ATI Pharmacology 2019 B, Pharmacology Practice 2019 A
Terms in this set (120)
Nurse contacts a pt's provider on telephone to
obtain prescription for pain med. Which of
following actions should nurse take?
Have the provider spell out the unfamiliar medication names.
The nurse should ask the pr...
ATI Pharmacology 2019 B, Pharmacology Practice 2019 A
Terms in this set (120)
Have the provider spell out the unfamiliar medication names.
Nurse contacts a pt's provider on telephone to
obtain prescription for pain med. Which of
The nurse should ask the provider to spell out the name of the medication if the
following actions should nurse take?
stated name is one the nurse is not familiar with.
Nurse in clinic is caring for a pt who is taking aspirin Tinnitus
for Tx of arthritis. Nurse should identify which of
following findings as indication that pt is beginning Tinnitus is a manifestation of aspirin toxicity, also called salicylism. Other
to exhibit salicylism? manifestations include sweating, headache, and dizziness.
Circulating nurse is planning care for pt who is Place monitoring cords and tubes in a stockinet.
schedule for surgery and has latex allergy. Which of
following actions should nurse include in plan of The nurse should place monitoring devices in a stockinet to prevent direct contact
care? with the client's skin.
Increased blood pressure
Nurse is assessing pt who is receiving epoetin alfa The therapeutic effect of epoetin alfa is an increase in hematocrit levels, which can
to Tx anemia. Which of following findings should result in an increase in a client's blood pressure. If the client's hematocrit level rises
nurse monitor? too rapidly, hypertension and seizures can result. The nurse should monitor the
client's blood pressure and ensure hypertension is controlled prior to
administering the medication.
Obtain the client's blood pressure.
Nurse is preparing to administer
hydrochlorothiazide to pt. Which of following
HCTZ is a thiazide diuretic administered to promote urine output and reduce
actions should nurse take prior to administering the
blood pressure and edema. The nurse should obtain the client's blood pressure
med?
prior to administration of the medication.
Methadone
The nurse should expect to administer methadone for treatment of opioid use
disorder. Methadone can be administered for withdrawal and to assist with
Nurse is caring for pt who is receiving Tx for opioid
maintenance and suppressive therapy.
use disorder. Which of following medications
The nurse should administer bupropion to assist the client with smoking cessation.
should nurse expect to administer?
The nurse should administer disulfiram as an aversion therapy to assist with
maintaining abstinence from alcohol.
The nurse should administer modafinil to assist with the fatigue and prolonged
sleep from methamphetamine withdrawal.
Asthma
Nurse is reviewing medical record of pt who has
HTN. Nurse should identify which of following Asthma is a contraindication for receiving propranolol. Propranolol is an
findings as contraindication for receiving adrenergic antagonist which blocks the beta2 receptors in the lungs, causing
propranolol? bronchoconstriction and leading to serious airway resistance and possibly
respiratory arrest.
,Nurse is caring for pt who has pneumonia. Pt tells Doxycycline
nurse she is pregnant and that she hasn't told
provider yet. Nurse should identify that pregnancy Doxycycline is a tetracycline antibiotic. The nurse should identify that doxycycline
is contraindicated for receiving which of following can cause teratogenic effects such as staining of the infant's teeth when exposed
meds? to this medication. Therefore, this medication is contraindicated for the client.
Nurse is teaching about self-administration of "I will remove the patch after 14 hours."
transdermal medication w/ male pt who has new
prescription for nitroglycerin. Nurse should identify The client should remove the patch after 12 to 14 hr to prevent tolerance of the
that which of following statements by pt indicates medication.
understanding of teaching?
Discontinue the medication IV infusion.
Nurse is administering cefotetan via intermitten IV
The greatest risk to the client is respiratory arrest from anaphylaxis. Therefore, the
bolus to pt who suddenly develop dyspnea and
first action the nurse should take is to discontinue the medication IV infusion to
widespread hives. Which of following actions
prevent the client from receiving more medication. However, the nurse should not
should nurse take 1st?
remove the IV catheter. Instead, the nurse should change the tubing and
administer 0.9% sodium chloride by continuous IV infusion.
The client reports shortness of breath.
Nurse administers ceftazidime to pt who has severe
penicillin allergy. Nurse should identify which of
A severe penicillin allergy is a contraindication for taking ceftazidime, a
following pt findings as indication that she should
cephalosporin antibiotic, due to the potential for cross-sensitivity. Shortness of
complete incident report?
breath can indicate the client is developing anaphylaxis.
