ATI PHARMACOLOGY BUNDLE PACKAGE TEST

Therapeutic Drug Levels: Digoxin correct answer - 0.8 to 2.0 ng/ml Toxic Level: greater than 3.4 ng/ml CLONIDINE correct answer - Adverse Effects/Nursing Considerations: Drowsiness/sedation - will improve with time, careful to avoid driving and other activities Dry mouth - will improve with ...

Therapeutic Drug Levels: Digoxin correct answer - 0.8 to 2.0 ng/ml Toxic Level: greater than 3.4 ng/ml CLONIDINE correct answer - Adverse Effects/Nursing Considerations: Drowsiness/sedation - will improve with time, careful to avoid driving and other activities Dry mouth - will improve with ...

A nurse is assessing a client who reports using several herbal and vitamin supplements daily, including saw palmetto. The nurse should recognize that saw palmetto is a supplement used by clients to elicit which of the following therapeutic effects? Correct Answer - Urinary health promotion A nurs...

A nurse is assessing a client who is receiving intravenous therapy. The nurse should identify which of the following findings as a manifestation of fluid volume excess? a. Decreased bowel sounds b. Distended neck veins c. Bilateral muscle weakness d. Thread pulse Correct Answer - b. Distended n...

- avoiding tourniquets, using BP cuff to visualize. - no slapping - hold their hand below the heart. - avoid using the back of the hand - avoid rigorous friction while cleaning site. Correct Answer - What are specific considerations for adult clients, clients who are taking anticoagulants, and ...

cephalosporin Correct Answer - - broad-spectrum - ceph/cefs - similar to PCN/ don't give if PCN allergy - can cause bleeding w/ other bleeding meds monitor bleeding time (tonsil story) - Disulfiram reaction (puke & puke & puke) just like Flagyl, the protozoal drug - store in fridge & take with...

A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease (a form of hyperthyroidism). Which of the following findings should the nurse identify as an indication that the medication has been effective? A. Decrease in WBC. B. Decrease in the amount of time s...

Telephone prescription from provider. The Nurse: Correct Answer - Reads the prescription back to the provider. Seizure disorder. Patient should: Correct Answer - Keep a seizure chart. Potassium level: Correct Answer - 3.5-5 mEq/L Potassium level less then 3.5 mEq/L: Correct Answer - Cardiac...

XR extended release; EC Enteric Coated; Sublingual Correct Answer - DO NOT CRUSH THESE MEDICATIONS ANTIBIOTICS Correct Answer - 1. MAKES SURE THEY TAKE THE FULL COURSE 2. BEFORE THEY GET PRESCRIBED MEDS, GET A CULTURE PHARMACOKINETICS: Correct Answer - The process by which drugs are absorbed...

A nurse is teaching a client who has a new prescription for warfarin. Which of the following statements should the nurse identify as an indication that the client understands the instructions? Correct Answer - I'll avoid contact sports like football. The most common adverse effect of taking anti...

A nurse on a medical unit is preparing to administer alendronate 40 mg PO for an older adult client who has Paget's disease of the bone. Which of the following actions should be the nurse's priority? Correct Answer - Ambulate the client to a chair prior to administering the medication A nurse i...

A client with a digoxin level of 2.4 ng/ml has a heart rate of 39. The health care provider prescribes atropine sulfate. Which of the following best describes the intended action of atropine for this client? Correct Answer - To accelerate the heart rate by interfering with vagal impulses. (Atropine...

Patient identifiers Correct Answer - -Medical record number -home telephone number What lab values should a nurse monitor for a patient with chronic renal failure? Correct Answer - ■ Urinalysis Hematuria, proteinuria, and alterations in specific gravity Serum creatinine - Gradual increase...

Furosemide Correct Answer - - Hold for low K (< 3.5) - Decreases blood pressure (dizziness) - Causes urinary frequency Mannitol Correct Answer - - Signs of success: decreased IOP and ICP - May have rebound headache (notify provider) - Risk of heart failure (peripheral edema) Spironolact...

examples of antivirals Correct Answer - Amantadine Acyclovir Ganiciclovir Antiretrovirals Tamiflu Interferon indications for acyclovir Correct Answer - -symptoms of herpes -varicella-zoster viruses indications for ganiciclovir Correct Answer - symptoms of cytomegalovirus mode of actio...

