ATI Pharmacology Practice B
A nurse is monitoring a client after administering their prescribed medications
2000:Client is alert to person, place, time, and situation. Client reports headache and occasional anxiety.
Client reports nausea. Abdomen soft and rounded, non-distended. Bowel sounds are normoactive in all
4 quadrants.
Bladder non-distended; continent. Urine output of 25 mL/hr.
Skin cool, dry and intact.
Small pinpoint petechiae is present on bilateral extremities.
1600:Temperature 37.7° C (99.9° F)Heart rate 100/minRespiratory rate 20/minBlood pressure 134/64
mm HgOxygen Saturation 96% on room air2000:Temperature 38.4° C (101.2° F)Heart rate
106/minRespiratory rate 20/minBlood pressure 140/64 mm HgOxygen Saturation 97% on room air
Enoxaparin 40 mg Subcutaneous daily
Click to highlight the findings from the client's medical record that indicates a potential adverse reaction
to their prescribed medication and requires the nurse to - Answer-the client's report of headache,
nausea, and small pinpoint petechiae is present on bilateral extremities
A nurse is caring for a client in a clinic and is reviewing their electronic medical record (EMR).
3 months ago:Client was prescribed atorvastatin by provider. Client was educated to continue eating a
diet low in saturated fats and to participate in regular exercise. Client is to return to the office in 3
months for a follow-up visit.Today:Client here for a follow-up visit. Client reports last bowel movement
was 1 day ago, increased appetite, and dark urine upon urination. Client reports having some muscle
weakness when working outside. Skin is warm, dry, and intact. Color consistent with genetic
background. Client states, "I am sleeping so much better and seem to have increased energy, but I
sometimes get lightheaded." Client denies headache. Will report assessment findings to the provider.
3 months ago:Atorvastatin 40 mg once daily by mouth
For each body system below, click to specify the client's assessment find - Answer-the nurse should
identify that the findings of the client's urine characteristics, muscle weakness, and dizziness
, The nurse is caring for a client in a mental health clinic.
1230:
Bupropion XR 150 mg daily once daily in AM for three days then increase to 150 mg twice daily.
1200:
Client here for scheduled visit to discuss mood. Client reports they were previously prescribed sertraline
for depression, however tapered off that medication 6 months ago. Client states "It made me gain
weight and it completely took away my sex drive, so I stopped taking it." The client reports "My
depression has just gotten so bad. I have been seeing a counselor and they encouraged me to see a
provider about trying a different medication."1230:
Provider Prescriptions received. Visit summary reviewed with client to discuss the newly prescribed
medication. Client has a follow-up visit with provider in 3 weeks and continues with weekly counseling.
For each body system below, click to specify the adverse effect that the nurse should include when p -
Answer-Common adverse effects of this medication include changes in libido, constipation, and weight
loss
A nurse is caring for a client in an outpatient clinic.
11 months ago:
Client reports bilateral knee pain for many years for which they have taken ibuprofen 800 mg up to four
times per day as needed for the last year. It is no longer effective for pain. Reports pain today as 7 on a 0
to 10 scale.
6 months ago:
Client reports 5 on a 0 to 10 scale for right upper quadrant abdominal pain and dyspepsia for the last 3
months. Appetite decreased due to occasional nausea.Abdomen: Soft, slightly distended, nontender,
bowel sounds present in all four quadrantsEsophagogastroduodenoscopy (EGD) prescribed.Today:Client
reports no dyspepsia, nausea, or abdominal pain with continued use of omeprazole. Knee pain is
reported as 2 on a 0 to 10 scale with continued use of naproxen.
5 months ago:
Esophagogastroduodenoscopy (EGD) reveals peptic ulcer in proximal duodenum.
11 months ago:
A nurse is monitoring a client after administering their prescribed medications
2000:Client is alert to person, place, time, and situation. Client reports headache and occasional anxiety.
Client reports nausea. Abdomen soft and rounded, non-distended. Bowel sounds are normoactive in all
4 quadrants.
Bladder non-distended; continent. Urine output of 25 mL/hr.
Skin cool, dry and intact.
Small pinpoint petechiae is present on bilateral extremities.
1600:Temperature 37.7° C (99.9° F)Heart rate 100/minRespiratory rate 20/minBlood pressure 134/64
mm HgOxygen Saturation 96% on room air2000:Temperature 38.4° C (101.2° F)Heart rate
106/minRespiratory rate 20/minBlood pressure 140/64 mm HgOxygen Saturation 97% on room air
Enoxaparin 40 mg Subcutaneous daily
Click to highlight the findings from the client's medical record that indicates a potential adverse reaction
to their prescribed medication and requires the nurse to - Answer-the client's report of headache,
nausea, and small pinpoint petechiae is present on bilateral extremities
A nurse is caring for a client in a clinic and is reviewing their electronic medical record (EMR).
3 months ago:Client was prescribed atorvastatin by provider. Client was educated to continue eating a
diet low in saturated fats and to participate in regular exercise. Client is to return to the office in 3
months for a follow-up visit.Today:Client here for a follow-up visit. Client reports last bowel movement
was 1 day ago, increased appetite, and dark urine upon urination. Client reports having some muscle
weakness when working outside. Skin is warm, dry, and intact. Color consistent with genetic
background. Client states, "I am sleeping so much better and seem to have increased energy, but I
sometimes get lightheaded." Client denies headache. Will report assessment findings to the provider.
3 months ago:Atorvastatin 40 mg once daily by mouth
For each body system below, click to specify the client's assessment find - Answer-the nurse should
identify that the findings of the client's urine characteristics, muscle weakness, and dizziness
, The nurse is caring for a client in a mental health clinic.
1230:
Bupropion XR 150 mg daily once daily in AM for three days then increase to 150 mg twice daily.
1200:
Client here for scheduled visit to discuss mood. Client reports they were previously prescribed sertraline
for depression, however tapered off that medication 6 months ago. Client states "It made me gain
weight and it completely took away my sex drive, so I stopped taking it." The client reports "My
depression has just gotten so bad. I have been seeing a counselor and they encouraged me to see a
provider about trying a different medication."1230:
Provider Prescriptions received. Visit summary reviewed with client to discuss the newly prescribed
medication. Client has a follow-up visit with provider in 3 weeks and continues with weekly counseling.
For each body system below, click to specify the adverse effect that the nurse should include when p -
Answer-Common adverse effects of this medication include changes in libido, constipation, and weight
loss
A nurse is caring for a client in an outpatient clinic.
11 months ago:
Client reports bilateral knee pain for many years for which they have taken ibuprofen 800 mg up to four
times per day as needed for the last year. It is no longer effective for pain. Reports pain today as 7 on a 0
to 10 scale.
6 months ago:
Client reports 5 on a 0 to 10 scale for right upper quadrant abdominal pain and dyspepsia for the last 3
months. Appetite decreased due to occasional nausea.Abdomen: Soft, slightly distended, nontender,
bowel sounds present in all four quadrantsEsophagogastroduodenoscopy (EGD) prescribed.Today:Client
reports no dyspepsia, nausea, or abdominal pain with continued use of omeprazole. Knee pain is
reported as 2 on a 0 to 10 scale with continued use of naproxen.
5 months ago:
Esophagogastroduodenoscopy (EGD) reveals peptic ulcer in proximal duodenum.
11 months ago:
