Exam (elaborations)
ATI Pharmacology Practice B 2023
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ATI Pharmacology Practice B 2023
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ATIPHARMACOLOGY
PRACTICE B 2023
A nurse is monitoring a client after administering their prescribed medications
2000:Client is alert to person, place, time, and situation. Client reports headache and
occasional anxiety.
Client reports nausea. Abdomen soft and rounded, non-distended. Bowel sounds are
normoactive in all 4 quadrants.
Bladder non-distended; continent. Urine output of 25 mL/hr.
Skin cool, dry and intact.
Small pinpoint petechiae is present on bilateral extremities.
1600:Temperature 37.7° C (99.9° F)Heart rate 100/minRespiratory rate 20/minBlood
pressure 134/64 mm HgOxygen Saturation 96% on room air2000:Temperature 38.4° C
(101.2° F)Heart rate 106/minRespiratory rate 20/minBlood pressure 140/64 mm
HgOxygen Saturation 97% on room air
Enoxaparin 40 mg Subcutaneous daily
Click to highlight the findings from the client's medical record that indicates a potential
adverse reaction to their prescribed medication and requires the nurse to - Answers -the
client's report of headache, nausea, and small pinpoint petechiae is present on bilateral
extremities
A nurse is caring for a client in a clinic and is reviewing their electronic medical record
(EMR).
3 months ago:Client was prescribed atorvastatin by provider. Client was educated to
continue eating a diet low in saturated fats and to participate in regular exercise. Client
is to return to the office in 3 months for a follow-up visit.Today:Client here for a follow-up
visit. Client reports last bowel movement was 1 day ago, increased appetite, and dark
urine upon urination. Client reports having some muscle weakness when working
outside. Skin is warm, dry, and intact. Color consistent with genetic background. Client
states, "I am sleeping so much better and seem to have increased energy, but I
, sometimes get lightheaded." Client denies headache. Will report assessment findings to
the provider.
3 months ago:Atorvastatin 40 mg once daily by mouth
For each body system below, click to specify the client's assessment find - Answers -the
nurse should identify that the findings of the client's urine characteristics, muscle
weakness, and dizziness
The nurse is caring for a client in a mental health clinic.
1230:
Bupropion XR 150 mg daily once daily in AM for three days then increase to 150 mg
twice daily.
1200:
Client here for scheduled visit to discuss mood. Client reports they were previously
prescribed sertraline for depression, however tapered off that medication 6 months ago.
Client states "It made me gain weight and it completely took away my sex drive, so I
stopped taking it." The client reports "My depression has just gotten so bad. I have been
seeing a counselor and they encouraged me to see a provider about trying a different
medication."1230:
Provider Prescriptions received. Visit summary reviewed with client to discuss the newly
prescribed medication. Client has a follow-up visit with provider in 3 weeks and
continues with weekly counseling.
For each body system below, click to specify the adverse effect that the nurse should
include when p - Answers -Common adverse effects of this medication include changes
in libido, constipation, and weight loss
A nurse is caring for a client in an outpatient clinic.
11 months ago:
Client reports bilateral knee pain for many years for which they have taken ibuprofen
800 mg up to four times per day as needed for the last year. It is no longer effective for
pain. Reports pain today as 7 on a 0 to 10 scale.
6 months ago:
Client reports 5 on a 0 to 10 scale for right upper quadrant abdominal pain and
dyspepsia for the last 3 months. Appetite decreased due to occasional
nausea.Abdomen: Soft, slightly distended, nontender, bowel sounds present in all four
quadrantsEsophagogastroduodenoscopy (EGD) prescribed.Today:Client reports no
dyspepsia, nausea, or abdominal pain with continued use of omeprazole. Knee pain is
reported as 2 on a 0 to 10 scale with continued use of naproxen.
5 months ago:
Esophagogastroduodenoscopy (EGD) reveals peptic ulcer in proximal duodenum.
11 months ago:
Diclofenac 50 mg by mouth three times daily5 months - Answers -The nurse is
reviewing the client's medical record, which of the following is the client at risk for
developing hypomagnesemia do to omeprazole
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