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1. 1) A nurse is caring for a client with 3.Immediately before exposure to the sun
hyperparathyroidism and notes that the 4. At least 30 minutes before exposure to the sun
client's serum calcium level is 13 mg/dL.
5. 5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a burn
Which medication should the nurse
injury. When applying the medication, the client complains of local
prepare to administer as prescribed to
discomfort and burning. Which of the following is the most appropriate
the client?
nursing action?
1. Calcium chloride
1. Notifying the registered nurse
2.Calcium gluconate
2.Discontinuing the medication
3.Calcitonin (Miacalcin)
3.Informing the client that this is normal
4. Large doses of vitamin D
4. Applying a thinner film than prescribed to the burn site
2. 2.) Oral iron supplements are
prescribed for a 6-year-old child with
iron deficiency anemia. The nurse
instructs the mother to administer the
iron with which best food item?
1. Milk
2.Water
3.Apple juice
4. Orange juice
3. 3.) Salicylic acid is prescribed for a
client with a diagnosis of psoriasis.
The nurse monitors the client,
knowing that which of the following
would indicate the presence of
systemic toxicity from this
medication?
1. Tinnitus
2.Diarrhea
3.Constipation
4. Decreased respirations
4. 4.) The camp nurse asks the children
preparing to swim in the lake if they
have applied sunscreen. The nurse
reminds the children that chemical
sunscreens are most effective when
applied:
1. Immediately before swimming
2.15 minutes before exposure to the
sun
ATI Pharmacology Proctored Exam,TestBank(100% Of 313 Verified
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3. doses of vitamin D need to be avoided. Calcitonin, a thyroid hormone,
C decreases the plasma calcium level by inhibiting bone resorption and lowering
a the serum calcium concentration.
l
c
4. Orange juice
i
t Rationale:
o Vitamin C increases the absorption of iron by the body. The mother should be
n instructed to administer the medication with a citrus fruit or a juice that is high
i in vitamin C. Milkmay affectabsorption of the iron. Water will not assist in
n absorption. Orange juice contains a greater amount of vitamin C than apple
juice.
(
M
i
a 1. Tinnitus
c Rationale:
a
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism)
l
can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological
c
disturbances. Constipation and diarrhea are not associated with salicylism.
i
n
)
R
4. At least 30 minutes beforeexposure to the
a
sun Rationale:
t
i Sunscreens are most effective when applied at least 30 minutes
o beforeexposure to the sun so that they can penetrate the skin. All sunscreens
n should be reapplied after swimming or sweating.
a
l
e
:
The normal serum calcium level is 8.6
to 10.0 mg/dL. This client is 3. Informing the client that this is normal
experiencing hypercalcemia. Calcium Rationale:
gluconate Mafenideacetateis bacteriostatic forgram-negativeandgram-positive organisms
andcalciumchloridearemedications and is used to treatburns to reducebacteria present in avascular tissues. The
usedforthe treatment of tetany, which client should be informed that the medication will cause local discomfort and
occurs as a result of acute burning and that this is a normal reaction; therefore options 1, 2, and 4 are
hypocalcemia. In hypercalcemia, large incorrect
ATI Pharmacology Proctored Exam,TestBank(100% Of 313 Verified
Questions an ALL CORRECT Answers), GRADED A+
,ATI Pharmacology Proctored Exam,TestBank(100% Of 313 Verified
Questions an ALL CORRECT Answers), GRADED A+
6. 6.) The burn client is receiving 1. Hyperven
treatments of topical mafenide tilation Rationale:
acetate(Sulfamylon) tothe site of injury. Mafenideacetate is a carbonic anhydraseinhibitor and can suppress
The nurse monitors the client, knowing renalexcretion of acid, thereby causing acidosis. Clients receiving this
that which of the following indicates that treatment should be monitored for signs of an acid-base imbalance
a systemic effect has occurred? (hyperventilation). If this occurs, the medication should be discontinued for 1 to
1.Hyperventilation 2 days. Options 3 and 4 describe local rather than systemic effects. An
2.Elevated blood elevated blood pressure may be expected from the pain that occurs with a
pressure 3.Local pain at burn injury.
the burn site 4.Local
rash at the burn site
2. Triglyceride level
7. 7.) Isotretinoin is prescribed for a client Rationale:
with severe acne. Before the Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be
administration of this medication, the measured before treatment and periodically thereafter until the effect on the
nurse anticipates that which laboratory triglycerides has been evaluated. Options 1, 3, and 4 do not need to be
test will be prescribed? monitored specifically during this treatment.
