NR 293 ATI Pharmacology Final Review_2020 – Chamberlain College of Nursing

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NR 293 ATI Pharmacology Final Review 2020
Chamberlain College of Nursing
Community health nursing (Nevada State College)

, NR 293 ATI Pharmacology Final Review_2020 – Chamberlain College of
Nursing

1) 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
i) Rationale: Hypoactive deep-tendon reflexes are manifestations of hypothyroidism and indicate an
inadequate dose of levothyroxine.

2) 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.




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, 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.

3) A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse
should recognize which of the following medications can cause glucose intolerance?
a) Ranitidine
i) Serum creatinine levels
b) Guafenesin
i) Drowsiness and dizziness
c) Prednisone
i) Glucose intolerance and hyperglycemia, patient might require increased dosage of
hypoglycemic med.
d) Atorvastatin
i) Thyroid function tests.




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, 4) A nurse is caring for a client receiving mydriatic eye drops. Which of the following clinical manifestations
indicates to the nurse that the client has developed a systemic anticholinergic effect?
a) Seizures
b) Tachypnea
c) Constipation
i) Mydriatic eye drops can cause systemic anticholinergic effects such as constipation, dry
mouth, photophobia, and tachycardia.
d) Hypothermia



5) A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should
monitor the client for which of the following electrolyte imbalances?
a) Hypernatremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hyponatremia.
b) Hyperuricemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hyperuricemia. The
nurse should instruct the client to notify the provider for any tenderness or swelling of the joints.
c) Hypercalcemia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hypocalcemia.
d) Hyperchloremia
i) Rationale: The nurse should monitor the client who is receiving IV furosemide for hypochloremia.




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