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Ati Pharm test 1

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Exam of 105 pages for the course ATI FUNDAMENTALS PROCTORE at ATI FUNDAMENTALS PROCTORE (Ati Pharm test 1)

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  • June 3, 2024
  • 105
  • 2023/2024
  • Exam (elaborations)
  • Unknown

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  • ATI FUNDAMENTALS PROCTORE
  • ATI FUNDAMENTALS PROCTORE

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Ati Pharm test 1-5 graded A+ year 2022/2023 with Questions and correct answers The student is providing a pr esentation to the class regarding concepts in pharmacodynamics. Which statement made by a student in the class best demonstrates understanding of pharmacodynamics? - ANSWER -"receptor binding is the main component of pharmocodynamics" The nurse is administ ering morning medications. A patient questions the nurse, "How does the drug know where to go?" The nurse's best response to the patient is based on the understanding that a drug that elicits only those responses for which it is given is considered - ANSWE R-selective A nurse is teaching a continuing education class on pharmacology. The nurse is evaluating the participants' knowledge and poses the question, "When a disease process triggers increased metabolism of the drug, the disease has altered the drug's ___________." - ANSWER -pharmacokinetics A patient with type I diabetes mellitus comes to the clinic with complaints of low blood sugar. The nurse questions the patient regarding compliance with medications. The patient states that she gives herself more insulin per dose so she doesn't have to take it as often. Which factors should the nurse educate the patient about as affecting the patient's response to the medication? - ANSWER -administration A patient with a history of hepatomegaly secondary to cirrhos is is admitted to a medical -surgical unit. Among the patient's many medications, acetaminophen (Tylenol) is prescribed. The nurse understands that this drug should not be used in patients with impaired liver function. Which term describes the nurse's under standing of the relationship between acetaminophen and its use in patients with impaired liver function? - ANSWER -a contraindication The nurse reads the prescriber's orders and prepares to administer a medication "as needed." Which order would the nurse plan to implement? - ANSWER -Acetaminophen (Tylenol) 650 mg I PO q 4 hours prn The nurse is caring for several patients and prepares to administer morning medications. Which high -risk patient should the nurse monitor most carefully after the drugs are administered? - ANSWER -The young adult patient with a history of kidney disease The charge nurse has just received report from another nur se, who is ill and going home. The nurse gave medications to his patients about 40 minutes ago. The charge nurse is prioritizing which patient should be seen first based on the nurse's report. Which patient should the charge nurse assess first? - ANSWER -
A patient with multiple allergies, just started on a new medication with complaints of pruritus The nurse is preparing to administer medications to a patient admitted with a left total knee replacement. As part of the preadministration assessment, the nurse would first... - ANSWER -check the patient's arm band for allergies. Prior to the administration of penicillin, a nurse reviews medication literature regarding precautions associated with penicillin. For which patient would the nurse most likely consider these precautions warranted? - ANSWER -A patient who reports a history of a mild rash from penicillin taken 7 years ago A nurse on a busy orthopedic unit is preparing to administer morning medications. Which aspect of the assessment would be most important prior to the administration of an antihypertensive agent PO? - ANSWER -Patient's blood pressure prior to administration A nurse is preparing to administer medications. Which patient would the nurse consider to have the greatest predisposition to an advers e reaction? - ANSWER -A 30 -year -old male with kidney disease. A nurse is providing education to a patient preparing for discharge from the clinic. What is the best way for the nurse to promote compliance in the patient going home on a new medication? - ANSWER -Ask the patient to restate the instructions and verify understanding. A female patient comes to the clinic and is prescribed tetracycline. She tells the nurse, "I'm allergic to tetracycline. I always get a yeast infection when I take it." The nurse's best response would be... - ANSWER -"Tell me about other reactions or changes you experience when you take tetracycline." A nurse is obtaining a health history from a patient. The nurse suspects a drug -drug interaction and instructs the patient to list eve ry medication he is taking. Which statement would indicate that the patient needs further teaching regarding inclusion of medication history? - ANSWER -The patient would be correct to omit listing his daily use of herbal teas. A nurse educator is providing a continuing education class on pharmacology. To evaluate the learning of the nurses in the class, the nurse educator asks, "Which drug name is a generic drug name?" - ANSWER -
