Pharmacology Capstone ATI (Summer 2023)

Pharmacology Capstone ATI (Summer 2023) A nurse is teaching a pt who has prostate cancer and a new prescription for leuprolide, explain how it treats prostate cancer decreases the production of testosterone (initial increase, then desensitization and decrease in testosterone production) A nurse is caring for apt with difficulty voiding following surgery, nurse notes a palpable bladder distention, what med should the nurse administer bethanechol (for nonobstructive urinary retention) A nurse is preparing to admin meds to a client who has type 1 diabetes mellitus, the client receives multiple oral meds, takes lispro insulin, he is starting to take pramlintide, what actions should the nurse take? monitor for hypoglycemia for 3 hours after pramlintide administration (take before meals along with lispro insulin) A nurse is caring for a pt who has HIV and a prescription for delavirdine, the nurse should monitor the pt for what manifestations as an AE of the med rash (steven-Johnson sndrome) A nurse is reviewing the health history of a pt who has migraine headaches and asks about a prescription for sumatriptan, the nurse should identify what as a contraindication for the med coronary artery disease (can cause coronary vasospasm, ECG changes, hypertension) A nurse is providing teaching to a client who has angina and a new prescription for sublingual nitroglycerin tablets, what info should the nurse include store unused tablets at room temp (take one tablet every 5 mins, up to 3 tablets until pain resolves, call 911 after 1st tablet) A nurse is caring for a client who has a systemic fugal infection and is receiving IV amphotericin B deoxycholate, during previous infusions the pt developed a fever and chills, what should the nurse take administer diphenhydramine prior to administration (admin an antipyretic, corticosteroid, antihistamine, or antiemetic prior to to minimize the effects) A nurse is providing discharge instructions to a pt who has a prescription for omeprazole for the tx of GERD, what statement by the client indicates an understanding of the teaching? the med reduces stomach acid (suppressing production of gastric acid, reduces baseline acid level and blocks production of all stimulated acid production within 2 hours of an oral dose) A nurse is caring for a pt who has a prescription for HCTZ for the initial tx of hypertension, what should the nurse recognize as the action of this med? HCTZ decreases the reabsorption of sodium and water in the distal renal tubule a nurse is teaching a client who is starting to take benzonatate, which of the following statements by the pt indicates understanding? I should not drive while taking this medication (AE is sedation and dizziness) A nurse is caring for a pt who reports using the herbal med garlic along with his prescribed warfarin, the nurse should identify what is a potential AE of taking both of these products concurrently? increased ecchymosis (antiplatelet effects can increase bleeding) A nurse is reviewing lab data for a pt who is taking niacin to correct plama lipid levels, what lab findings should indicate the nurse an AE of this therapy? elevated ALT (AE hepatotoxicity: incr ALT, AST, LDH) A nurse is caring for a client who has a prescription for metoclopramide, what outcomes should the nurse use to evaluate the effectiveness of this med? reduced nausea A nurse is teaching a client who has a new prescription for isoniazid to tx TB, what info should the nurse include? you will have frequent sputum tests to monitor the effectiveness of this medication (sputum species every 2-4 weeks to monitor the effectiveness, 3 negative tests, continue for 6-12 mo)