Administers isosorbide mononitrate to a client who has BP 82/60 mm Hg
Nurse is preparing newly licensed nurse who is
caring for 4 pts. Nurse should complete incident Isosorbide mononitrate is a nitrate used for clients with angina. Taking isosorbide
report for which of following actions by newly mononitrate leads to vasodilation, which can result in hypotension. The nurse
licensed nurse? should withhold the medication and notify the provider if the client's systolic blood
pressure is below the expected reference range of 120/80.
Cromolyn
Nurse is planning to teach about inhalant meds to
pt who has new Dx of exercise-indused asthma.
Cromolyn sodium stabilizes mast cells, which inhibit the release of histamine and
Which of following weds should nurse plan to
other inflammatory mediators. The client should use cromolyn 10 to 15 min before
instruct pt to use prior to physical activity?
planning to exercise to prevent bronchospasms.
Creatinine kinase
Nurse is caring for pt who is taking atorvastatin for
The client who is taking atorvastatin can develop an adverse effect called
hyperlipidemia. Which of following client lab values
rhabdomyolysis, which causes muscle weakness or pain and can progress to
should nurse monitor?
myositis. Creatinine kinase levels rise in response to enzymes released with muscle
injury.
Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic
Nurse is preparing to mix and administer
agent.
dantrolene via IV bolus to pt who had developed
MH during surgery. Which of following actions
The nurse should dilute the medication with 60 mL of sterile water without a
should nurse take?
bacteriostatic agent and inject rapidly.
, Yellow-tinged vision
Nurse is providing teaching to pt who is to start
therapy w/ digoxin. For which of following adverse The nurse should instruct the client to monitor for and report yellow-tinged vision,
effects should nurse instruct pt to monitor and which is a sign of digoxin toxicity. Other manifestations of digoxin toxicity include
report to provider? nausea, vomiting, loss of appetite, and fatigue. As the digoxin levels increase, the
client can experience cardiac dysrhythmias.
Chest pressure
Nurse is providing teaching to pt who is to start
taking sumatriptan. Which of following adverse
Sumatriptan is an antimigraine agent which can cause coronary vasospasms,
effects should nurse instruct pt to monitor for and
resulting in angina. The client should report chest pressure or heavy arms to the
report to Dr?
provider.
Nurse is planning discharge teaching for pt who has "Drink a glass of milk with each dose of medication."
prescription for furosemide. Nurse should plan to
include which of following statements in teaching? The client should take furosemide with food or milk to reduce gastric irritation.
Nurse is teaching about zolpidem to pt who has "I will use this medication for a short period of time."
insomnia. Nurse should identify that which of
following pt statements indicates an understanding Zolpidem is used for short-term treatment of insomnia. Therefore, the provider
of teaching? should reassess the client before refilling the prescription.
Nurse is providing teaching to pt who has new Orange juice
prescription for ferrous sulfate. Nurse should
instruct pt to take med w/ which of following to The absorption of ferrous sulfate is enhanced by a vitamin C source, such as
promote absorption? orange juice.
"I will report any signs of tendon pain or swelling."
Nurse is teaching about new prescription to pt who
has new UTI. Nurse should identify which of
Ciprofloxacin, a fluoroquinolone, is associated with a risk of tendon rupture. This
following statements as an indication that pt
risk is increased in older adult clients, so the client should notify the provider at the
understands teaching?
onset of tendon pain or swelling.
Drink 8 to 10 glasses of water daily.
MY ANSWER
The nurse should instruct the client to increase water intake to 1,920 to 2,400 mL
Nurse is providing teaching to pt who has (65 to 81 oz) a day to decrease the chance of kidney damage from crystallization.
prescription for trimethoprim/sulfamethoxazole. The nurse should instruct the client to take the medication on an empty stomach
Which of following instructions should nurse either 1 hr before or 2 hr after meals.
include in teaching? The nurse should instruct the client to notify the provider if a rash develops,
because this can be an indication of Stevens-Johnson syndrome. However, the
client should not expect to have a fine, red rash as a transient effect.
The nurse should inform the client to store trimethoprim/sulfamethoxazole in a
light-resistant container at room temperature.
Nurse is caring for pt who is receiving end-of-life Take a stool softener on a daily basis.
care and has prescription for fentanyl patches.
Which of following information regarding adverse Constipation is an adverse effect of opioid use. Stool softeners can decrease the
effects of fentanyl should nurse plan to give to pt severity of this adverse effect.
and family?
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