ATI Capstone Pharmacology Assessment 1 Questions And Answers 100% Pass

ATI Capstone Pharmacology Assessment 1 Questions And Answers 100% Pass A nurse is caring for a client who is receiving morphine, what assessment is the priority Correct Answer: RR A nurse is assessing a client who has been using beclomethasone for 2 weeks to manage her asthma, what is the priority to report to the provider Correct Answer: bronchospasms A nurse is providing teaching to a client who has a new prescription for beclomethasone inhaler to use with an albuterol inhaler for asthma maintenance, what should the nurse instruct? Correct Answer: you should gargle with water after each use of this inhaler A nurse is planning a staff education session on AE of meds, what info should the nurse discuss about anticholinergic adverse effects? Correct Answer: blurred vision Tachycardia Constipation A nurse is providing teaching to a client who has a new prescription for guaifenesin, what info regarding the action of guaifenesin should the nurse include in the teaching? Correct Answer: guaifenesin increases cough production A nurse is preparing to administer verapamil to a client who is 2 days postmyocardial infarction. The nurse should monitor the client for which of the following outcomes as therapeutic response to the medication? Correct Answer: decreased anginal pain A nurse is providing teaching to a client who has a new prescription for levothyroxine, which statement indicates understanding of the teaching? Correct Answer: "i might not realize the full effect of the medication for several weeks" Take on empty stomach with glass of water, first thing in the morning 30-60min prior to breakfast A nurse is assessing a client who has HF is taking digoxin. The nurse should monitor the client for which of the following manifestations as an indication of digoxin toxicity to report to the provider? Correct Answer: vomiting (n/v, anorexia, blurred vision) A nurse is providing teaching for a pt with a prescription for oral metronidazole, what is the priority teaching point? Correct Answer: you should report a rash to your provider (fatal disorder Stevens-Johnson syndrome) A nurse is providing discharge instructions to a client who has a new prescription for codeine for cough suppression, what is the priority instruction? Correct Answer: move slowly when standing from a lying down position (r/f orthostatic hypotension) A nurse is reviewing the medical record of a client who received his medications 1 hour ago, the pt reports chest pain, this can be an AE of what med? Correct Answer: albuterol (beta2agonist, controls bronchospasm for asthma--can cause tremors, chest pain, tachycardia, dysrhythmias) A nurse is teaching a pt who has a new prescription for brimonidine to treat open-angle glaucoma, what indicates an understanding of the instructions? Correct Answer: i can expect to feel some irritation when i put these drops in my eyes A nurse is caring for a female client who has osteoporosis and a new prescription for raloxifene, what should the nurse assess prior to initiating therapy? Correct Answer: pregnancy status (risk category X) A nurse is teaching a pt to use TD nitroglycerin patches to treat angina pectoris, what instructions should she include? Correct Answer: apply a new patch every morning (effects begin 30-60 min after application and last 14 hours) A nurse is providing teaching to a pt who has a new prescription for allopurinol to treat gout, what should the nurse include? Correct Answer: increase your fluid intake A nurse is providing teaching to a client who has a neuropathic pain and a new prescription for amitriptyline once per day, what should the nurse include? Correct Answer: increase fluids while on this med (urine turns blue/green, sedation is an AE) A nurse is caring for a client who has a prescription for vancomycin 1g IV intermittent infusion over 30min every 12 hours, what should the nurse take? Correct Answer: contact the provider for prescription clarification (administer over 60min or more to reduce risk of infusion reaction--hypotension, flushing) A nurse is providing teaching to a male client who has a new prescription for folic acid, the client tells the nurse he heard that the medication is prescribed for women during pregnancy, what statements should the nurse make? Correct Answer: folic acid is important for the building of blood cells for adults and children (tx megaloblastic and macrocytic anemias) A nurse is caring for a client who has HIV-1 and is starting therapy with ritonavir and zidovudine. The client asks why she has to take both medications, which explanation should the nurse provide? Correct Answer: taking the 2 meds together keeps you from becoming resistant to either of them A nurse in the PACU is caring for a client who has received GA and has a manifestations of malignant hyperthermia, the nurse should expect to administer which of the following meds? Correct Answer: dantrolene A nurse is providing teaching to a client who has a new prescription for oxybutynin, what statements by the client indicates an understanding of the teaching? Correct Answer: i need to avoid jogging on warm days (suppression of sweating by the anticholinergic effects by oxybutynin can result in hyperthermia) A nurse is reviewing the lab findings for a client who is taking zidovudine to treat HIV, which should the nurse report to the provider Correct Answer: neutrophil count 650/mm3 (normal is ) A nurse is assessing a client who is receiving gemfibrozil, the nurse should identify what finding as an AE of this med? Correct Answer: muscle tenderness (-- myopathy, rhabdomyolysis) A nurse is caring for a pt with T2D and began therapy with metformin 2 days ago The client reports experiencing n/d, what should the nurse say Correct Answer: your symptoms are common AE of metformin and should decrease with time (GI manifestations at onset of therapy) A nurse is caring for 4 clients who have peptic ulcer disease, the nurse should recognize that misoprostol is contraindicated for which of the following clients? Correct Answer: a client who might be pregnant (category X, can cause spontaneous abortion) A nurse is in the ICU and caring for a pt with sudden onset of sustained SVT, what med should the nurse prepare? Correct Answer: adenosine (decreases electrical conduction through the AV node) A nurse is caring for a client who has varicella zoster, what med should the nurse administer Correct Answer: acyclovir