Exam (elaborations) NUR 503 PHARMACOLOGY ATI A STUDY GUIDE

Exam (elaborations) NUR 503 PHARMACOLOGY ATI A STUDY GUIDE A nurse is caring for a client who has acute angle closure glaucoma and has been receiving a continuous IV infusion of mannitol 25% for one hour which of the following adverse affects should the nurse report to the provider immediately a. Peripheral edema i. The greatest risk to the client receiving mannitol IV is development of heart failure therefore the nurse should report peripheral edema to the provider immediately 2. A nurse is providing teaching to a client with peptic ulcer disease and is to start a new prescription for sucralfate. The nurse explain to the client with medication a. Forms a protective barrier over ulcers i. Sucralfate a mucosal protectant forms a gel like substance coating the ulcer creating a barrier to hydrochloric acid 3. Nurse is caring for a client who is 24 hour post operative following abdominal surgery and has been taking morphine sulfate PRN for incisional pain the nurse should assess the client for which of the following adverse affects a. Urinary retention i. morphine increases bladder sphincter and detrussor muscle tone as well as dulling the clients ability to perceive bladder fullness resulting in urinary retention 4. A nurse is providing teaching about insulin glargine to a client who has type I diabetes mellitus. Which of the following should the nurse include in the instructions a. Do not mix this medication in a syringe with other insulins i. insulin glargine does not cause peaks instead it maintains a study blood level over a 24 hour period which reduces the risk of hypoglycemia 5. A nurse is caring for a client who is taking acetazolamide for chronic open angle glaucoma for which of the following adverse affects should the nurse instruct the client to monitor and report a. Tingling of fingers i. Hyperglycemia rather than hypoglycemia is an adverse effect of Acetazolaminde 6. A client is just diagnosed with tuberculosis and is prescribed a for medication regimen of isoniazid , pyrainamide, rifampin, and ethambutol. The client asks why he has to take so many pills. Which of the following is an appropriate response by the nurse a. This regimen will eliminate various combinations of resistant strains of TB i. The risk of undesired effects increases with multi medication therapy 7. The nurse is caring for a client who is receiving long term treatment for systemic lupus erythematosus with prednisone the nurse should inform the client to expect to undergo which of the following diagnostic test to monitor for long-term complications a. Bone density scans i. Adverse effects of glucocorticoids include osteoporosis which is monitored with regular schedule bone density scans 8. At 0900 a nurse is preparing the clients medications based on the chart findings which of the following medications should the nurse administer first a. Sodium polystyrene sulfate i. You do not need to give pain medication first if the patient's pain is only moderate 9. A nurse is caring for a client who has pneumonia the client tells nurse she is pregnant but has not told her provider which of the following medication orders should the nurse question a. Doxycycline i. pregnancy is a contraindication for doxycycline, a tetracycline antibiotic, due to the medications adverse affects on developing bones and teeth 10. A nurse is caring for a client to his heart failure and is prescribe enalapril the nurse should monitor the client for which of the following a. Hyperkalemia Study Guide This study source was downloaded by from CourseH on :20:39 GMT -05:00 This study resource was shared via CourseH NUR 503 PHARMACOLOGY ATI A STUDY GUIDE i. a client taking enalapril can develop hyperkalemia due to potassium retention by the kidneys 11. A nurses in a providers office is assessing a client who has been taking aspirin daily. For the past year which of the following findings should the nurse notify the provider immediately a. Hyperventilation i. aspirin may cause gastrointestinal distress including heartburn but that is not the most urgent finding 12. A nurse is caring for an older adult client. The client received 0.9% sodium chloride 1L over 4 hr instead of over 8hr as prescribed which of the following entries is appropriate documentation of this occurrence in the clients medical record. a. 0.9% sodium chloride 1L IV infused over 4 hr. Vital signs stable i. The nurse should only chart factual information without using judgmental language in the medical record 13. Nurse is caring for a client who is starting a new prescription for warfarin which of the following medication should the nurse plan to administer if the clients experiences bleeding a. Vitamin K i. Vitamin K as an antodone acetylcysteine is the antidote for warfarin toxicity 14. A nurse is monitoring clients receiving an IV infusion of magnesium sulfate for preterm labor which of the following findings indicate to the nurse that the client is experiencing magnesium toxicity a. Decreased level of consciousness i. magnesium toxicity results in central nervous system depression 15. A nurse is caring for a client who is taking tamoxifen for the treatment of breast cancer the nurse informed the client that which of the following side effects can develop select all that apply a. Menstrual irregularities b. hot flashes c. bruising i. Tamoxifen is an anti-estrogen medication 16. A nurse is caring for a client to the emergency department following a diazepam overdose the nurse should administer which of the following medications a. Flumazenil i. Is the reversal agent for benzodiazepine toxicity 17. A nurse is assessing a client who is taking propylthiouracil for treatment of. Graves' disease which of the following findings indicate the fact of this of this medication a. Increase in ability to focus i. a client who has Graves' disease has difficulty focusing and increased ability to focus indicates effectiveness of the medication 18. A nurses providing teaching to a client who has depression and is prescribed fluoxetine which of the following statements indicates to the nurse and the client understands the teaching a. I should take acetaminophen instead of ibuprofen for my headaches while taking this medication i. You do not need a tyramine restriction for this kind of medication 19. A nurse is caring for a client who is to start therapy with benztropine for which of the following findings should the nurse monitor a. Tachycardia i. benztropine is an anti-cholinergic agent 20. A nurse is providing teaching for a client who is to begin pharmacological therapy for a new diagnosis of asthma which of the following medications should the nurse instruct the client to use during an acute asthma attack a. Albuterol i. albuterol is a short acting beta 2 adrenergic agonist which causes bronchodilation relieves bronchospasm during acute asthma attacks the nurse should instruct the client to keep medication nearby for emergency