PN ATI PHARMACOLOGY
PN ATI PHARMACOLOGY A AND B
QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE
- avoiding tourniquets, using BP cuff to visualize.
- no slapping
- hold their hand below the heart.
- avoid using the back of the hand
- avoid rigorous friction while cleaning site. -Correct Answer ✔What are specific
considerations for adult clients, clients who are taking anticoagulants, and clients who
have fragile veins?
Infiltration -Correct Answer ✔An IV that is pale, has local swelling, decreased skin
temperature around the site, damp dressing and slowed infusion is what complication?
- Stop the infusion and remove catheter
- elevate extremity
- encourage ROM
- apply a cold or warm compress depending on the solution infiltrated.
- check with the provider to determine whether they still need IV therapy. -Correct
Answer ✔What is the treatment for infiltrated IV?
Extravasation (infiltration of vesicant) -Correct Answer ✔An IV is painful, burning, red
and swelling what complication is occurring?
- Stop the infusion and notify the provider
- follow facility protocol. (withdrawing the vesicant solution from the IV access and
infusing an antidote through catheter before removal.
- repeated treatment for infiltration. -Correct Answer ✔what is the treatment for
extravasation?
Fluid overload -Correct Answer ✔A pt receiving IV solutions begins appearing with
distended neck veins, hypertension, tachycardia, SOB, crackles in lungs, and edema
what complication is occurring?
- Slow IV rate or stop.
- raise HOB
- monitor VS & O2
- Adjust the rate after correcting fluid.
- anticipate administering diuretics -Correct Answer ✔What is the treatment for fluid
overload?
PN ATI PHARMACOLOGY
,PN ATI PHARMACOLOGY
Phlebitis/thrombophlebitis -Correct Answer ✔A pt with an IV appears edematous,
erythema, throbbing, burning, or pain at the site, increased skin temperature, red line,
and slowed infusion
are s/s of what IV complication?
- promptly d/c the infusion and remove the catheter.
- elevate extremity
- apply a cold compress to minimize flow of blood, then warm to increase circulation.
- restart if needed.
- obtain a specimen for culture at site. -Correct Answer ✔what treatments are there for
phlebitis/thrombophlebitis?
- Rotate sites at least every 72 hours according to facility policy.
- Monitory IV sites using phlebitis scale
- avoid lower extremities
- use hand hygiene
- use surgical aseptic technique. -Correct Answer ✔What are some ways to prevent
thrombophlebitis?
Central nervous system stimulation -Correct Answer ✔what type of medication would
put a patient at risk for seizures and precautions should be taken.
Central nervous system depression -Correct Answer ✔what type of medication would
require a patient to do not drive, operate heavy machinery, or participate in other
activities can be dangerous.
Anticholinergic drugs -Correct Answer ✔what type of medications will require clients to
increase fluids for their dry mouth, wear sunglasses for photophobia, maintaining
urinary habits, and avoid overheating.
Cardiovascular medications -Correct Answer ✔What type of medications would make
clients monitor for indications of orthostatic hypotension (lightheadedness, dizziness).
- monitoring AST and ALT
- n/v
- jaundice
- dark urine
- abdominal discomfort
- anorexia
Primarily with acetaminophen. -Correct Answer ✔A nurse should do what when giving
medications that can create hepatoxicity?
Primarily result of antimicrobial agents and NSAIDs.
- monitor creatinine and BUN
PN ATI PHARMACOLOGY
, PN ATI PHARMACOLOGY
- peak and trough -Correct Answer ✔What should the nurse monitor for drugs that
cause nephrotoxicity?
Nephrotoxicity -Correct Answer ✔Acyclovir, ahminoglycosides, cyclosporine, NSAIDs,
amphotericin B are all medications that can cause what?
Tyramine (cheese and processed meat) -Correct Answer ✔Clients taking MAOIs should
avoid food with what in it?
Chelating agent in milk. Should not take tetracycline within 2 hr of consuming dairy
products. -Correct Answer ✔Clients taking tetracycline can interact with what?
Benzodiazepines: Sedative Hypnotic Anxiolytics -Correct Answer ✔What kind of car
does -pam drive?
Diazepam, Lorazempam, Chlordiazepoxide, Clonazepam.
Benzodiazepines -Correct Answer ✔What class of medication inhibits effects of gamma-
aminobutyric acid (GABA) in the CNS. Short term use due to dependence potential.
- CNS depression
- anterograde amnesia
- toxicity -Correct Answer ✔What are complications when dealing with
Benzodiazepines?
Benzodiazepines -Correct Answer ✔- administer flumazenil for to counteract sedation
and reverse adverse effects.
- monitor VS
- maintain patent airway
-maintain fluids for BP.
are nursing actions for what drug class?
Paradoxical response to benzodiazepines -Correct Answer ✔- Insomnia
- excitation
- euphoria
- anxiety
- rage
are s/s of what response?
Withdrawal effects to benzodiazepines -Correct Answer ✔- anxiety
- insomnia
- diaphoresis
- tremors
PN ATI PHARMACOLOGY
PN ATI PHARMACOLOGY A AND B
QUESTIONS AND CORRECT ANSWERS
LATEST UPDATE
- avoiding tourniquets, using BP cuff to visualize.
