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ATI Pharm Midterm Exam | Questions with Answers Verified 100% Correct
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ATI Pharm Midterm Exam | Questions with Answers Verified 100% Correct
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ATI Pharm Midterm Exam | Questions withAnswers Verified 100% Correct
A nurse is preparing to administer an Im dose of penicillin to a client who has a new
prescription. The client states when they took penicillin 3 years ago, they developed a rash.
Which of the following actions should the nurse take?
A. Administer the prescribed dose.
B. Withhold the medication.
C. Ask the provider to change the prescription to an oral form.
D. Administer an oral antihistamine at the same time. - ✔✔B. Withhold the medication and
notify the provider of the client's previous reaction to penicillin so that an alternative antibiotic
can be prescribed. Allergic reactions to penicillin can range from mild to severe anaphylaxis,
and prior sensitization should be reported to the provider.
A nurse is reviewing a client's health record and notes that the client experienced permanent
extrapyramidal effects caused by a previous medication. The nurse should recognize that the
medication affected
which of the following systems in the client?
A. Cardiovascular
B. Immune
C. Central nervous
D. Gastrointestinal - ✔✔C. Realize that extrapyramidal effects are movement disorders that
can be caused by a number of central nervous system medications (typical antipsychotic
medications).
A nurse is caring for a client who is taking oral oxycodone. The client is also taking ibuprofen in
three recommended doses daily. The nurse should identify that an interaction between these
two medications will cause which of the following findings?
,A. A decrease in blood levels of ibuprofen, possibly leading to a need for increased doses of this
medication
B. A decrease in blood levels of oxycodone, possibly leading to a need for increased doses of
this medication
C. An increase in the expected therapeutic effect of both medications
D. An increase in expected adverse effects for both medications - ✔✔C. These medications
work together to increase the pain‐relieving effects of both medications. Oxycodone is a
narcotic analgesic, and ibuprofen is an NSAID. They work by different mechanisms, but pain is
better relieved when they are taken together.
A nurse is preparing to administer medications to a 4‐month‐old infant. Which of the following
pharmacokinetic principles should the nurse consider when administering medications
to this client? (Select all that apply.)
A. Infants have a more rapid gastric emptying time.
B. Infants have immature liver function.
C. Infants' blood‐brain barrier is poorly developed.
D. Infants have an increased ability to absorb topical medications.
E. Infants have an increased number of protein‐binding sites. - ✔✔B.Infants have immature
liver function until 1 year of age. Administer medications the liver metabolizes in smaller
dosages.
C.Infants have a poorly developed blood‐brain barrier, which places them at risk for adverse
effects from medications that pass through the blood‐brain barrier. Administer these
medications in smaller dosages.
D.Because infants have more blood flowing to the skin and their skin is thin, their medication
absorption is increased, making them prone to toxicity from topical medications.
A nurse is assessing a client who has salicylism. Which of the following findings should the nurse
expect? (Select all that apply.)
, A. Dizziness
B. Diarrhea
C. Jaundice
D. Tinnitus
E. headache - ✔✔A.The client who has salicylism can have dizziness, which is an expected
finding.
D.The client who has salicylism can have tinnitus, which is an expected finding.
E.The client who has salicylism can have a headache, which is an expected finding.
A nurse is teaching a client about a new prescription for celecoxib. Which of the following
information should the nurse include in the teaching?
A. Increases the risk for a myocardial infarction
B. Decreases the risk of stroke
C. Inhibits COX‐1
D. Increases platelet aggregation - ✔✔A.The client who takes celecoxib has an increased risk
for a myocardial infarction
A nurse is taking a history for a client who reports taking aspirin about four times daily for a
sprained wrist. Which of the following prescribed medications taken by the client is
contraindicated with aspirin?
A. Digoxin
B. Metformin
C. Warfarin
D. Nitroglycerin - ✔✔C.The effect of warfarin and other anticoagulants is increased by
aspirin, which inhibits platelet aggregation. This client would have an increased risk for
bleeding. Use of aspirin generally is contraindicated for clients who take warfarin.
A nurse in an emergency department is performing an admission assessment for a client who
has severe aspirin toxicity. Which of the following findings should the nurse expect?
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