A nurse is caring for a client who has recurrent lower utis which of the following meds should the nurse expect to administer? Correct Answer: nitrofuratoin Ab for lower recurrent utis A nurse is teaching a pt who is starting subq leuprolide for treatment of prostate cancer. What info should the nurse include? Correct Answer: increase calcium intake (can cause bone loss) A nurse is providing discharge teaching to a pt who is starting to use an albuterol inhaler, what statement indicates understanding? Correct Answer: i should take this medication 15 minutes before exercising A nurse is teaching a pt who is taking methyldopa for the tx of htn, what info should the nurse include? Correct Answer: the med can cause dizziness A nurse is administering bumetanide to a pt who has ascites, the nurse should monitor for what as an expected therapeutic effect of this med Correct Answer: increased urinary output (loop diuretic) A nurse is teaching a client who has a seizure disorder and is starting to take phenytoin, what statement should indicate understanding? Correct Answer: i will have my blood checked to monitor the med levels (10-20) A nurse is caring for a pt with hyperlipidemia, a new prescription for colesevelam, the nurse should monitor what as an AE of colesevelam? Correct Answer: constipation (and dyspepsia) The nurse is providing teaching to a female pt for ciprofloxacin, what statement indicates understanding of the teaching Correct Answer: i should wear protective clothing when I go outdoors (and sunscreen to prevent sunburn bc r/f photosensitivity) A nurse is caring for a pt who has HIV and a prescription for delavirdine, the nurse should monitor the pt for what manifestations as an AE of the med Correct Answer: rash (steven-Johnson sndrome) A nurse is providing discharge instructions to a pt who has a prescription for omeprazole for the tx of GERD, what statement by the client indicates an understanding of the teaching? Correct Answer: the med reduces stomach acid (suppressing production of gastric acid, reduces baseline acid level and blocks production of all stimulated acid production within 2 hours of an oral dose) A nurse is caring for a pt who has a prescription for HCTZ for the initial tx of hypertension, what should the nurse recognize as the action of this med? Correct Answer: HCTZ decreases the reabsorption of sodium and water in the distal renal tubule A nurse is caring for a client who has an infection and is starting to take gentamicin, what lab test should the nurse monitor to detect an AE of the med? Correct Answer: creatinine (Cr, BUN, U.O.) A nurse is caring for a pt who has chemo induced anemia, the nurse should expect to administer which of the following meds to treat the anemia Correct Answer: epoetin alfa A nurse is providing teaching to a pt who has a prescription for buspirone, what info should the nurse include in the teaching Correct Answer: expect to have a full response from buspirone after 3-4 weeks A nurse is caring for an OA client who is confirmed positive for HIV and will begin med therapy, what instruction should the nurse give the client Correct Answer: you will be prescribed more than one medication to fight the virus Your medication plan can also include an antibiotic medication You will need to take the medication for the rest of your life A nurse is teaching the partner of a pt who has DM how to manage episodes of sever hypoglycemia, when the pt is unresponsive, what action should the nurse instruct the pt to do first? Correct Answer: administer glucagon IM to the client A nurse is providing teaching to a pt who has a new prescription for ranitidine for the tx of Zollinger-Ellison syndrome. The nurse should explain to the client that ranitidine treats ulcers by which of the following actions? Correct Answer: it reduces gastric acid production (H2 antagonist) A nurse in the PACU is caring for a pt who has received GA and has a manifestation of malignant hyperthermia, the nurse should expect to administer what med? Correct Answer: dantrolene A nurse is caring for a pt who is receiving a continuous IV of heparin, the nurse should expect to administer which of the following meds if the client experiences a heparin overdose? Correct Answer: protamine sulfate A nurse is preparing to administer IV mannitol to a client, the nurse should monitor the client for which of the following manifestations as an expected outcome of this med Correct Answer: reduced intracranial pressure A nurse is caring for a client who has HF and a prescription for acetazolamide. Prior to administration of the first dose, the nurse should ask the client if she has allergy to what meds? Correct Answer: sulfa-based meds A nurse is providing teaching to a pt who has a new prescription for oral extended release potassium chloride tablets, what instructions should the nurse include in the teaching? Correct Answer: do not crush this medication A nurse is caring for a female client who has a new prescription for alosetron, what therapeutic effects should the nurse expect in this pt? Correct Answer: a decrease in the frequency of defecation A nurse is discussing AE with a pt who has non-Hodgkin's lymphoma and it is starting to take methotrexate, what should the nurse provide? Correct Answer: methotrexate can increase the risk for bleeding A nurse is providing teaching to a pt who has PD and has a new prescription for levodopa/carbidopa, what should the nurse include in the teaching Correct Answer: you should move slowly when you want to stand up A nurse is teaching a pt who has a new prescription for nitrofurantoin, what info should the nurse include in the teaching? Correct Answer: you should stop taking the med if you develop a cough (pulmonary reactions) A nurse is providing teaching to a pt who has a new prescription for montelukast, what statement by the pt indicates understanding Correct Answer: i will take the med every day to control my exercise-induced asthma A nurse is preparing to administer a 2nd unit of prbcs to a pt who is experiencing hemorrhagic shock, the nurse should monitor for the manifestations of what as circulatory overload? Correct Answer: dyspnea Acetylcysteine is prescribed for what med Correct Answer: acetaminophen overdose A nurse is providing teaching to a client who has T2D, and is starting to take immediate release exenatide, what statement is an understanding of the teaching Correct Answer: i will take this med 1 hour before morning and evening meals