ATI - RN Pharmacology Online Practice
2024 A
A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new
prescription for sucralfate. Which of the following actions of sucralfate should the nurse include
in the teaching? - ANS Forms a protective barrier over ulcers
Secretions by the parietal and chief cells, hydrochloric acid and pepsin, can further irritate the
ulcerated areas. Sucralfate, a mucosal protectant, forms a gel-like substance that coats the
ulcer, creating a barrier to hydrochloric acid and pepsin.
A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for
methylprednisolone. Which of the following instructions should the nurse include? (Select all
that apply.) - ANS Blood glucose levels will be monitored during therapy.
Avoid contact with people who have known infections.
Take the medication 1 hr before breakfast.
Decrease dietary intake of foods containing potassium.
Grapefruit juice can increase the effects of the medication.
Blood glucose levels will be monitored during therapy. The nurse should monitor the client for
hyperglycemia while providing methylprednisolone to the client. Glucocorticoids, such as
methylprednisolone, increase serum glucose levels and can require management with insulin or
antihyperglycemics.
Avoiding contact with people who have known infections is CORRECT. The nurse should
instruct the client to avoid exposure to infectious agents, such as contact with those who have
active infections or illnesses. Glucocorticoids, such as methylprednisolone, depress the immune
system, placing the client at an increased risk for developing an infection.
Taking the medication 1 hr before breakfast is incorrect. The nurse should instruct the client to
take the medication with food or milk to decrease gastrointestinal upset.
Decreasing dietary intake of foods containing potassium is incorrect. The nurse should instruct
the client to increase dietary intake of potassium-rich foods while taking this medication.
Glucocorticoids, such as methylprednisolone, deplete potassium in the body, which manifests as
hypokalemia.
Grapefruit juice can increase the effects of the medication. The nurse should instruct the client
that grapefruit and grapefruit juice can increase the level of methylprednisolone in the body.
, A nurse is providing discharge teaching about handling medication to a client who is to continue
taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of the following
information should the nurse include in the teaching? - ANS Store the unused medication sticks
in a storage container.
The nurse should instruct the client to store unused, used, or partially used medication sticks in
the safe storage container that comes in the kit when the medication is initially prescribed.
A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The
nurse should identify which of the following findings as an indication of hypokalemia? - ANS
Presence of U-waves
The nurse should identify the presence of U-waves as a manifestation of hypokalemia, an
adverse effect of furosemide.
A nurse is caring for a client who has cancer and is taking oral morphine and decussate sodium.
The nurse should instruct the client that taking the decussate sodium daily can minimize which
of the following adverse effects of morphine? - ANS Constipation
Constipation is a common adverse effect of morphine that can be minimized by taking docusate
sodium, a stool softener that promotes easier evacuation of stool by increasing water and fat in
the intestine.
A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The
nurse should monitor the client for which of the following adverse effects? - ANS Bibasilar
crackles
Mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary edema. Therefore, the
nurse should recognize lung crackles as an indicator of a potential complication and stop the
infusion.
A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for
famotidine. Which of the following instructions should the nurse include? - ANS Report
yellowing of the skin.
Famotidine can be hepatotoxic and cause jaundice. The nurse should instruct the client to
monitor for and report yellowing of the skin or eyes to the provider.
A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes
the client has anxiety, hypotension and dyspnea. Which of the following medications should be
administered first? - ANS Epinephrine
According to evidence-based practice, the nurse should administer epinephrine first to induce
vasoconstriction and bronchodilation during anaphylaxis.
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