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PHARM 503
ATI A


1. 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. 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
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3. 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


4. 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
5. 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
NUR 503Pharm ATI A PHARM ATI Q & A LATEST
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study blood level over a 24 hour period which reduces the risk
of hypoglycemia
6. 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
7. 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


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
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