use 21. A nurse is playing to provide medication education for client to begin a course of therapy with metronidazole which of the following should the nurse instruct the client to avoid during the course of therapy a. Beer Study Guide This study source was downloaded by from CourseH on :20:39 GMT -05:00 This study resource was shared via CourseH i. the combination of metronidazole and alcohol can cause a disulfiram like reaction that can include severe vomiting hypotension and weakness 22. A client is receiving a second dose of IV cefazolin postoperatively. The nurse notes uriticaria, dysrhythmia anxiety and hypotension. Which of the following should the nurse anticipate administering? a. Parenteral epinephrine i. The client findings indicate an allergic reaction to cefazolin therefore the nurse should anticipate administering parenteral epinephrine to induce vasoconstriction and bronchodilation 23. A nurses providing teaching to a client regarding the administration of Ferrous sulfate which of the following instruction should the nurse include in the teaching a. Take the tablet on an empty stomach i. black stools are a common and harmless side effect of oral iron administration 24. And nurses providing teaching to a client who is taking tetracycline PO and reports gastrointestinal distress which of the following should the nurse include in the teaching a. Take the medication with applesauce i. to reduce gastrointestinal distress the client should take the medication with food such as applesauce 25. A client newly diagnosed with hypothyroidism is prescribed levothyroxine 0.25 mg PO daily after six weeks of treatment the nurse determines that the medication was effective if the a. Thyroid stimulating hormone level is 2 microunits/milliliter i. Measuring TSH is the most sensitive method for determining thyroid activity a TSH level 2 micro units per milliliter indicates appropriate thyroid activity 26. A nurse Is providing teaching to a client who is diagnosed with migraine headaches the client is prescribed something ergotamine sublingual which of the following should the nurse include in her instructions a. Take one tablet at onset of migraine i. one tablet should be taken immediately after the unsent of aura or headache 27. A nurse is providing teaching to a client who has a new prescription for phenytoin. Which of the following statements by the client indicates an understanding of the teaching a. I should let my dentist know I'm taking this medication i. The client should NOT take phenytoin with milk or other calcium-containing foods because phenytoin can decrease the absorption of calcium and vitamin D 28. A nurses providing teaching to a client who is to start therapy with digoxin which of the following should the nurse instruct the client to monitor and report a. Yellow tinged vision i. The nurse should instruct the client to monitor for and report yellow tinged vision which is a sign of digoxin toxicity and should be reported to the provider 29. A nurse administers ceftazidime to a client who has a sever penicillin allergy. Which of the following requires and incident report a. The client reports shortness of breath i. Severe penicillin allergy is a contraindication for ceftazidime, a cephalosporin antibiotic, due to the potential for cross sensitivity. Shortness of breath can indicate anaphylaxis 30. A nurse is assessing a client whose taking Indomethacin which of the following should the nurse monitor to evaluate the medications effectiveness a. Reduced pain i. indomethacin is a nonsteroidal anti-inflammatory medication which reduces pain and inflammation 31. A nurse is caring for a client who has just been transferred from the PACU to the medical-surgical unit following colon resection the client reports pain of an eight on a scale from 0 to 10 and has a prescription for morphine sulfate 4 mg IV bolus PRN pain every two hours which of the following actions should the nurse take first a. Check the clients PAC you medication record first Study Guide This study source was downloaded by from CourseH on :20:39 GMT -05:00 This study resource was shared via CourseH i. administering morphine sulfate is an appropriate action but is not the first action the nurse should take you need to know your client 32. A nurse is preparing to administer hydromorphone for a postoperative client which of the following indicates that the nurse should withhold the next dose of the medication a. A clients respiratory rate is eight per minute i. The clients respiratory rate is below expected reference range there for the nurse should withhold medication 33. A nurse is planning teaching for a child who has been prescribed fluticasone propionate for chronic asthma the nurse plans to teach the child to use a spacer to minimize the risk for which of the following a. Candidiasis of the mouth i. Side effects of inhaled corticosteroids include dysphonia and oral candidiasis using a spacer and rinsing the mouth after inhalation will minimize the amount of medication remaining in the oropharynx preventing the development of the side effects 34. A client who has a history of hypertension tells the nurse that he uses over-the-counter oral decongestants for nasal congestion the nurse should advise the client that decongestants a. Constrict blood vessels i. sympathomimetics work by constricting blood vessels which relieves congestion however this vasoconstrictive effects can also increase blood pressure 35. A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence which of the following symptoms should the nurse tell the client to expect. ( all that apply) a. Dry mouth b. blurred vision c. photophobia i. Oxybutynin is an anti-cholinergic agents that can cause dry mouth ii. Oxybutynin is an anticholinergic agents that can cause blurred vision iii. Oxybutynin is an anti-cholinergic agent that can cause photophobia 36. A nurse is planning to teach a client about taking methotrexate for which of the following should the nurse instruct the client to monitor and report to the provider a. Fever i. methotrexate an immunosuppressant can cause bone marrow suppression the nurse should advise the client to muncher any poor indications of infection such as fever or sore throat 37. A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following documented findings should the nurse report to the provider immediately a. Dyspnea i. Using ABC priority setting framework, the greatest risk to the client is dyspnea as a result of bronchoconstriction caused by elevated acetylcholine levels in the lungs. 38. A nurse is caring for a client who is candidiasis which of the following medications to the nurse expect to administer a. Fluconasole i. Is an antifungal medication effective for treating oral pharyngeal and systemic candidiasis 39. A nurse is administering baclofen for a client who has a spinal cord injury which of the following should the nurse document as a therapeutic outcome a. Decrease in flexor and extensor spasticity