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Pharmacology ATI Revision Questions
Answers
a nurse is caring for a client who is taking PTU. for which of the following adverse effects of this medication should the nurse monitor a. bradycardia b. insomnia c. heat intolerance d. weight loss - Solution a a nurse is teaching a client who has Graves' disease about her medications. which of the following statements by the client indicates an understanding of the use of propranolol in the treatment of Graves' disease a. propanolol helps increase blood flow to my thyroid gland b. propranolol is used to prevent excess glucose in the blood c. propranolol will decrease my tremors and fast heart beat d. propranolol promotes a decrease of thyroid hormone in my body - Solution c a nurse is caring for an older adult client in a long term care facility who has hypothyroidsm and is taking levothyroxine. which is true about dosage a. start high and taper as needed b. remain on intial dosge during the course of treatment c. will be adjusted daily based on blood levels d. start on a low dose and gradually increase - Solution d
a nurse is assessing a clinet who takes desmopressin for DI. what adverse affect should the nurse monitor a. hypovolemia b. hypercalemia c. agitation d. headache - Solution d which of the following dactors should the educator include as a reason to decrease the medication dosages? (SATA) a. increased renal excretion b. increased medication-metabolizing enzymes c. liver failure d. peripheral vascular disease e. concurrent use of medication the same pathway metabolizes - Solution c, e a nurse is preparing to administer eye drops to a client. which of the following actions should the nurse take? (SATA) a. have the client lie on her side b. ask the client to look up at the ceiling c. tell the client to blink when the drops enter her eye d. drop the medication into the center of the clients conjunctival sac e. instruct the client to close her eye gently after installation - Solution b, d, e a nurse reviewing a client's medical record notes a new prescription for verifying the trough level of the clients medication. which of the following actions should the nurse take a. obtain a blood specimen immediately prior to administering the next dose of mediation
which of the following should the nurse identify as an indication of phlebitis? (SATA) a. pallor b. dampness c. erythema d. coolness e. pain - Solution c, e the nurse manager should remind the team that which of the following techniques help minimize the risk of catheter embolism? a. performing hand hygiene before and after IV insertion b. rotating IV sites at least every 72 hours c. minimizing tourniquet time d. avoiding registering the needle into an IV catheter - Solution d A nurse is preparing to initiate IV therapy for an older adult client, Which of the following actions should the nurse plan to take a. use a disposable razor b. select the back of the client's hand to insert the IV catheter c. distend the veins by using a blood pressure cuff d. direct the client to raise his arm above his heart - Solution c a nurse assessing a client's Iv catheter insertion site notes a hematoma. which of the following actions should the nurse take? (SATA) a. stop the infusion b. apply alcohol to the insertion site c. apply warm compresses to the insertion site d. elevate the clients arm e. obtain a specimen for culture at the insertion site - Solution c, d
a nurse is providing discharge instructions for a client who has a new prescription for an antihypertensive medication. which of the following statements should the nurse give? a. be sure to limit your K intake while taking this medication b. you should check your BP every 8 hrs while taking this medication c. your medication dosage will be increased if you develop tachycardia d. change positions slowly when you move from sitting to standing
- Solution d a nurse is caring for a client who is taking oral oxycodone. the client states he is also taking ibuprofen in 3 doses daily. the nurse should identify that an interaction should identify that an interaction between these 2 medications will cause which of the following a. a decrease in serum levels of ibuprofen, possible leading to a need for increased doses of this medication b. a decrease in serum 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 - Solution c a nurse working in an emergency department is caring for a client who has benzodiazepine toxicity due to an overdose. which of the following actions is the nurse's priority a. administer flumazenil b. identify the client's level of orientation c. infuse IV therapy
the following instructions should the nurse include in the teaching? a. take the albuterol at the same time each day b. administer the albuterol inhaler prior to using the beclomethasone inhaler c. use beclomethasone if experiencing as acute episode d. avoid shaking the beclomethasone before use - Solution b a nurse is providing instructions to the parent of an adolescent client who has a new prescription for albuterol, PO. which of the following instructions should the nurse include? a. you can take this medication to abort an acute asthma attack b. tremors are an adverse effect of this medication c. prolonged use of this medication can cause hyperglycemia d. this medication can slow skeletal growth rate - Solution b a nurse is teaching a client who has a presciption for long term use of oral prednisone for treatment of chronic asthma. the nurse should instruct the client to monitor for which of the following adverse effects of this medication? a. weight gain b. nervousness c. bradycardia d. constipation - Solution a a nurse is caring for a client who states she has been taking phenylephrine nasal drops for the past 10 days for sinusitis. the nurse should assess for what? a. sedation b. nasal congestion c. productive cough
