injector (RN QSEN - Patient-centered Care, Active Learning Template - Medication, RM Pharm RN 7.0 Chp 5) - Answer for anaphylactic shock tachycardia arrythmias (v. fib) can inject through clothes if necessary Antibiotics Affecting Protein Synthesis: Aminoglycosides and Adverse Effects (RN QSEN - Teamwork and Collaboration, Active Learning Template - Medication, RM Pharm RN 7.0 Chp 45) - Answer "Mycin" ototoxicity - hearing/balance loss nephrotoxicity - look @ bun, creatinine, i/o neuromuscular blockade- weakness, resp. depression hypersensitivity streptomycin = neurological disorder - optic nerve, tingling/numb, peripherial neuritis Airflow Disorders: Teaching About Theophylline (RN QSEN - Patient-centered Care, Active Learning Template - Medication, RM Pharm RN 7.0 Chp 17) - Answer Xanthines bronchodilator avoid caffeine missed dose doesnt mean doubling swallow whole will need levels monitores prriodic glucose monitoeing report toxicity - nausea, diarrhea, restlessness Individual Considerations of Medication Administration: Client Medication Interactions (RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 45 - Answer erythomycin shouldnt mix with -antihistamines -warfarin -digoxin -thophylline -HIV protease inhibitors -verapamil -diltiazem (bc toxicity) penicillin and aminoglycosides cant mix inIV aminoglycosides and loop diuretics increase hearing/balance issues Antibiotics Affecting Protein Synthesis: Planning Care for a Client Prescribed Erythromycin Lactobionate (RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 45 - Answer used if pt. has penicillin allergy IV if severe watch liver function if longterm administer with meals watch for hearing/balance issues Medications Affecting Coagulation: Over-The-Counter Products That Interact With Warfarin (RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 25) - Answer aspirin, acetaminophen, glucocorticoids - increase effects of warfarin - increases bleeding Medications Affecting Labor and Delivery: Priority Findings for a Client Who Received Dinoprostone (RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 32) - Answer (stimulates uterine contractions, softens cervix) watch for uterine tachysystole -excessive contraction dont give with cesarean birth, fetal disress, vaginal bleeding Peptic Ulcer Disease: Providing Medication Instructions (Active Learning Template - Medication, RM Pharm RN 7.0 Chp 28) - Answer report N/V diarrhea constipation antacids - chew entirely and drink with 8 oz glass of water or milk Nonopioid Analgesics: Identifying Contraindications (RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 35 - Answer NSAIDS -bleeding disorders -chicken pox/flu -peptic ulcer disease acetaminophen -pts who drink daily -taking warfin Client Education for Adrenergic Beta Blockers-Ch.20 - Answer rise slowly, report sob, dizziness, confusion, depression Miscellaneous Central Nervous System Medications: Treatment for Muscarinic Poisoning (Active Learning Template - Medication, RM Pharm RN 7.0 Chp 15) - Answer OXYBUTYNIN BETHANESCHOL Neostigmine and edrophonium -----reverse neuromuscular blockade caused by nondepolarizing neuromuscular blocking agents after surgical procedures and overdose. dont take with antihistamines Antibiotics Affecting the Bacterial Cell Wall: Adverse Reactions (RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 44) - Answer penicillin - anaphylaxis, renal impairment, hyperkalemia, dysrthythmias, hypernatremia cephalosporins - anaphylaxis, bleeding, renal issues, pain @ injections, pseudomembrasnous colitis (loook for diarrhea) carbapenema - hypersensitivity, GI upset Chemotherapy Agents: Identifying Adverse Effects of Cyclophosphamide (RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 42) - Answer acute hemorrhagic cyctitis - look for blood in urine, increase fluids ** mensa is a protective agent you can give alopecia Airflow Disorders: Teaching About Cromolyn - Answer TAKES EFFECT IN 15 MINUTES, USE BEFORE EXERCISE Airflow Disorders: Therapeutic Action of Montelukast