LEGALST MISC NR 293 ATI Pharmacology Final Review (Q & As )BEST EXAM ANSWERS WITH RATIONALE LATEST UPDATE 2021/2022 GRADED A+ Chamberlain College of Nursing

LEGALST MISC NR 293 ATI Pharmacology Final
Review (Q & As )BEST EXAM ANSWERS WITH
RATIONALE LATEST UPDATE 2021/2022
GRADED 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
an inadequate dose of levothyroxine.
d) Hypoactive deep-tendon reflexes
LEGALST MISC NR 293 ATI Pharmacology Final
Review (Q & As )BEST EXAM ANSWERS WITH
RATIONALE LATEST UPDATE 2021/2022
GRADED A+ Chamberlain College of Nursing

, LEGALST MISC NR 293 ATI Pharmacology Final
Review (Q & As )BEST EXAM ANSWERS WITH
RATIONALE LATEST UPDATE 2021/2022
GRADED A+ Chamberlain College of Nursing

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.




LEGALST MISC NR 293 ATI Pharmacology Final
Review (Q & As )BEST EXAM ANSWERS WITH
RATIONALE LATEST UPDATE 2021/2022
GRADED A+ Chamberlain College of Nursing

, LEGALST MISC NR 293 ATI Pharmacology Final
Review (Q & As )BEST EXAM ANSWERS WITH
RATIONALE LATEST UPDATE 2021/2022
GRADED 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.




 Someone had a arthroplasty for hip, the nurse should anticipate which of the following
px:

LEGALST MISC NR 293 ATI Pharmacology Final
Review (Q & As )BEST EXAM ANSWERS WITH
RATIONALE LATEST UPDATE 2021/2022
GRADED A+ Chamberlain College of Nursing

, LEGALST MISC NR 293 ATI Pharmacology Final
Review (Q & As )BEST EXAM ANSWERS WITH
RATIONALE LATEST UPDATE 2021/2022
GRADED A+ Chamberlain College of Nursing

a) aspirin, lovenox/enoxaparin




 A health care professional is caring for a patient who is about to begin taking celecoxib
(Celebrex) to treat RA. The health care professional should tell the patient to report which
of the following adverse reactions?
a) Chest pain. COX-2 inhibitors can cause cardiovascular or cerebrovascular
events.


 A nurse is assessing a client who has heart failure and is prescribed furosemide. Which of
the following findings is an adverse effect of this medication?
a) Leg cramps, which is a manifestation of hypokalemia.



 A nurse is caring for a client who has heart failure and a new prescription for
furosemide. Which of the following laboratory values should the nurse review
before administering furosemide?
a) Potassium.




LEGALST MISC NR 293 ATI Pharmacology Final
Review (Q & As )BEST EXAM ANSWERS WITH
RATIONALE LATEST UPDATE 2021/2022
GRADED A+ Chamberlain College of Nursing