1. Platelet count
2.Triglyceride level
3.Complete blood count
4. White blood cell count 1. Vita
min A
8. 8.) A client with severe acne is seen in
Rationale:
the clinic and the health care provider
Isotretinoinis ametabolite of vitamin Aand
(HCP) prescribes isotretinoin. The nurse
canproducegeneralizedintensification of isotretinoin toxicity. Because of the
reviews the client's medication record
potential for increased toxicity, vitamin A supplementsshould be discontinued
and would contact the (HCP) if the client
beforeisotretinointherapy.Options 2, 3, and 4 are not contraindicated with the
is taking which medication?
use of isotretinoin.
1. Vitamin A
2.Digoxin (Lanoxin)
3.Furosemide (Lasix)
4. Phenytoin (Dilantin)
9. 9.) The nurse is applying a topical
corticosteroid to a client with eczema. 2. Axilla
The nurse would monitor for the Rationale
potential for increased systemic :
absorption of the medication if the Topicalcorticosteroids can be absorbedinto the systemic circulation. Absorption
medication were being applied to is higher from regions where the skin is especially permeable (scalp, axilla,
which of the following body areas? face, eyelids, neck, perineum, genitalia), and lower from regions in which
1. Back permeability is poor (back, palms, soles).
2.Axilla
3.Soles of the feet
4. Palms of the hands
10. 10.) The clinic nurse is performing an
admission assessment on a client. The 1. A
nurse notes that the client is taking cne
azelaic acid (Azelex). Because of the Rationale
medication prescription, the nurse would :
suspect that the client is being treated Azelaic acid is a topical medication used to treat mild to moderate acne. The
for: acid appears to work by suppressing the growth of Propionibacterium acnes
1. Acne and decreasing the proliferation of keratinocytes. Options 2, 3, and 4 are
2.Eczema incorrect.
3.Hair loss
4. Herpes simplex
ATI Pharmacology Proctored Exam,TestBank(100% Of 313 Verified
Questions an ALL CORRECT Answers), GRADED A+
, ATI Pharmacology Proctored Exam,TestBank(100% Of 313 Verified
Questions an ALL CORRECT Answers), GRADED A+
ATI Pharmacology Proctored Exam,TestBank(100% Of 313 Verified
Questions an ALL CORRECT Answers), GRADED A+
Questions an ALL CORRECT Answers), GRADED A+
ATI Pharmacology Proctored Test
Bank
1. 1) A nurse is caring for a client with 3.Immediately before exposure to the sun
hyperparathyroidism and notes that the 4. At least 30 minutes before exposure to the sun
client's serum calcium level is 13 mg/dL.
5. 5.) Mafenide acetate (Sulfamylon) is prescribed for the client with a burn
Which medication should the nurse
injury. When applying the medication, the client complains of local
prepare to administer as prescribed to
discomfort and burning. Which of the following is the most appropriate
the client?
nursing action?
1. Calcium chloride
1. Notifying the registered nurse
2.Calcium gluconate
2.Discontinuing the medication
3.Calcitonin (Miacalcin)
3.Informing the client that this is normal
4. Large doses of vitamin D
4. Applying a thinner film than prescribed to the burn site
2. 2.) Oral iron supplements are
prescribed for a 6-year-old child with
iron deficiency anemia. The nurse
instructs the mother to administer the
iron with which best food item?
1. Milk
2.Water
3.Apple juice
4. Orange juice
3. 3.) Salicylic acid is prescribed for a
client with a diagnosis of psoriasis.
The nurse monitors the client,
knowing that which of the following
would indicate the presence of
systemic toxicity from this
medication?
1. Tinnitus
2.Diarrhea
3.Constipation
4. Decreased respirations
4. 4.) The camp nurse asks the children
preparing to swim in the lake if they
have applied sunscreen. The nurse
reminds the children that chemical
sunscreens are most effective when
applied:
1. Immediately before swimming
2.15 minutes before exposure to the
sun
ATI Pharmacology Proctored Exam,TestBank(100% Of 313 Verified
Questions an ALL CORRECT Answers), GRADED A+
,ATI Pharmacology Proctored Exam,TestBank(100% Of 313 Verified
Questions an ALL CORRECT Answers), GRADED A+
3. doses of vitamin D need to be avoided. Calcitonin, a thyroid hormone,
C decreases the plasma calcium level by inhibiting bone resorption and lowering
a the serum calcium concentration.
l
c
4. Orange juice
i
t Rationale:
o Vitamin C increases the absorption of iron by the body. The mother should be
n instructed to administer the medication with a citrus fruit or a juice that is high
i in vitamin C. Milkmay affectabsorption of the iron. Water will not assist in
n absorption. Orange juice contains a greater amount of vitamin C than apple
juice.
