ATI Capstone Pharmacology

25 July 2022
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57 test answers

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question
a nurse is caring for a client who is receiving morphine, what assessment is priority
answer
RR
question
a nurse is assessing a client who has been using beclomethasone for 2 weeks to manage her asthma, what is the priority to report to the provider
answer
bronchospasms
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a nurse is providing teaching to a client who has a new prescription for beclomethasone inhaler to use with an albuterol inhaler for asthma maintenance, what should the nurse instruct?
answer
you should gargle with water after each use of this inhaler
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a nurse is planning a staff education session on AE of meds, what info should the nurse discuss about anticholinergic adverse effects?
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blurred vision tachycardia constipation
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a nurse is providing teaching to a client who has a new prescription for guaifenesin, what info regarding the action of guaifenesin should the nurse include in the teaching?
answer
guaifenesin increases cough production
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a nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction. the nurse should monitor the client for which of the following outcomes as therapeutic response to the medication?
answer
decreased anginal pain
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a nurse is providing teaching to a client who has a new prescription for levothyroxine, which statement indicates understanding of the teaching?
answer
"i might not realize the full effect of the medication for several weeks" take on empty stomach with glass of water, first thing in the morning 30-60min prior to breakfast
question
a nurse is assessing a client who has HF is taking digoxin. the nurse should monitor the client for which of the following manifestations as an indication of digoxin toxicity to report to the provider?
answer
vomiting (n/v, anorexia, blurred vision)
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a nurse is providing teaching for a pt with a prescription for oral metronidazole, what is the priority teaching point?
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you should report a rash to your provider (fatal disorder Stevens-Johnson syndrome)
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a nurse is providing discharge instructions to a client who has a new prescription for codeine for cough suppression, what is the priority instruction?
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move slowly when standing from a lying down position (r/f orthostatic hypotension)
question
a nurse is reviewing the medical record of a client who received his medications 1 hour ago, the pt reports chest pain, this can be an AE of what med?
answer
albuterol (beta2agonist, controls bronchospasm for asthma--can cause tremors, chest pain, tachycardia, dysrhythmias)
question
a nurse is teaching a pt who has a new prescription for brimonidine to treat open-angle glaucoma, what indicates an understanding of the instructions?
answer
i can expect to feel some irritation when i put these drops in my eyes
question
a nurse is caring for a female client who has osteoporosis and a new prescription for raloxifene, what should the nurse assess prior to initiating therapy?
answer
pregnancy status (risk category X)
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a nurse is teaching a pt to use TD nitroglycerin patches to treat angina pectoris, what instructions should she include?
answer
apply a new patch every morning (effects begin 30-60 min after application and last 14 hours)
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a nurse is providing teaching to a pt who has a new prescription for allopurinol to treat gout, what should the nurse include?
answer
increase your fluid intake
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a nurse is providing teaching to a client who has a neuropathic pain and a new prescription for amitriptyline once per day, what should the nurse include?
answer
increase fluids while on this med (urine turns blue/green, sedation is an AE)
question
a nurse is caring for a client who has a prescription for vancomycin 1g IV intermittent infusion over 30min every 12 hours, what should the nurse take?
answer
contact the provider for prescription clarification (administer over 60min or more to reduce risk of infusion reaction--hypotension, flushing)
question
a nurse is providing teaching to a male client who has a new prescription for folic acid, the client tells the nurse he heard that the medication is prescribed for women during pregnancy, what statements should the nurse make?
answer
folic acid is important for the building of blood cells for adults and children (tx megaloblastic and macrocytic anemias)
question
a nurse is caring for a client who has HIV-1 and is starting therapy with ritonavir and zidovudine. the client asks why she has to take both medications, which explanation should the nurse provide?
answer
taking the 2 meds together keeps you from becoming resistant to either of them
question
a nurse in the PACU is caring for a client who has received GA and has a manifestations of malignant hyperthermia, the nurse should expect to administer which of the following meds?
answer
dantrolene
question
a nurse is providing teaching to a client who has a new prescription for oxybutynin, what statements by the client indicates an understanding of the teaching?
answer
i need to avoid jogging on warm days (suppression of sweating by the anticholinergic effects by oxybutynin can result in hyperthermia)
question
a nurse is reviewing the lab findings for a client who is taking zidovudine to treat HIV, which should the nurse report to the provider
answer
neutrophil count 650/mm3 (normal is 1500-8000)
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a nurse is assessing a client who is receiving gemfibrozil, the nurse should identify what finding as an AE of this med?
answer
muscle tenderness (--> myopathy, rhabdomyolysis)
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a nurse is caring for a pt with T2D and began therapy with metformin 2 days ago the client reports experiencing n/d, what should the nurse say
answer
your symptoms are common AE of metformin and should decrease with time (GI manifestations at onset of therapy)
question
a nurse is caring for 4 clients who have peptic ulcer disease, the nurse should recognize that misoprostol is contraindicated for which of the following clients?
answer
a client who might be pregnant (category X, can cause spontaneous abortion)
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a nurse is in the ICU and caring for a pt with sudden onset of sustained SVT, what med should the nurse prepare?
answer
adenosine (decreases electrical conduction through the AV node)
question
a nurse is caring for a client who has varicella zoster, what med should the nurse administer
answer
acyclovir
question
a nurse is caring for a client who has recurrent lower UTIs which of the following meds should the nurse expect to administer?
answer
nitrofuratoin ab for lower recurrent UTIs
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a nurse is teaching a pt who is starting subq leuprolide for treatment of prostate cancer. what info should the nurse include?
