ATI PHARMACOLOGY FINAL REVIEW STUDY GUIDE NR 293 ATI Pharmacology Final RATIONALE EXAM Review LATEST UPDATE 2021/2022 100% CORRECT ANS VERIFIRED/RATED A+ Chamberlain College of Nursing

ATI PHARMACOLOGY FINAL REVIEW STUDY GUIDE NR 293 ATI Pharmacology Final
RATIONALE EXAM Review LATEST UPDATE 2021/2022 100% CORRECT
ANS VERIFIRED/RATED A+ Chamberlain College of Nursing




 A nurse is assessing a client who is taking levothyroxine. The nurse should recognize
that which of the following findings is a manifestation of levothyroxine overdose?
a) Insomnia

i) Rationale: Levothyroxine overdose will result in manifestations
of hyperthyroidism, which include Insomnia, tachycardia, and
hyperthermia.
b) Constipation

i) Rationale: Constipation is a manifestation of hypothyroidism and indicates
an inadequate dose of levothyroxine.
c) Drowsiness

i) Rationale: Drowsiness is a manifestation of hypothyroidism and indicates

ATI PHARMACOLOGY FINAL REVIEW STUDY GUIDE NR 293 ATI Pharmacology Final
RATIONALE EXAM Review LATEST UPDATE 2021/2022 100% CORRECT
ANS VERIFIRED/RATED A+ Chamberlain College of Nursing

, ATI PHARMACOLOGY FINAL REVIEW STUDY GUIDE NR 293 ATI Pharmacology Final
RATIONALE EXAM Review LATEST UPDATE 2021/2022 100% CORRECT
ANS VERIFIRED/RATED A+ Chamberlain College of Nursing



an inadequate dose of levothyroxine.
d) Hypoactive deep-tendon reflexes

i) Rationale: Hypoactive deep-tendon reflexes are manifestations of hypothyroidism
and indicate an inadequate dose of levothyroxine.



 A nurse is reviewing the medical record of a client who has been on levothyroxine for
several months. Which of the following findings indicates a therapeutic response to
the medication?
a) Decrease in level of thyroxine (T4)

i) Rationale: If the dose of this medication has been adequate, the nurse should see
an increase in the T4.




ATI PHARMACOLOGY FINAL REVIEW STUDY GUIDE NR 293 ATI Pharmacology Final
RATIONALE EXAM Review LATEST UPDATE 2021/2022 100% CORRECT
ANS VERIFIRED/RATED A+ Chamberlain College of Nursing

,ATI PHARMACOLOGY FINAL REVIEW STUDY GUIDE NR 293 ATI Pharmacology Final
RATIONALE EXAM Review LATEST UPDATE 2021/2022 100% CORRECT
ANS VERIFIRED/RATED A+ Chamberlain College of Nursing



b) Increase in weight

i) Rationale: If the dose of this medication has been adequate, the nurse should see
a decrease in weight, as hypothyroidism causes a decrease in metabolism with
weight gain.
c) Increase in hr of sleep per night

i) Rationale: If the dose of this medication has been adequate, the nurse should see
a decrease in the hr of sleep per night, as hypothyroidism causes sluggishness with
increased hr of sleep.
d) Decrease in level of thyroid stimulating hormone (TSH).

i) Rationale: In hypothyroidism, the nonfunctioning thyroid gland is
unable to respond to the TSH, and no endogenous thyroid hormones
are released. This results in an elevation of the TSH level as the anterior
pituitary continues to release the TSH to stimulate the thyroid gland.
Administration of exogenous thyroid hormones, such as levothyroxine,
turns off this feedback loop, which results in a decreased level of TSH.



ATI PHARMACOLOGY FINAL REVIEW STUDY GUIDE NR 293 ATI Pharmacology Final
RATIONALE EXAM Review LATEST UPDATE 2021/2022 100% CORRECT
ANS VERIFIRED/RATED A+ Chamberlain College of Nursing

, ATI PHARMACOLOGY FINAL REVIEW STUDY GUIDE NR 293 ATI Pharmacology Final
RATIONALE EXAM Review LATEST UPDATE 2021/2022 100% CORRECT
ANS VERIFIRED/RATED A+ Chamberlain College of Nursing



 A nurse is teaching a client who has asthma about how to use an albuterol inhaler.
Which of the following actions by the client indicates an understanding of the
teaching?
a) The client holds his breath for 10 seconds after inhaling the
medication. i) Rationale: The medication should be retained in the
lungs for a
minimum of 10 seconds so the maximum amount of the dosage can be
delivered properly to the airways. To use the inhaler, the client exhales
normally just prior to releasing the medication, inhales deeply as the
medication is released, then holds the medication in the lungs for
approximately 10 seconds prior to exhaling.
b) The client takes a quick inhalation while releasing the medication from the inhaler.

c) The client exhales as the medication is released from the inhaler.

i) Rationale: Exhaling as the medication is released from the inhaler means that no
medication will reach the client's bronchioles. The client should inhale slowly as
the medication is released from the inhaler.
d) The client waits 10 min between inhalations.
ATI PHARMACOLOGY FINAL REVIEW STUDY GUIDE NR 293 ATI Pharmacology Final
RATIONALE EXAM Review LATEST UPDATE 2021/2022 100% CORRECT
ANS VERIFIRED/RATED A+ Chamberlain College of Nursing