- no slapping
- hold their hand below the heart.
- avoid using the back of the hand
- avoid rigorous friction while cleaning site. -Correct Answer ✔What are specific
considerations for adult clients, clients who are taking anticoagulants, and clients who
have fragile veins?
Infiltration -Correct Answer ✔An IV that is pale, has local swelling, decreased skin
temperature around the site, damp dressing and slowed infusion is what complication?
- Stop the infusion and remove catheter
- elevate extremity
- encourage ROM
- apply a cold or warm compress depending on the solution infiltrated.
- check with the provider to determine whether they still need IV therapy. -Correct
Answer ✔What is the treatment for infiltrated IV?
Extravasation (infiltration of vesicant) -Correct Answer ✔An IV is painful, burning, red
and swelling what complication is occurring?
- Stop the infusion and notify the provider
- follow facility protocol. (withdrawing the vesicant solution from the IV access and
infusing an antidote through catheter before removal.
- repeated treatment for infiltration. -Correct Answer ✔what is the treatment for
extravasation?
Fluid overload -Correct Answer ✔A pt receiving IV solutions begins appearing with
distended neck veins, hypertension, tachycardia, SOB, crackles in lungs, and edema
what complication is occurring?
- Slow IV rate or stop.
- raise HOB
- monitor VS & O2
- Adjust the rate after correcting fluid.
- anticipate administering diuretics -Correct Answer ✔What is the treatment for fluid
overload?
PN ATI PHARMACOLOGY
,PN ATI PHARMACOLOGY
Phlebitis/thrombophlebitis -Correct Answer ✔A pt with an IV appears edematous,
erythema, throbbing, burning, or pain at the site, increased skin temperature, red line,
and slowed infusion
are s/s of what IV complication?
- promptly d/c the infusion and remove the catheter.
- elevate extremity
- apply a cold compress to minimize flow of blood, then warm to increase circulation.
- restart if needed.
- obtain a specimen for culture at site. -Correct Answer ✔what treatments are there for
phlebitis/thrombophlebitis?
- Rotate sites at least every 72 hours according to facility policy.
- Monitory IV sites using phlebitis scale
- avoid lower extremities
- use hand hygiene
- use surgical aseptic technique. -Correct Answer ✔What are some ways to prevent
thrombophlebitis?
Central nervous system stimulation -Correct Answer ✔what type of medication would
put a patient at risk for seizures and precautions should be taken.
Central nervous system depression -Correct Answer ✔what type of medication would
require a patient to do not drive, operate heavy machinery, or participate in other
activities can be dangerous.
Anticholinergic drugs -Correct Answer ✔what type of medications will require clients to
increase fluids for their dry mouth, wear sunglasses for photophobia, maintaining
urinary habits, and avoid overheating.
Cardiovascular medications -Correct Answer ✔What type of medications would make
clients monitor for indications of orthostatic hypotension (lightheadedness, dizziness).
- monitoring AST and ALT
- n/v
- jaundice
- dark urine
- abdominal discomfort
- anorexia
Primarily with acetaminophen. -Correct Answer ✔A nurse should do what when giving
medications that can create hepatoxicity?
Primarily result of antimicrobial agents and NSAIDs.
- monitor creatinine and BUN
PN ATI PHARMACOLOGY
, PN ATI PHARMACOLOGY
- peak and trough -Correct Answer ✔What should the nurse monitor for drugs that
cause nephrotoxicity?
Nephrotoxicity -Correct Answer ✔Acyclovir, ahminoglycosides, cyclosporine, NSAIDs,
amphotericin B are all medications that can cause what?
Tyramine (cheese and processed meat) -Correct Answer ✔Clients taking MAOIs should
avoid food with what in it?
Chelating agent in milk. Should not take tetracycline within 2 hr of consuming dairy
products. -Correct Answer ✔Clients taking tetracycline can interact with what?
Benzodiazepines: Sedative Hypnotic Anxiolytics -Correct Answer ✔What kind of car
does -pam drive?
Diazepam, Lorazempam, Chlordiazepoxide, Clonazepam.
Benzodiazepines -Correct Answer ✔What class of medication inhibits effects of gamma-
aminobutyric acid (GABA) in the CNS. Short term use due to dependence potential.
- CNS depression
- anterograde amnesia
- toxicity -Correct Answer ✔What are complications when dealing with
Benzodiazepines?
Benzodiazepines -Correct Answer ✔- administer flumazenil for to counteract sedation
and reverse adverse effects.
- monitor VS
- maintain patent airway
-maintain fluids for BP.
are nursing actions for what drug class?
Paradoxical response to benzodiazepines -Correct Answer ✔- Insomnia
- excitation
- euphoria
- anxiety
- rage
are s/s of what response?
Withdrawal effects to benzodiazepines -Correct Answer ✔- anxiety
- insomnia
- diaphoresis
- tremors
PN ATI PHARMACOLOGY