Sublingual and buccal absorption Correct Answer - Quick absorption systemically through highly vascular mucous membranes. Rectal and vagina absorption Correct Answer - Easy absorption with both local and systemic effects Absorption with Inhalation via mouth, nose. Correct Answer - Rapid absorp...

Therapeutic Drug Levels: Aminophylline Correct Answer - 10 to 20 mcg/ml Toxic Level: greater than 20 mcg/ml Therapeutic Drug Levels: Carbamazepine Correct Answer - 5 to 12 mcg/ml Therapeutic Drug Levels: Digoxin Correct Answer - 0.8 to 2.0 ng/ml Toxic Level: greater than 3.4 ng/ml Therape...

A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? Correct Answer - "I will take the patch off right after my evening meal" A nurse receives a verbal order from the ...

A provider prescribes phenobarbital for a patient who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? Correct Answer - One A staff educator is reviewing medication dosages and factors that influen...

A nurse is caring for a client who is receiving haloperidol. The nurse should identify which of the following findings as an adverse effect of the medication? A. Akathisia B. Paresthesia C. Excess tear production D. Anxiety Correct Answer - A. Akathisia A nurse is providing teaching to a cl...

Nursing Implications by Oral Route of Administration Correct Answer - -avoid grapefruit juice -in general, administer on an empty stomach (1 hr before meals, 2 hr after meals) -use liquid form to facilitate swallowing whenever possible Nursing Implications by Drop Instillation Route of Administ...

phases of pharmacokinetics Correct Answer - 1. Absorption 2. Distribution 3. Metabolism 4. Excretion Absorption Correct Answer - The transmission of medications from the location of administration to the bloodstream. Rate of absorption determines how soon the medication will take effect. The a...

A Correct Answer - A nurse is assessing a client who is receiving Chloramphenicol (Chloromycetin). Which of the following findings is an adverse effect of this medication? A. Ecchymosis B. Ototoxicy C. Hyertension D. Anxiety C Correct Answer - A nurse is caring for a client who is to receive ...

Antiemetics Correct Answer - 5-HT3 receptor antagonists (serotonin antagonists) Dolasetron (Anzemet) Granisetron (Kytril , Sancuso) Ondansetron (Zofran) Tropisetron (Navoban) Dopamine antagonists Promethazine (Phenergan) Prochlorperazine (Compazine) Metoclopramide (Reglan) - risk for extra...

Antiemetics Correct Answer - 5-HT3 receptor antagonists (serotonin antagonists) Dolasetron (Anzemet) Granisetron (Kytril , Sancuso) Ondansetron (Zofran) Tropisetron (Navoban) Dopamine antagonists Promethazine (Phenergan) Prochlorperazine (Compazine) Metoclopramide (Reglan) - risk for extra...

A provider prescribes phenobarbital for pt. who has seizure disorder. The med. has a long half-life of 4 days. How many times per day should nurse expect to give this med? A) 1 B) 2 C) 3 D) 4 Correct Answer - *Answer: A* Rationale: A) Meds with long half-lives remain at their therapeutic ...

a provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4-days. How many times per day should the nurse expect to administer this medication? A. One B. two C. three D. four Correct Answer - A. One a nurse educator is reviewing med...

A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? A. One B. Two C. Three D. Four Correct Answer - A. One (Medications with long half-lives ...

A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO daily. After 6 weeks of treatment the nurse determines that the medication was effective if the: 1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL 2) Total t4 level is 2 mcg/dL Correct Answ...

A nurse is reviewing the health record of a client who asks about taking propranolol to treat hypertension. The nurse should recognize which of the following conditions is a contraindication for taking propranolol? a. Asthma b. Glaucoma c. Hypertension d. Tachycardia Correct Answer - a. Asthma ...

A nurse contacts a client's provider on the telephone to obtain prescription for pain medication. Which of following actions should nurse take? A. Write the order on a prescription pad designated for the client's provider B. Have the provider spell out the unfamiliar medication names C. Read ...

A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? A. one B. two C. three D. four Correct Answer - one A staff educator is reviewing medicatio...

