ATI Pharm Final Exam Questions and Answers

The nurse is reviewing the indications for atropine sulfate. Atropine is appropriate for which of these patients? (Select all that apply.) A. A patient who needs to have dried secretions prior to surgery B. A patient newly diagnosed with myasthenia gravis C. A patient who has suddenly developed symptomatic tachycardia with a HR of 180 beats/min D. A patient w acetylcholinesterase inhibitor poisoning E. A patient who has suddenly developed symptomatic bradycardia w a HR of 32 beats/min F. A patient w severe narrow-angle glaucoma - A, D, E A patient whOs been diagnosed w Sjögren's syndrome will be given cevimeline for the treatment of xerostomia. The nursing student comments that they have never heard of this drug, but they look up the drug & discover it is a parasympathetic agent. Based on this understanding, the nursing student predicts that cevimeline likely causes: - Stimulation of salivation A patient is receiving a drug that blocks alpha1-adrenergic receptors. Which adverse effect, if experienced by the patient, is of most concern to the nurse? - reflex tachycardia The nurse prepares to administer metoprolol [Lopressor] to a patient with chronic stable angina. What is a priority assessment to make before the administration of this medication? - HR The nurse knows that the adverse effects of a nonselective beta blocker are likely to be the most immediately life threatening in which patient? - patient w asthma A patient has prescriptions for two inhalers. One inhaler is a bronchodilator, and the other is a corticosteroid. Which instruction regarding these inhalers will the nurse give to the patient? - "Take the bronchodilator inhaler first." Mr. D has a new diagnosis of asthma & was prescribed ipratropium (Atrovent) to take via an inhaler. When teaching the patient about the med, which of the following questions is important to ask before he starts taking the med? Select all that apply. A. "Have you ever been diagnosed w glaucoma?" B. "Have you experienced any hair loss recently?" C. "Do you have any problems w your prostate" D. "Do you have any heart conditions?" - A, C, D One of the attendees expresses concern regarding her granddaughter's asthma. The attendee tells the nurse that shes afraid that she won't know which of her granddaughter's meds to give first in case of an asthma attack. Which med should the nurse inform the attendee to administer first for an acute asthma attack? - albuterol A nurse is teaching a client who has a new prescription for beclomethasone. What instructions should the nurse include? - "Rinse mouth after each use" A patient w a tracheostomy has difficulty removing excessive, thick mucus from the respiratory tract. The nurse expects that which drug will be ordered to aid in the removal of mucus? - guaifenesin Patients taking methylxanthines should be instructed to avoid which of the following? - coffee