d. constipation - Solution b a nurse is teaching a client who has a new prescription for dextromethorphan to suppress a cough. the nurse should instruct the client to monitor for which of the following adverse effects of this medication a. diarhea b. anxiety c. sedation d. palpations - Solution c a nurse is teaching the family of a child who has cystic fibrosis and a new prescription for acetylcysteine. which of the following info should the nurse include? a. expect this med to suppress your cough b. expect this med to smell like rotten eggs c. expect this med to cause euphoria d. expect this med to turn your urine orange - Solution b a nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. the nurse should know the adverse reactions of this medication are: (SATA) a. dry mouth b. nonproductive cough c. skin rash d. drowsiness e. urinary hesitation - Solution a, d, e a nurse is teaching a client about the use of fluticasone to treat perennial rhinitis. which of the following statements by the client indicated and understanding of the teaching
a nurse is teaching a client about the new prescription for celecoxib. which of the following information should the nurse include in the teaching a. increases the risk for a MI b. decreases the risk of a stroke c. inhibits COX- d. increases platelet aggregation - Solution a a nurse in ER is performing an admission on a patient who has severe aspirin toxicity. which of the following findings should the nurse expect? a. body temp of 95 b. lung crackles c. cool, dry skin d. respiratory depression - Solution d a nurse is preparing to administer an opioid agonist to a patient with acute pain. which of the following should the nurse monitor? a. urinary retention b. tachycardia c. hypertension d. irritating cough - Solution a client is taking morphine. the clients daughter asks why methylnaltrexone is prescribed. which of the following responses should the nurse take? a. the medication will increase your mothers respirations b. the medication will prevent dependence on the morphine c. the medication will relieve your mothers constipation d. the medication works with morphine to increase pain relief - Solution c
a nurse is planning to administer morphine IV to a client who is post-op. which of the following actions should the nurse take? a. monitor for seizures and confusion b. protect the client's ksin from the severe diarrhea that occurs with morphine c. withhold this med if RR is less than 12/min d. give morphine via IV bolus over 30 seconds or less - Solution c a nurse is reviewing the medication administration record for a client who is receiving transdermal fentanyl for severe pain. which of the following medications should the nurse expect to cause a adverse reaction? a. ampicillin b. diazepam c. furosemide d. prednisone - Solution b a nurse is teaching clients in an outpatient facility about the use of insulin to treat type 1 diabetes mellitus. for which of the following types of insulin should the nurse tell the clients to expect a peak effect 1-5 hrs after administration a. insulin glargine b. NPH insulin c. regular insulin d. insulin lispro - Solution c a nurse is caring for a client in an outpatient facility who has been taking acarose for type 2 diabetes mellitus. which of the following lab tests should the nurse plan to monitor?
a nurse is admitting a client to an acute care facility for a total hip arthroplasty. the client takes hydrocortisone for addison's disease. which of the following actions is the nurse's priority? a. administering a supplemental dose of hydrocortisone b. instructing the client about coughing and deeping breathing c. collecting additional information from the client about his history of addison's disease d. inserting an indwelling catheter - Solution a a nurse is preparing information for the unit's nurses about the effectiveness of antimicrobial therapy for clients who had bacterial infections. which of the following host factors should the nurse include as conditions that affect antimicrobial effectiveness? (SATA) a. meningitis b. pacemaker c. endocarditis d. pneumonia e. pyelonephritis - Solution a, b, c, d a nurse is caring for a group of clients who are receiving antimicrobial therapy. which of the following clients should the nurse plan to monitor for manifestations of antibiotic toxicity a. adolescent client who has a sinus infection b. an older adult client who has prostatitis c. a client who is postpartum and has mastitis d. a middle adult client who has a uriniary tract infection - Solution b a nurse in an outpatient facility is preparing to administer nafcillin to an adult client who has an infection. which of the following actions should the nurse plan to take? (SATA)
a. select a 25 gauge, 1/2 inch needle for the injection b. administer the medication deeply into the ventrogluteal muscle c. ask the client about an allergy to penicillin before administering the medication d. monitor the client for 30 min following the injection e. tell the client to expect a temporary rash to develop following the injection - Solution b, c, d a nurse is preparing to administer cefotaxime IV to a clinet that has a severe infection. which of the following findings indicates a potentially serious adverse effect? a. diaphoresis b. epistaxis c. diarrhea d. alopecia - Solution c which cephalosporins can be administered IV to treat a cerebrospinal fluid infection a. cefaclor b. cefazolin c. cefepime d. cephalexin - Solution c penicillin that can be used IM of IV (patient doesnt like the taste of oral meds) a. fosfomycin b. amoxicillin c. nafcillin d. cefaclor - Solution c
b. urinary retention c. severe constipation d. complex partial seizures - Solution a which of the following oral antibiotics should the nurse expect to administer sepcifially to suppress normal flora in the GI tract? a. kanamycin b. gentamicin c. neomycin d. tobramycin - Solution c a nurse is teaching a female client who has a severe UTI about ciproflocain. which of the following information about adverse reactions should the nurse include? (SATA) a. observe for pain and swelling of the Achilles tendon b. watch for a vaginal yeast infection c. expect excessive nighttime perspiration d. inspect the mouth for cottage cheese like lesions e. take the med with a dairy product - Solution a, b, d a nurse is planning to administer ciprofloxacin IV to a client who has cystitis. which of the following actions should the nurse take? a. administer a concentrated solution b. infuse the medication over 60 min c. infuse the solution through the primary tubing d. chose a small peripheral vein for administration - Solution b
