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ATI RN Pharmacology 2019 A EXAM QUESTIONS AND ANSWERS 100 % PASS A+ GRAD
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ATI RN Pharmacology 2019 A EXAM QUESTIONS AND ANSWERS 100 % PASS A+ GRAD
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ATI RN Pharmacology 2019 A EXAM 2024-2025 QUESTIONS ANDANSWERS 100 % PASS A+ GRADE
A nurse is assessing a client who has schizophrenia and is taking haloperidol. The nurse should report
which of the following findings to the provider as a manifestation of neuroleptic malignant syndrome
(NMS)?
a. temperature of 39.7 C (103.5 F)
b. urinary retention
c. heart rate 56/min
d. muscle flaccidity - answer>>d. temperature of 39.7 C (103.5 F)
-the nurse should report fever to the provider as an indication of NMS, an acute life-threatening
emergency. Other manifestations can include respiratory distress, diaphoresis, and either hyper- or
hypotension
-incontinence, tachycardia, and severe muscle rigidity are also manifestations of NMS
A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of
the following findings should the nurse identify as an adverse effect of the medication?
a. cough
b. joint pain
c. alopecia
d. insomnia - answer>>d. insomnia
-bupropion, an atypical antidepressant, has stimulant properties, which can result in agitation,
tremors, mania, and insomnia
-bupropion can cause neurologic adverse effects such as bradykinesia
-bupropion can cause adverse effects such as changes in vision and hearing
A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following
findings should the nurse report to the provider immediately?
a. dyspepsia
,b. diarrhea
c. dizziness
d. dyspnea - answer>>d. dyspnea
-when using the airway, breathing, circulation approach to client care, the nurse should report the
adverse effect of dyspnea, caused by bronchoconstriction, to the provider first. Bronchospasm,
dyspepsia, diarrhea, and dizziness are caused by the increase in acetylcholine levels, which is a
primary effect of donepezil
-all of these answers should be reported to the provider, but dyspnea should be reported first
A nurse is teaching a client about warfarin. The client asks if they can take aspirin while taking the
warfarin. Which of the following responses should the nurse make?
a. "It is safe to take an enteric-coated aspirin."
b. "Aspirin will increase the risk of bleeding."
c. "Acetaminophen mat be substituted for aspirin."
d. "The INR lab work must be monitored more frequently if aspirin is taken." - answer>>b. "Aspirin will
increase the risk of bleeding."
-aspirin inhibits platelet aggregation and can potentiate the action of the anticoagulant warfarin.
Therefore, the client should avoid taking aspirin because it increases the risk for bleeding
-salicylates inhibit platelet aggregation and increase the potential for hemorrhage. Therefore, the
client should avoid taking enteric-coated aspirin
-acetaminophen, an analgesic, can potentiate the action of the anticoagulant warfarin when
administered in high doses and is not a safe substitute for aspirin
-the client should continue to follow the provider's prescription for monitoring the PT and INR levels
to adjust warfarin dosages. However, the nurse should discourage the client from using aspirin
products because these medications increase the antiplatelet action of the warfarin and can result in
bleeding
A nurse is preparing to administer dextrose 5% in water (D5W) 400 mL IV to infuse over 1 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 gtt/min? (Round the answer to the nearest whole number.) - answer>>100 gtt/min
, A nurse is teaching a client about cyclobenzaprine. Which of the following client statements should
indicate to the nurse that the teaching is effective?
a. "I will have increased saliva production."
b. "I will continue taking the medication until the rash disappears."
c. "I will taper off the medication before discontinuing it."
d. "I will report any urinary incontinence." - answer>>c. "I will taper off the medication before
discontinuing it."
-the client should taper off cyclobenzaprine before discontinuing it to prevent abstinence syndrome or
rebound insomnia
-the client should use gum or sip on water to prevent dry mouth, which is an adverse effect of
cyclobenzaprine
-the client should take cyclobenzaprine for treatment of muscle spasms
-the client should report any urinary retention because of the anticholinergic effects caused when taking
cyclobenzaprine
A nurse is providing teaching to a client who is to begin oxybutynin for urinary incontinence. Which of
the following adverse effects should the nurse include in the teaching? (Select all that apply.)
a. dry mouth
b. tinnitus
c. blurred vision
d. bradycardia
e. dry eyes - answer>>a. dry mouth, c. blurred vision, e. dry eyes
-oxybutynin is an anticholinergic agent that can cause dry mouth, blurred vision due to an increase in
intraocular pressure, and dry eyes and mydriasis, or pupil dilation
-oxybutynin can cause several sensory adverse effects included increased intraocular pressure. The
nurse should instruct the client to report eye pain, seeing colored halos around lights, and decreasing
ability to perceive light changes
-oxybutynin can cause several cardiovascular adverse effects such as prolongation of the QT interval,
palpitations, hypertension, and tachycardia
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