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increase calcium intake (can cause bone loss)
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a nurse is providing discharge teaching to a pt who is starting to use an albuterol inhaler, what statement indicates understanding?
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i should take this medication 15 minutes before exercising
question
a nurse is teaching a pt who is taking methyldopa for the tx of htn, what info should the nurse include?
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the med can cause dizziness
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a nurse is administering bumetanide to a pt who has ascites, the nurse should monitor for what as an expected therapeutic effect of this med
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increased urinary output (loop diuretic)
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a nurse is teaching a client who has a seizure disorder and is starting to take phenytoin, what statement should indicate understanding?
answer
i will have my blood checked to monitor the med levels (10-20)
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a nurse is caring for a pt with hyperlipidemia, a new prescription for colesevelam, the nurse should monitor what as an AE of colesevelam?
answer
constipation (and dyspepsia)
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the nurse is providing teaching to a female pt for ciprofloxacin, what statement indicates understanding of the teaching
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i should wear protective clothing when I go outdoors (and sunscreen to prevent sunburn bc r/f photosensitivity)
question
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
answer
rash (steven-Johnson sndrome)
question
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?
answer
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)
question
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?
answer
HCTZ decreases the reabsorption of sodium and water in the distal renal tubule
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a nurse is caring for a client who has an infection and is starting to take gentamicin, what lab test should the nurse monitor to detect an AE of the med?
answer
creatinine (Cr, BUN, U.O.)
question
a nurse is caring for a pt who has chemo induced anemia, the nurse should expect to administer which of the following meds to treat the anemia
answer
epoetin alfa
question
a nurse is providing teaching to a pt who has a prescription for buspirone, what info should the nurse include in the teaching
answer
expect to have a full response from buspirone after 3-4 weeks
question
a nurse is caring for an OA client who is confirmed positive for HIV and will begin med therapy, what instruction should the nurse give the client
answer
you will be prescribed more than one medication to fight the virus your medication plan can also include an antibiotic medication you will need to take the medication for the rest of your life
question
a nurse is teaching the partner of a pt who has DM how to manage episodes of sever hypoglycemia, when the pt is unresponsive, what action should the nurse instruct the pt to do first?
answer
administer glucagon IM to the client
question
a nurse is providing teaching to a pt who has a new prescription for ranitidine for the tx of Zollinger-Ellison syndrome. the nurse should explain to the client that ranitidine treats ulcers by which of the following actions?
answer
it reduces gastric acid production (H2 antagonist)
question
a nurse in the PACU is caring for a pt who has received GA and has a manifestation of malignant hyperthermia, the nurse should expect to administer what med?
answer
dantrolene
question
a nurse is caring for a pt who is receiving a continuous IV of heparin, the nurse should expect to administer which of the following meds if the client experiences a heparin overdose?
answer
protamine sulfate
question
a nurse is preparing to administer IV mannitol to a client, the nurse should monitor the client for which of the following manifestations as an expected outcome of this med
answer
reduced intracranial pressure
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a nurse is caring for a client who has HF and a prescription for acetazolamide. prior to administration of the first dose, the nurse should ask the client if she has allergy to what meds?
answer
sulfa-based meds
question
a nurse is providing teaching to a pt who has a new prescription for oral extended release potassium chloride tablets, what instructions should the nurse include in the teaching?
answer
do not crush this medication
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a nurse is caring for a female client who has a new prescription for alosetron, what therapeutic effects should the nurse expect in this pt?
answer
a decrease in the frequency of defecation
question
a nurse is discussing AE with a pt who has non-Hodgkin's lymphoma and it is starting to take methotrexate, what should the nurse provide?
answer
methotrexate can increase the risk for bleeding
question
a nurse is providing teaching to a pt who has PD and has a new prescription for levodopa/carbidopa, what should the nurse include in the teaching
answer
you should move slowly when you want to stand up
question
a nurse is teaching a pt who has a new prescription for nitrofurantoin, what info should the nurse include in the teaching?
answer
you should stop taking the med if you develop a cough (pulmonary reactions)
question
a nurse is providing teaching to a pt who has a new prescription for montelukast, what statement by the pt indicates understanding
answer
i will take the med every day to control my exercise-induced asthma
question
a nurse is preparing to administer a 2nd unit of PRBCs to a pt who is experiencing hemorrhagic shock, the nurse should monitor for the manifestations of what as circulatory overload?
answer
dyspnea
question
acetylcysteine is prescribed for what med
answer
acetaminophen overdose
question
a nurse is providing teaching to a client who has T2D, and is starting to take immediate release exenatide, what statement is an understanding of the teaching
answer
i will take this med 1 hour before morning and evening meals