ATI Pharmacology 2019 B

ATI Pharmacology 2019 B
ATI Pharmacology 2019 B

1) A nurse is caring for a pt who is receiving Haloperidol. The nurse should identify which of the
following findings as an adverse effect of the med?



-Akathisia = CORRECT ANSWER

An adverse effect associated with haloperidol is the development of extrapyramidal manifestations such
as dystonia, pseudoparkinsonism, and akathisia.



-Paresthesia

Haloperidol, an antipsychotic neuroleptic medication, can cause CNS adverse effects such as seizures,
confusion, and neuroleptic syndrome. However, paresthesia is not an adverse effect of haloperidol.



-Excess tear production

Haloperidol has anticholinergic properties that can cause sensory adverse effects such as increased
intraocular pressure, blurred vision, and dry eyes.



-Anxiety

Haloperidol can be prescribed to treat severe agitation as well as psychotic manifestations.

2) A nurse is providing teaching to a pt who is to start taking Sumatriptan. Which of the following
adverse effects should the nurse instruct the pt to monitor for and report to the provider?



-Chest pressure= CORRECT ANSWER

Sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in angina. The
client should report chest pressure or heavy arms to the provider.



-White patches on the tongue

,ATI Pharmacology 2019 B
White patches on the tongue can indicate a fungal infection, which is not an adverse effect of
sumatriptan.



-Bruising

Ecchymosis can indicate thrombocytopenia, which is not an adverse effect of sumatriptan.



-Insomnia

Sumatriptan can cause drowsiness and sedation as an adverse effect of the medication.



3) A nurse is teaching a pt who is starting to take Amitriptyline. Which of the following findings
should the nurse include in the teaching as an adverse effect of the med?



-Diarrhea

Constipation is an adverse effect of amitriptyline.



-Cough

Developing a cough is not an adverse effect of amitriptyline.



-Urinary retention = CORRECT ANSWER

The nurse should instruct the client that amitriptyline causes the anticholinergic effect of urinary
retention.



-Increased libido

A decrease in libido is an adverse effect of amitriptyline.

4) A nurse is assessing a pt who is taking Tamoxifen to treat breast cancer. Which of the following
findings is the priority for the nurse to report to the provider?

,ATI Pharmacology 2019 B
-Hot flashes

The client is at risk for hot flashes as an adverse effect of tamoxifen; however, another finding is the
priority to report to the provider. The nurse should encourage the client to avoid caffeine and spicy foods
to prevent hot flashes.



-Gastrointestinal irritation

The client is at risk for gastrointestinal irritation (GI) as an adverse effect of tamoxifen; however, another
finding is the priority to report to the provider. The nurse should administer the medication with food or
fluids to reduce GI irritation.



-Vaginal dryness

The client is at risk for vaginal dryness as an adverse effect of tamoxifen; however, another finding is the
priority to report to the provider. The nurse should encourage the client to use vaginal moisturizers if
dryness occurs.



-Leg tenderness = CORRECT ANSWER

The greatest risk to this client is the development of a thromboembolism, which is an adverse effect of
tamoxifen. The nurse should also monitor the client for other manifestations of a thromboembolism,
including leg tenderness, redness, swelling, and shortness of breath.




5) A nurse is teaching a pt who is taking Allopurinol for the treatment of gout. Which of the
following info should the nurse include in the teaching?



-Plan to increase the dosage each week by 200 mg increments.

The nurse should instruct the client to increase the dosage each week by 50 to 100 mg until they
experience relief or reach a maximum of 800 mg daily.



-Prolonged use of the medication can cause glaucoma.

, ATI Pharmacology 2019 B
The nurse should instruct the client that the prolonged use of allopurinol can cause cataracts; therefore,
the client should have periodic ophthalmic checkups.



-Drink 2 L of water daily. = CORRECT ANSWER

The nurse should instruct the client to drink at least 2 L of water each day to prevent renal stone
formation and kidney injury, because allopurinol is eliminated through the kidneys.



-A fine red rash is transient and can be treated with antihistamines.

The nurse should instruct the client to report a rash to the provider immediately as this can be an
indication of hypersensitivity syndrome, a life-threatening toxicity. Treatment for allopurinol toxicity can
require hemodialysis or the administration of glucocorticoid medications



6) A nurse is caring for a pt who has diabetes mellitus and is taking Glyburide. The pt reports feeling
confused and anxious. Which of the following actions should the nurse take first?



-Perform a capillary blood glucose test. = CORRECT ANSWER

The greatest risk to this client is injury from hypoglycemia. Therefore, the nurse should perform a
capillary blood glucose test to determine the client's blood glucose status. Manifestations of
hypoglycemia include weakness, anxiety, confusion, sweating, and seizures.



-Provide the client with a protein-rich snack.

The nurse should provide the client with a protein-rich snack after determining the client's blood glucose
value and providing a carbohydrate first. However, there is another action that the nurse should take
first.



-Give the client 120 mL (4 oz) of orange juice.

The nurse should give the client 10 to 15 g of carbohydrates, such as 4 oz of orange juice, to treat
hypoglycemia. However, there is another action that the nurse should take first.