ATI Capstone Pharmacology Assessment 2 Study Guide Questions with Definitive Solutions 202, Exams of Nursing

Download ATI Capstone Pharmacology Assessment 2 Study Guide Questions with Definitive Solutions 202 and more Exams Nursing in PDF only on Docsity! ATI Capstone Pharmacology Assessment 2 ATI Capstone Pharmacology Assessment 2 Study Guide Questions with Definitive Solutions 2024-2025. (Dark Back Ground for better Visibility and eye Care) A nurse is preparing to administer a bisacodyl (Dulcolax) 10 mg suppository. Which of the following are correct administration guidelines for the nurse to implement? (Select all that apply.) - Answer: - Lubricate index finger - Insert suppository just beyond internal sphincter A nurse is caring for a client who has anemia and has difficulty swallowing pills. The client's provider has prescribed a liquid oral iron supplement. The client 1 ATI Capstone Pharmacology Assessment 2 should be instructed by the nurse to take the iron - Answer: with orange juice to enhance absorption. Which of the following are appropriate references for the nurse to use to ensure safe medication administration? (Select all that apply.) - Answer: - Published journals - Pharmacists - Physicians' Desk Reference A nurse is developing home instructions for a client who is prescribed phenytoin (Dilantin) via the tube. Which of the following should the nurse include in the instructions? - Answer: Alcohol increases the chance of phenytoin toxicity. A nurse is talking with a client about how to use montelukast (Singulair) to treat asthma. Which of the following client statements should indicate that the client understood the nurse's instructions? - Answer: "I'll take this medication once a day in the evening." A nurse is caring for a client who received morphine sulfate 30 min ago. Which of the following best determines therapeutic client response to this medication? - Answer: 0 rating on pain scale A nurse is administering ipratropium bromide (Atrovent) via nebulizer to a client who has emphysema. Which of the following client findings should cause the 2 ATI Capstone Pharmacology Assessment 2 A nurse is reinforcing the controlled substance guidelines with a newly licensed nurse. Which of the following should the nurse include in the teaching? (Select all that apply.) - Answer: - Count each dose of narcotics in inventory. - Match number of available doses to record. - Sign acceptance of narcotic count if correct. A nurse is caring for a client who is taking naproxen (Naprosyn) following an exacerbation of rheumatoid arthritis. Which of the following comments by the client requires further discussion by the nurse? - Answer: "I've been buying Tagamet to help with the indigestion I've had." A nurse is caring for a client who has a prescription for diphenhydramine (Benadryl) to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following is an appropriate response by the nurse? - Answer: "Take most of the daily dose at bedtime." A nurse is preparing to administer hydrocodone/acetaminophen (Lortab) 5 mg. It is available in 7.5 mg/500 mg/15 mL elixir. How many mL should the nurse administer? (Round the answer to the nearest whole number.) - Answer: 10 mL A nurse is to administer a rectal suppository to a client. The nurse should instruct the client to lie in which of the following position's while in bed? - Answer: Sim's position 5 ATI Capstone Pharmacology Assessment 2 A nurse is caring for a client who has difficulty swallowing medications and is prescribed aspirin (Ecotrin) PO once daily. The client asks if the medication can be crushed to make it easier to swallow. The nurse's response should be, "Crushing the pill - Answer: might cause you to have a stomachache or indigestion." A client tells the nurse she took a dose of dimenhydrinate (Dramamine) before coming to the health care clinic. The nurse determines that the medication is effective when the client reports relief of - Answer: nausea A nurse is caring for a client who reports daily use of acetaminophen (Tylenol) to manage mild knee pain. Which of the following statements by the client should be of most concern to the nurse? - Answer: "I take three or four Vicodin ES tablets a day for severe knee and joint pain." A nurse is instructing a hospitalized client who has asthma about how to use an albuterol (Proventil) inhaler. The nurse should recognize that the client understands how to use the inhaler when the client demonstrates by - Answer: holding a breath for 10 seconds after inhaling the medication. A hospice nurse makes weekly visits to a client who has terminal cancer. For several weeks, the client has been taking morphine sulfate for pain relief. At today's visit, the client reports to the nurse that the usual dose of morphine does not seem to be working. The nurse should understand that the most likely explanation is that the client has - Answer: developed a tolerance to the medication. 