ATI Pharmacology

ATI Pharmacology A nurse contacts a client's provider on the telephone to obtain prescription for pain medication. Which of following actions should nurse take? A. Write the order on a prescription pad designated for the client's provider B. Have the provider spell out the unfamiliar medication names C. Read the prescription back to the provider using abbreviations D. Consult with a second nurse for any questions regarding dosage Ans- Have the provider spell out the unfamiliar medication names. Rationale: The nurse should ask the provider to spell out the name of the medication if the stated name is one the nurse is not familiar with. Nurse in clinic is caring who is taking aspirin for the treatment of arthritis. The nurse should identify which of following findings as indication that the client is beginning to exhibit salicylism? A. Gastric distress B. Oliguria C. Excessive bruising D. Tinnitus Ans- Tinnitus Rationale: Tinnitus is a manifestation of aspirin toxicity, also called salicylism. Other manifestations include sweating, headache, and dizziness. Circulating nurse is planning care for a client who is scheduled for surgery and has latex allergy. Which of following actions should nurse include in plan of care? A. Schedule the client for the last surgery of the day B. Place monitoring cords and tubes in a stockinet C. Choose rubber injection ports for fluid administration D. Ensure phenytoin IV is readily available Ans- Place monitoring cords and tubes in a stockinet. Rationale: The nurse should place monitoring devices in a stockinet to prevent direct contact with the client's skin. Nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of following findings should nurse monitor? A. Paresthesia B. Increased blood pressure C. Fever D. Respiratory depression Ans- Increased blood pressure Rationale: The therapeutic effect of epoetin alfa is an increase in hematocrit levels, which can result in an increase in a client's blood pressure. If the client's hematocrit level rises too rapidly, hypertension and seizures can result. The nurse should monitor the client's blood pressure and ensure hypertension is controlled prior to administering the medication. Nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of following actions should nurse take prior to administering the medication? A. Ask the client to drink 8oz of water B. Review the client's most recent Hgb level C. Obtain the client's blood pressure D. Determine if the client is allergic to NSAIDs Ans- Obtain the client's blood pressure. Rationale: HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure and edema. The nurse should obtain the client's blood pressure prior to administration of the medication. A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of following medications should nurse expect to administer? A. Bupropion B. Disulfiram C. Methadone D. Modafinil Ans- Methadone Rationale: The nurse should expect to administer methadone for treatment of opioid use disorder. Methadone can be administered for withdrawal and to assist with maintenance and suppressive therapy. The nurse should administer bupropion to assist the client with smoking cessation. The nurse should administer disulfiram as an aversion therapy to assist with maintaining abstinence from alcohol. The nurse should administer modafinil to assist with the fatigue and prolonged sleep from methamphetamine withdrawal. A nurse is reviewing medical record of a client who has hypertension. The nurse should identify which of following findings as a contraindication for receiving propranolol? A. Cholelithiasis B. Asthma C. Angina pectoris D. Tachycardia Ans- Asthma Rationale: Asthma is a contraindication for receiving propranolol. Propranolol is an adrenergic antagonist which blocks the beta2 receptors in the lungs, causing bronchoconstriction and leading to serious airway resistance and possibly respiratory arrest. A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant and that she hasn't told provider yet. The nurse should identify that pregnancy is a contraindication for receiving which of following medications? A. Acetaminophen B. Ipatropium C. Benzonatate D. Doxycycline Ans- Doxycycline Rationale: Doxycycline is a tetracycline antibiotic. The nurse should identify that doxycycline can cause teratogenic effects such as staining of the infant's teeth when exposed to this medication. Therefore, this medication is contraindicated for the client. A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of following statements by the client indicates an understanding of the teaching? A. "I can apply the patch to a chest area that has hair." B. "I can take this medication while using an erectile dysfunction product." C. "I will remove the patch after 14 hours." D. "I need to apply a new patch to the same area every day." Ans- "I will remove the patch after 14 hours." Rationale: The client should remove the patch after 12 to 14 hours to prevent tolerance of the medication. Nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of following actions should nurse take first? A. Administer epinephrine 0.5 mL via IV bolus B. Discontinue the medication IV infusion C. Elevate the client's legs above the level of the heart D. Collect a blood specimen for ABGs Ans- Discontinue the medication IV infusion. Rationale: The greatest risk to the client is respiratory arrest from anaphylaxis. Therefore, the first action the nurse should take is to discontinue the medication IV infusion to prevent the client from receiving more medication. However, the nurse should not remove the IV catheter. Instead, the nurse should change the tubing and administer 0.9% sodium chloride by continuous IV infusion. Nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse should identify which of following client findings as an indication that she should complete incident report? A. The client reports shortness of breath B. The client is also taking lisinopril C. The client's pulse rate is 60/min/. D. The client's WBC count is 14,000/mm^3 Ans- The client reports shortness of breath. Rationale: A severe penicillin allergy is a contraindication for taking ceftazidime, a cephalosporin antibiotic, due to the potential for cross-sensitivity. Shortness of breath can indicate the client is developing anaphylaxis. Nurse is preparing newly licensed nurse who is caring for 4 pts. Nurse should complete incident report for which of following actions by newly licensed nurse? A. Administers isosorbide mononitrate to a client who has B