Tobramycin Sulfate contraindicated in: Correct Answer - Ibuprofen (Motrin) Stops growth of bacteria, can cause severe hearing and kidney problems Metformin (Glucophage) and glipizide (Glucotrol) for diabete mellitus. Nurse check what lab: Correct Answer - HbA1c of below 7% for diabetics Warfa...

A nurse is caring for a client who is receiving end of life care and has a prescription for fentanyl patches. Which of the following information regarding the adverse effects of fentanyl should the nurse plan to give to the client and family? Correct Answer - Take a stool softener on a daily basis. ...

Pharmacokinetics is Correct Answer - How medications travel through the body Absorption is Correct Answer - Transmission of medication from the location of administration Enteral vs parenteral Correct Answer - Through the GI tract & by injection Barrier to absorption: Oral Sublingual Re...

A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understanding of the teaching? A. "I should apply a patch every 5 minutes if I develop chest pain." B. "I will take the patch off right after m...

Rocephin belongs to what class of anti-infectives? Correct Answer - 3rd generation cephalosporin Rocephin, as a cephalosporin, is contraindicated in pts. with an allergy to this class of anti-infectives Correct Answer - penicillin valporic acid (Depakene) indicated for Correct Answer - seizure...

A provider prescribes phenobarbital for a client who has a seizure disorder. The medication has a long half-life of 4 days. How many times per day should the nurse expect to administer this medication? A. One B. Two C. Three D. Four Correct Answer - A A staff educator is reviewing medication ...

a nurse is teaching a client who has alzheimers about memantidine, which of the following instructions shouls the nurse include? Correct Answer - avoid tkaing over the counter antacids a nurse is caring for a client who has a new prescription for pramipexole to treat parkinsons disease. the nurse...

"Rinse your mouth after each use of this medication." Correct Answer - A nurse is reinforcing teaching with a client who has a new prescription for beclomethasone by inhaler. Which of the following instructions should the nurse include? Administer the albuterol inhaler prior to using the beclom...

IV Cefazolin Correct Answer - Treating bacterial infections or preventing bacterial infections before, during, or after certain surgeries; Parenteral epinephrine indicated for an allergic rxn Ergotamine sublingual Correct Answer - Dx with migraine headaches; take one tablet at onset of migraine ...

Conversion Correct Answer - 1 mg = 1,000 mcg 1 g = 1,000 mg 1 kg = 1,000 g 1 oz = 30 mL 1 L = 1,00mL 1 tsp = 5mL 1 tbsp = 15 mL 1 tbsp = 3 tsp 1 kg = 2.2 lb 1 gr = 60 mg Alprazolam Diazepam Lorazepam Barbiturate anxiolytics Correct Answer - Therapeutic: GAD and panic disorder Dynamic...

Nurse admin. Donepezil to alzheimers pt. which should nurse report to provider? Correct Answer - Dyspnea How to document fuid that infused over 4 hours instead of 8? Correct Answer - 1 L of 0.9% nacl infused over 4 hr. Vital signs stable. Nurse teaching for new rx for phenytoin. Which statemen...

A nurse is assessing a client who has salicylism. Which of the following findings should the nurse expect? (select all that apply) A. Dizziness B. Diarrhea C. Jaundice D. Tinnitus E. Headache Correct Answer - Dizziness, Tinnitus, Headache A nurse is admitting a client to the hospital follo...

The medication rights Correct Answer - 1. client 2. med 3. dose 4. time 5. route 6. documentation (expiration date!!!!!) 1 ounce equals... Correct Answer - 30 mL 1 tsp equals... Correct Answer - 5 mL 1 tbsp. equals... Correct Answer - 15 mL 1 tbsp. equals Correct Answer - 3 teaspoo...

The medication rights Correct Answer - 1. client 2. med 3. dose 4. time 5. route 6. documentation (expiration date!!!!!) 1 ounce equals... Correct Answer - 30 mL 1 tsp equals... Correct Answer - 5 mL 1 tbsp. equals... Correct Answer - 15 mL 1 tbsp. equals Correct Answer - 3 teaspoo...

A nurse is planning discharge teaching for a client who has a prescription for furosemide. The nurse should plan to include which of the following statements in the teaching? Correct Answer - Drink a glass of milk with each dose A nurse is caring for a client who has heart failure and is prescrib...