6 ATI Capstone Pharmacology Assessment 2 A nurse is talking with a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication treats coughs because of which of the following actions? - Answer: Stimulates secretions A nurse observes a parent of an infant administer a prescribed oral medication. Which of the following actions by the parent indicates a need for further instruction? - Answer: Positions infant in a supine position A nurse is giving discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects? - Answer: Tachycardia A nurse is talking with a client who is about to start taking allopurinol (Zyloprim) to treat gout. Which of the following statements indicates that the client understands how to take this medication? - Answer: "I need to drink at least 3 quarts of water a day." A nurse is providing teaching to a client who has hypothyroidism and has a new prescription for levothyroxine (Synthroid). The nurse should instruct the client to avoid which of the following herbal supplements? - Answer: Soy isoflavones 7 ATI Capstone Pharmacology Assessment 2 An older adult client's provider prescribes aspirin, 650 mg/q6h PO to treat rheumatoid arthritis. The nurse should teach the client that a possible adverse effect of aspirin therapy is - Answer: bleeding. A nurse is caring for a client who is taking levothyroxine (Synthroid). Which of the following manifestations should suggest to the nurse that the client may have taken an overdose of levothyroxine? - Answer: Insomnia A nurse is reviewing a client's admission record. The nurse notes that there are prescriptions for several medications. Which of the following factors should the nurse recognize is of primary consideration when determining the schedule of administration? - Answer: Specific characteristics of the medications A nurse is caring for a client who has several environmental allergies and was admitted in status asthmaticus. The provider prescribes cromolyn sodium (Intal) via metered dose inhaler (MDI) to be added to the client's home management along with an albuterol (Proventil) MDI. When performing discharge teaching, the nurse should identify the need for additional teaching when the client states, - Answer: "I will be sure to take the Intal four times a day before using the Proventil." Following surgery, a client has a prescription for nalbuphine (Nubain) for moderate to severe pain. The nurse caring for the client should check for possible adverse reactions by assessing for which of the following findings? - Answer: Blurred vision 10 ATI Capstone Pharmacology Assessment 2 A nurse is caring for a client who requests pain medication. The nurse should understand that acute pain can cause which of the following? - Answer: Increased heart rate A nurse is caring for a client treated with intermittent IV vancomycin (Vancocin). The client reports pain at the IV site when the nurse starts the infusion. Which of the following nursing actions is appropriate at this time? - Answer: Assess the patency of the IV site. A nurse is caring for a client who reports taking bisacodyl (Ducolax) to promote a daily bowel movement. Which of the following should be the nurse's priority response? - Answer: "How long have you been taking the Ducolax?" A female client who has rheumatoid arthritis asks the nurse if it is safe for her to take aspirin. Which of the following is a contraindication to this medication? - Answer: History of gastric ulcers. A nurse is caring for a client who reports occasionally self-medicating with an over-the-counter calcium carbonate antacid. To avoid the adverse effects of calcium carbonate, the nurse should recommend that the client take this medication with - Answer: water. A home health nurse is reviewing the medication list of an older adult client who reports falling a couple of times over the past week. Which of the following 11 ATI Capstone Pharmacology Assessment 2 medications should the nurse suspect is contributing to the client's falls? - Answer: Alprazolam (Xanax) A nurse is preparing to use the Z-track technique to administer a medication to a client. Which of the following is an appropriate action during this procedure? - Answer: Aspirate for 5 to 10 seconds. A nurse is preparing to administer an intramuscular (IM) dose of meperidine (Demerol) to a client, which of the following is the priority for the nurse to take? - Answer: Respiratory rate A nurse is preparing to administer potassium chloride (KCL). The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 5.2 mEq/L. Which of the following actions should the nurse take? - Answer: Call the prescribing physician and inform her of the client's serum potassium level results. 12