ATI Capstone: Pharmacology Exam 2024 With Verified Solutions
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Course
ATI Capstone Pharmacology
Institution
ATI Capstone Pharmacology
ATI Capstone: Pharmacology Exam
2024 With Verified Solutions
A 45-year-old client is taking methylprednisolone. What
pharmacological action should the nurse expect with this therapy?
Suppression of beta2 receptors.
Suppression of airway mucus production.
Fortification of bon...
ATI Capstone: Pharmacology Exam
2024 With Verified Solutions
A 45-year-old client is taking methylprednisolone. What
pharmacological action should the nurse expect with this therapy?
Suppression of beta2 receptors.
Suppression of airway mucus production.
Fortification of bones.
Suppression of candidiasis. - ANSWER ✔ Suppression of airway
mucus production;
Corticosteroids, such as methylprednisolone will suppress airway
mucus production.
Which of the following are contraindications to salicylate acid
therapy?
Third trimester pregnancy
Thrombocytopenia
Coronary artery disease
Adolescents with chickenpox
Deep vein thrombus - ANSWER ✔ Third trimester pregnancy
Thrombocytopenia
Adolescents with chickenpox;
Salicylate Acid Therapy Contraindications: Salicylate acid is a
category D agent and should not be administered to pregnant
clients. Salicylate acid is contraindicated in clients with bleeding
disorders and thrombocytopenia. Salicylate acid should not be
,given to children or adolescents with fever or recent chickenpox
due to the risk of Reye syndrome. The therapy is used for the
following types of clients: Salicylate acid inhibits platelet
aggregation and is often used in the treatment and prevention of
thrombosis. Salicylate acid is commonly prescribed to clients with
coronary artery disease to prevent thrombus formation.
A nurse is preparing to administer morphine sulfate 2mg IV
bolus. Available is morphine sulfate 10mg/ml. How many ml
should the nurse administer per dose? - ANSWER ✔ 0.2mL
A client is prescribed Propranolol (Inderal). Which of the following
client history findings would require the nurse to clarify this
medication prescription?
Clients with asthma should avoid Beta2 Blockade agents such as
propranolol. Bronchoconstriction can occur. Clients with asthma
should be administered a beta1selective agent.
A nurse is preparing to administer 10 units of regular insulin and
20 units of nph insulin to a client. What is the sequence of events
the nurse should follow?
inject air into nph
withdraw short acting
roll nph vial between palms of hands
inject air into regular
add intermediate insulin to syringe
,inspect vials for contaminants - ANSWER ✔ 1. inspect vials for
contaminants
2. roll nph vial between palms of hands
3. inject air into nph
4. inject air into regular
5. withdraw short acting
6. add intermediate insulin to syringe
A 52-year-old client with a history of angina has been prescribed
transdermal nitroglycerin. Which of the following adverse effects
is not seen with this therapy?
Nitroglycerin therapy does not directly have an effect lung
function. Physiologically, vasodilation should effect capillary
perfusion and decrease lung secretions.
A 55-year-old client has levothyroxine ordered. Which of the
below past medical history concerns may contraindicate with her
medication management of hypothyroidism?
There is an increased risk for fractures, especially in older adults.
Before administering blood products, which action should be
taken?
, Assess the client's temperature.
Document client response.
Prime IV tubing with 0.45% sodium chloride.
Administer epinephrine. - ANSWER ✔ Assess the client's
temperature;
Assess the client's vital signs, obtain consent for the procedure
and ensure compatibility. Prime the IV tubing with 0.9% sodium
chloride. The nurse would not document client response or
administer epinephrine prior to starting the transfusion.
A nurse is caring for a client receiving patient-controlled
analgesia (PCA). Which of the following interventions should the
nurse take while caring for this client?
Advise the client to use the pump sparingly to prevent addiction.
Encourage the client to use the PCA before dressing changes.
Encourage the client's family to administer PCA while client is
sleeping.
Increase client's 4-hr limit as needed. - ANSWER ✔ Encourage
the client to use the PCA before dressing changes;
The nurse should encourage the client to use the PCA
prophylactically prior to activities that are likely to augment pain
levels.
A nurse is caring for a client receiving a dopamine (Intropin)
infusion via a peripheral IV. Which of the following actions should
the nurse take if the IV site appears infiltrated?
Slow the infusion and continue to monitor the site.
Stop the infusion.
Apply a warm compress to the site.
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