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ATI Pharmacology test A Best Graded Exam Questions (Graded A+)

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A nurse is completing an incident report for a med error, which of the following information should the nurse include in the report - CORRECT ANSWER--the incident report should clearly and thoroughly report the facts of the error A nurse is providing teaching to a client who is to begin taking O...

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  • 22 augustus 2024
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ATI Pharmacology test A Best Graded
Exam Questions (Graded A+)

A nurse is completing an incident report for a med error, which of the following
information should the nurse include in the report - CORRECT ANSWER--the incident
report should clearly and thoroughly report the facts of the error



A nurse is providing teaching to a client who is to begin taking Oxybutynin for urinary
incontinence. Which of the following adverse effects should the nurse include in the
teaching - CORRECT ANSWER--Oxybutynin is an anticholinergic that causes dryness

-symptoms include dry mouth, blurred vision & dry eyes

-these symptoms are all affects of anticholinergics



A nurse is preparing medication instructions for a client who is receiving end-of-life care
and their family. The client has a prescription for fentanyl patches. Which of the
following information regarding the manifestations and use of fentanyl should the nurse
include in the instructions - CORRECT ANSWER-—take a stool softener daily will be
needed

-constipation is an adverse effect of opioid use

-stool softeners can decrease the severity of this adverse effect



A nurse is caring for a client who is receiving haloperidol. Which of the following findings
should the nurse identify as an adverse effect of the medication - CORRECT
ANSWER--Akathisia

-an adverse effect associated with the medication is the development of extrapyramidal
manifestations such as dystonia pseudoparkinsonism, and akathisia

-this drug is classified as an antipsychotic used to treat mental disorders, this drug is
also used to control symptoms of Tourette syndrome

-this drug can cause seizures, confusion and neuroleptic syndrome

-this drug has anticholinergics properties and can cause increased intraoccular
pressure, blurred vision, and dry eyes

,A nurse is caring for a client who has heart failure and is receiving an IV infusion of
dopamine. Which of the following findings indicates that the medication is effective -
CORRECT ANSWER--increased cardiac output

-dopamine is an adrenergic that causes a receptor specificity effect, which increases
cardiac output and improves perfusion

-an adverse effect of the drug is tachycardia



A nurse is preparing to administer hydrochlorothiazide. Which of the following actions
should the nurse take prior to administering the medication - CORRECT ANSWER--
Obtain clients blood pressure

-HCTZ is a thiazide diuretic administered to promote urine output and reduce blood
pressure and edema. The nurse should obtain the client's bp prior to administration of
the medication

-NSAIDS decrease the effectiveness of HCTZ

-assess the client for an allergy to sulfonamides due to the potential of cross sensitivity
with HCTZ



A nurse is providing teaching to a client who has peptic ulcer disease and is to start a
new prescription for sucralfate. Which of the following information should the nurse
include in the teaching? - CORRECT ANSWER--Forms a protective barrier over ulcers

-Secretions by the parietal and chief cells, hydrochloric acid and pepsin, can further
irritate the ulcerated areas.

-forms a mucosal protectant, forms a gel-like substance that coats the ulcer, creating a
barrier to hydrochloric acid and pepsin



Famotidine - CORRECT ANSWER--decreases stomach acid secretion



Antacid (aluminum) - CORRECT ANSWER--neutralize acids in the stomach and
prevent pepsin formation, a digestive enzyme that can further damage the eroded
epithelium



A nurse is teaching a client who has insomnia about zolpidem. The nurse should
identify that which of the following client statements indicates an understanding of the
teaching - CORRECT ANSWER--I will use this medication for a short period of time

, -zolpidem is used for short term treatment of insomnia. Therefore, the provider should
reassess the client before filling the prescription



Zolpidem - CORRECT ANSWER--used for short term treatment of insomnia

-client should experience improved sleep within two days of starting the medication

-client shouldn't build up a tolerance to the medication with short term use



A nurse is caring for a client who is to receive treatment for opioid use disorder. Which
of the following medications should the nurse expect to administer? - CORRECT
ANSWER--Methadone

-methadone can be administered for withdrawal and to assist with maintenance and
suppressive therapy



Bupropion (Wellbutrin) - CORRECT ANSWER--assists the client with smoking
cessation



Disulfiram - CORRECT ANSWER--aversion therapy to assist with maintaining
abstinence from alcohol



Modafinil - CORRECT ANSWER--assists with fatigue and prolonged sleep from
methamphetamine withdrawal



A nurse is assessing a client who has schizophrenia and is taking haloperidol. The
nurse should report which of the following findings to the provider as a manifestation of
neuroleptic malignant syndrome (NMS) - CORRECT ANSWER--Temp 39.7 C or 103.5
F

-The nurse should report fever to the provider as an indication of NMS, an acute life
threatening emergency

-other manifestations include respiratory distress, diaphoresis, and either hypotension
or hypertension



Manifestations of NMS

Neuroleptic malignant syndrome - CORRECT ANSWER--incontinence

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