ATI PHARMACOLOGY PROCTORED 2021 STUDY GUIDE

Which of the following are contraindications to aspirin therapy? Select all that apply. Select one or more: a. Coronary artery disease b. Deep vein thrombus c. Thrombocytopenia Correct. Aspirin is contraindicated in clients with bleeding disorders and thrombocytopenia. d. Third trimester pregnancy Correct. Aspirin is pregnancy risk category D in the third trimester. e. Adolescents with chickenpox Correct. Aspirin should not be given to children or adolescents with fever or recent chickenpox due to the risk of Reye syndrome. A nurse is preparing to administer a bisacodyl (Dulcolax) 10 mg suppository. Which of the following are correct administration guidelines for the nurse to implement? (Select all that apply.) Don sterile gloves is incorrect. The nurse should wear clean gloves for the procedure. Gloves prevent the transmission of pathogens by direct and indirect contact. The nurse should wear clean gloves when touching blood, body fluid, secretions, excretions, most mucous membranes, nonintact skin, and contaminated items or surfaces. Lubricate index finger is correct. The rounded end of the suppository is lubricated with a sterile water-soluble lubricating jelly. Use a rectal applicator for insertion is incorrect. The nurse should administer the suppository with the dominant index finger, which is lubricated. The nurse should not use an applicator to insert a suppository. Position client supine with knees bent is incorrect. To avoid the rupturing the rectum, the client is positioned on the left lateral side. Insert suppository just beyond internal sphincter is correct. The nurse should gently retract the buttocks with the nondominant hand. Insert the suppository gently through the anus, past the internal sphincter, and against the rectal wall. Following the administration of the medication, the nurse should apply gentle pressure to hold the buttocks together momentarily if needed to keep medication in place. A nurse is providing care to a client with staphylococcus epidermidis, who is prescribed vancomycin. Identify the adverse effect associate with this antibiotic therapy? Select one: a. Infusion reaction Correct – Red Man Syndrome or an infusion reaction that results in rashes, flushing, tachycardia and hypotension can occur as an adverse reaction. For this reason, vancomycin should be administered over a 60 minute period. b. Immunosuppression c. Hepatotoxicity d. Constipation A nurse is preparing to administer a measles, mumps, and rubella vaccine (MMR) to an adult client. Which of the following is a contraindication to this vaccine? Select one: a. The possibility of overseas travel in the next month b. Client allergy to strawberries c. The possibility of pregnancy within 4 weeks Pregnancy or the possibility of pregnancy with 4 weeks is a contraindication to the MMR vaccine. d. Client history of genital herpes Disulfiram is taken by a client daily for abstinence maintenance. What is an adverse effect of this therapy? Select one: a. Wernicke’s aphasia b. Hepatoxicity Correct: Hepatoxicity is an adverse effect of disulfiram c. Diarrhea d. Suicidal ideations A nurse is preparing to administer morphine sulfate 2 mg IV bolus. Available is morphine sulfate 10 milligrams per milliliter. How many ML should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies period to not use a trailing 0) Answer is 0.2 mL Ratio and Proportion STEP 1: What is the unit of measurement the nurse should calculate? mL STEP 2: What is the dose the nurse should administer? Dose to administer= Desired 2 mg STEP 3: What is the dose available? Dose available = Have 10 mg STEP 4: Should the nurse convert the units of measurement? No STEP 5: What is the quantity of the dose available? 1 mL STEP 6: Set up an equation and solve for X. Have/Quantity = Desired/X 10 mg/1 mL = 2 mg/X mL X = 0.2 STEP 7: Round if necessary. STEP 8: Reassess to determine whether the amount to administer makes sense. If there are 10 mg/mL and the prescription reads 2 mg, it makes sense to administer 0.2 mL. The nurse should administer morphine sulfate 0. 2 mL IV bolus. Desired Over Have STEP 1: What is the unit of measurement the nurse should calculate? mL STEP 2: What is the dose the nurse should administer? Dose to administer= Desired 2 mg STEP 3: What is the dose available? Dose available = Have 10 mg STEP 4: Should the nurse convert the units of measurement? No STEP 5: What is the quantity of the dose available? 1 mL STEP 6: Set up an equation and solve for X. Desired x Quantity/Have = X 2 mg x 1 mL/10 mg = X mL 0.2 mL = X STEP 7: Round if necessary. STEP 8: Reassess to determine whether the amount to administer makes sense. If there are 10 mg/mL and the prescription reads 2 mg, it makes sense to administer 0.2 mL. The nurse should administer morphine sulfate 0. 2 mL IV bolus. ......................................................................................................CONTINUE