(
M
i
a 1. Tinnitus
c Rationale:
a
Salicylic acid is absorbed readily through the skin, and systemic toxicity (salicylism)
l
can result. Symptoms include tinnitus, dizziness, hyperpnea, and psychological
c
disturbances. Constipation and diarrhea are not associated with salicylism.
i
n
)
R
4. At least 30 minutes beforeexposure to the
a
sun Rationale:
t
i Sunscreens are most effective when applied at least 30 minutes
o beforeexposure to the sun so that they can penetrate the skin. All sunscreens
n should be reapplied after swimming or sweating.
a
l
e
:
The normal serum calcium level is 8.6
to 10.0 mg/dL. This client is 3. Informing the client that this is normal
experiencing hypercalcemia. Calcium Rationale:
gluconate Mafenideacetateis bacteriostatic forgram-negativeandgram-positive organisms
andcalciumchloridearemedications and is used to treatburns to reducebacteria present in avascular tissues. The
usedforthe treatment of tetany, which client should be informed that the medication will cause local discomfort and
occurs as a result of acute burning and that this is a normal reaction; therefore options 1, 2, and 4 are
hypocalcemia. In hypercalcemia, large incorrect
ATI Pharmacology Proctored Exam,TestBank(100% Of 313 Verified
Questions an ALL CORRECT Answers), GRADED A+
,ATI Pharmacology Proctored Exam,TestBank(100% Of 313 Verified
Questions an ALL CORRECT Answers), GRADED A+
6. 6.) The burn client is receiving 1. Hyperven
treatments of topical mafenide tilation Rationale:
acetate(Sulfamylon) tothe site of injury. Mafenideacetate is a carbonic anhydraseinhibitor and can suppress
The nurse monitors the client, knowing renalexcretion of acid, thereby causing acidosis. Clients receiving this
that which of the following indicates that treatment should be monitored for signs of an acid-base imbalance
a systemic effect has occurred? (hyperventilation). If this occurs, the medication should be discontinued for 1 to
1.Hyperventilation 2 days. Options 3 and 4 describe local rather than systemic effects. An
2.Elevated blood elevated blood pressure may be expected from the pain that occurs with a
pressure 3.Local pain at burn injury.
the burn site 4.Local
rash at the burn site
2. Triglyceride level
7. 7.) Isotretinoin is prescribed for a client Rationale:
with severe acne. Before the Isotretinoin can elevate triglyceride levels. Blood triglyceride levels should be
administration of this medication, the measured before treatment and periodically thereafter until the effect on the
nurse anticipates that which laboratory triglycerides has been evaluated. Options 1, 3, and 4 do not need to be
test will be prescribed? monitored specifically during this treatment.
1. Platelet count
2.Triglyceride level
3.Complete blood count
4. White blood cell count 1. Vita
min A
8. 8.) A client with severe acne is seen in
Rationale:
the clinic and the health care provider
Isotretinoinis ametabolite of vitamin Aand
(HCP) prescribes isotretinoin. The nurse
canproducegeneralizedintensification of isotretinoin toxicity. Because of the
reviews the client's medication record
potential for increased toxicity, vitamin A supplementsshould be discontinued
and would contact the (HCP) if the client
beforeisotretinointherapy.Options 2, 3, and 4 are not contraindicated with the
is taking which medication?
use of isotretinoin.
1. Vitamin A
2.Digoxin (Lanoxin)
3.Furosemide (Lasix)
4. Phenytoin (Dilantin)
9. 9.) The nurse is applying a topical
corticosteroid to a client with eczema. 2. Axilla
The nurse would monitor for the Rationale
potential for increased systemic :
absorption of the medication if the Topicalcorticosteroids can be absorbedinto the systemic circulation. Absorption
medication were being applied to is higher from regions where the skin is especially permeable (scalp, axilla,
which of the following body areas? face, eyelids, neck, perineum, genitalia), and lower from regions in which
1. Back permeability is poor (back, palms, soles).
2.Axilla
3.Soles of the feet
4. Palms of the hands
10. 10.) The clinic nurse is performing an
admission assessment on a client. The 1. A
nurse notes that the client is taking cne
azelaic acid (Azelex). Because of the Rationale
medication prescription, the nurse would :
suspect that the client is being treated Azelaic acid is a topical medication used to treat mild to moderate acne. The
for: acid appears to work by suppressing the growth of Propionibacterium acnes
1. Acne and decreasing the proliferation of keratinocytes. Options 2, 3, and 4 are
2.Eczema incorrect.
3.Hair loss
4. Herpes simplex
ATI Pharmacology Proctored Exam,TestBank(100% Of 313 Verified
Questions an ALL CORRECT Answers), GRADED A+
, ATI Pharmacology Proctored Exam,TestBank(100% Of 313 Verified
Questions an ALL CORRECT Answers), GRADED A+
ATI Pharmacology Proctored Exam,TestBank(100% Of 313 Verified
Questions an ALL CORRECT Answers), GRADED A+
