Pharmacology ATI Capstone Pre-Test| Questions Answered 100% Correct 2024

Pharmacology ATI Capstone Pre-Test| Questions Answered 100% Correct 2024 The nurse knows that a client with renal insufficiency should be re-evaluated for best diabetic management, when it is noted, the client is on metformin. What is the reason metformin is contraindicated for clients who have renal insufficiency? Select one: a. The medication increases potassium excretion. b. The medication decrease renal perfusion. c. The medication increases glucose productions. d. The medication increases the risk of lactic acidosis. The medication increases lactic acidosis. The medication does not decrease renal perfusion, increase potassium excretion or increase glucose production. A client prescribed the tricyclic antidepressant, amitriptyline has been on the medication for three weeks. The client vocalizes increased mood, but complains of anticholinergic effects. What is an example of an anticholingeric adverse effect? Select one: a. Anxiety b. Urinary retention c. Orthostatic hypotension d. Sedation Anticholinergic effects include dry mouth, blurred vision, photophobia, urinary retention, constipation and tachycardia. Orthostatic hypotension, sedation and anxiety are not associated with anticholingeric effects. A nurse is preparing to administer bisacodyl suppository to a client. Which of the following actions should the nurse take? (Select all that apply) a. Don sterile gloves b. Lubricate index finger c. Use a rectal applicator for insertion d. Position client supine with knees bent. e. Insert suppository just beyond internal sphincter. Which of the following are contraindications to salicylate acid therapy? (Select all that apply) a. Third trimester pregnancy b. Thrombocytopenia c. Coronary artery disease d. Adolescents with chickenpox e. Deep Vein Thrombus {Ans: - a. Third Trimester Pregnancy b. Clients with bleeding disorders and thrombocytopenia d. Children and Adolescents with Chickenpox A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client. What is the sequence of events the nurse should follow? {Ans: - 1. Inspect vials for contaminants 2. Roll NPH vial between palms of hands 3. Inject air in to the NPH insulin vial 4. Inject air into the regular insulin vial 5. Withdraw short-acting insulin into syringe 6. Add intermediate insulin to syringe A nurse is caring for a client who is prescribed warfarin therapy for an artificial heart valve. Which of the following laboratory values should the nurse monitor for a therapeutic effect of warfarin? a. hemoglobin (Hgb) b. Prothrombin time (PT) c. Bleeding time d. Activated partial thromboplastin time (aPTT) The test is used to monitor warfarin therapy. For a client receiving full anticoagulant therapy, the PT should typically be approximately two to three times the normal value, depending on the indication for therapeutic anticoagulation.