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ATI Pharmacology 2021/2022 A
A nurse is preparing to administer medication to a pt who has gout. The nurse
discovers that an error was made during the previous shift and the pt received
atenolol instead of allopurinol. Which of the following actions should the nurse
take first?
-Obtain the client's blood pressure. = CORRECT ANSWER
When using the nursing process, the first action the nurse should take to
prevent injury to the client is to assess the client for adverse effects of
atenolol, such as hypotension.
-Contact the client's provider.
The nurse should contact the provider, who can provide direction to the
nurse to prevent injury to the client. However, there is another action the
nurse should take first.
-Inform the charge nurse.
The nurse should alert the charge nurse about the medication error.
However, there is another action the nurse should take first.
-Complete an incident report.
NURSING 4764 ATI PHARMACOLOGY STUDY GUIDE EXAM
2021/2022 A LATEST QUIZZES & ANS CORRECTLY VERIFIED
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,NURSING 4764 ATI PHARMACOLOGY STUDY GUIDE EXAM
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The nurse should complete an incident report, which is used as part of a
facility's quality assurance program. However, there is another action the
nurse should take first.
A nurse is planning care for a pt who is receiving Mannitol via continuous IV
infusion. The nurse should monitor the pt for which of the following adverse
effects.
-Weight loss
Mannitol is an osmotic diuretic used to promote diuresis, decrease
intracranial pressure, and improve renal function. An expected therapeutic
effect of mannitol is weight loss resulting from diuresis.
Increased intraocular pressure
An indication for the use of mannitol is increased intraocular pressure.
Mannitol decreases the intraocular pressure by creating an osmotic
gradient between the intraocular fluid and the plasma.
-Auditory hallucinations
Mannitol has several neurologic adverse effects, including increased
intracranial pressure, seizures, confusion, and headaches. However, it does
not cause auditory hallucinations.
-Bibasilar crackles = CORRECT ANSWER
NURSING 4764 ATI PHARMACOLOGY STUDY GUIDE EXAM
2021/2022 A LATEST QUIZZES & ANS CORRECTLY VERIFIED
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,NURSING 4764 ATI PHARMACOLOGY STUDY GUIDE EXAM
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Mannitol, an osmotic diuretic, can precipitate heart failure and pulmonary
edema. Therefore, the nurse should recognize lung crackles as an
indicator of a potential complication and stop the infusion.
A nurse is caring for a 20 year old female pt who has a prescription for
Isotretinoin for severe nodulocystic acne vulgaris. Before the pt can obtain a
refill the nurse should should advise the pt that which of the following tests is
required?
-Serum calcium
The client does not need to have a laboratory test for serum calcium levels
while taking isotretinoin.
-Pregnancy test= CORRECT ANSWER
The nurse should instruct the client that isotretinoin has teratogenic effects;
therefore, pregnancy must be ruled out before the client can obtain a refill.
The client must provide two negative pregnancy tests for the initial
prescription and one negative test before monthly refills.
-24-hr urine collection for protein
The client does not need to have a 24-hr urine test for protein levels when
taking isotretinoin.
-Aspartate aminotransferase level
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The client should have a laboratory test for aspartate aminotransferase
levels prior to starting isotretinoin, 1 month after starting the medication,
and periodically thereafter. However, a laboratory test for aspartate
aminotransferase is not required to renew a prescription for isotretinoin.
A nurse is teaching a pt about Cyclobenzaprine. Which of the following pt
statements should indicate to the nurse that the teaching is effective?
-"I will have increased saliva production."
The client should use gum or sip on water to prevent dry mouth, which is an
adverse effect of cyclobenzaprine.
-"I will continue taking the medication until the rash disappears."
The client should take cyclobenzaprine for treatment of muscle spasms.
This medication does not affect skin rashes.
-"I will taper off the medication before discontinuing it." = CORRECT ANSWER
The client should taper off cyclobenzaprine before discontinuing it to
prevent abstinence syndrome or rebound insomnia.
-"I will report any urinary incontinence."
The client should report any urinary retention because of the anticholinergic
effects caused when taking cyclobenzaprine.
NURSING 4764 ATI PHARMACOLOGY STUDY GUIDE EXAM
2021/2022 A LATEST QUIZZES & ANS CORRECTLY VERIFIED
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