Acetaminophen A researcher working for a pharmaceutical company is providing or ientation to a new nurse researcher. The researcher determines that further education is needed when the nurse states that... - ANSWER -
clinical testing phase 2 involves normal volunteers. A nurse is providing discharge teaching about an opiate analgesic f or a patient. The nurse correctly tells the patient that the greatest potential for abuse exists with drugs from which schedule? - ANSWER -I A prescriber orders a drug that is considered "off label." A patient asks what "off label" means. The nurse correct ly explains that "off label" means that a drug is - ANSWER -FDA approved for one use but is being prescribed for another purpose. What was the rationale for the 1992 changes in the Food and Drug Administration's regulations to permit accelerated approval o f drugs for the treatment of life -threatening or severely debilitating disease? - ANSWER -To ensure that the unknown risks associated with early approval are balanced by the need for effective drugs The nurse has just administered diphenhydramine (Benadryl) and morphine sulfate to a patient. An hour has passed, and the nurse is checking on the patient. The patient asks the nurse why he feels so drowsy. The nurse's best response would be - ANSWER -"Both of these drugs pass the blood -brain barrier, resulting in sedation." Two nurses are discussing drugs that are affected by the first -pass effect. The nurses understand that a prime example of a drug affected by the first -pass effect is _____ given _____. - ANSWER -nitroglycerin; orally A nurse administers warfarin (Coumadin) to a patient who is concurrently taking drug X, which also is highly protein bound. The nurse would anticipate that drug X will act at the receptor site as a - ANSWER -
competitive antag onist A patient is being discharged home on enteric -coated aspirin (Ecotrin). A nurse is providing patient education regarding the rationale for the enteric coating. Which statement made by the patient indicates understanding of the purpose of the enteric coating on the aspirin? - ANSWER -Enteric coating means that the acids of the gut will not destroy the aspirin The nurse is preparing to administer a medication via the parenteral route. Which medication order best demonstrates this route of administratio n? - ANSWER -Insulin NPH 30 units subcutaneously A patient is receiving morphine sulfate 4 mg intravenously every 3 hours for pain. The nurse understands that the half -life for morphine sulfate is approximately 3 hours. Which statement made by the nurse be st demonstrates understanding of the meaning of half -life? - ANSWER -The half life of a medication refers to the time required for the amount of drug in the body to decrease by 50% A nurse is having a discussion with another nurse regarding the narrow ther apeutic range of a particular drug. A patient has been taking this drug for 1 week. What is the most significant implication for the nurse who is caring for this patient? - ANSWER -The patient should be monitored carefully for toxicity. A prescriber has wr itten an order for a pain medication: Drug X 50 mg PO every 6 hours. The patient has had right arm pain since surgery, rated as a 7 on a scale of 0 to 10, with 10 being the greatest pain. The half-life for the drug is approximately 12 hours. The nurse shou ld first take which action? - ANSWER -The nurse should question the frequency of the medication. An adult male patient is 1 day postoperative from a total hip replacement. The patient is rocking back and forth with a facial grimace. On a pain scale of 0 to 10, with 10 being the greatest pain, the patient reports a pain level of 10. Which medications would be most appropriate for the nurse to administer to this patient? - ANSWER -6 mg morphine sulfate intravenously A patient with a history of cardiac problem s is admitted to a telemetry unit. The prescriber orders digoxin (Lanoxin) at a high dose for 2 days, followed by a lower dose thereafter. What is the nurse's best action? - ANSWER -Administer the drug per the prescription, recognizing that a loading dose, followed by a maintenance does, is being given A prescriber has just ordered a medication for a patient and has ordered a larger dose than is normally indicated. The patient questions the nurse and asks why the dose is so large. The nurse would be correct to explain that - ANSWER -the initial dose is sometimes higher to reach a therapeutic level more quickly.

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