ATI NR293 Pharm Final Exam Questions and Answers rated A+ guara
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• A patient is starting warfarin (Coumadin) therapy as part of treatment for atrial fibrillation. T
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he nurse willfollow which principles of warfarin therapy? (Select all that apply.)
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a) Teach proper subcutaneous administration
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b) Administer the oral dose at the same time every day
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c) Assess carefully for excessive bruising or unusual bleeding
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d) Monitor laboratory results for a target INR of 2 to 3
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e) Monitor laboratory results for a therapeutic aPTT value of 1.5 to 2.5 times the control value
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• Atorvastatin can elevate LFT k k k
a) Baseline total cholesterol, LDL and HDL level, triglycerides, and liver and renal function test obta
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ined and thenmonitored periodically throughout treatment
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• The nurse teaches a client who is recovering from acute kidney disease to avoid which type of medicatio
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n?
a) NSAIDS
i) NSAIDs may be nephrotoxic to a client with acute kidney disease, and should be
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avoided. ACE inhibitors are used for treatment of hypertension and to protect th
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e kidneys, especiallyin the diabetic client, from progression of kidney disease. O
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piates may be used by clients with kidney disease if severe pain is present; howe
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ver, excretion may be delayed. Calcium channel blockers can improve the glome
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rular filtration rate and blood flow within the kidney.
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ATI NR293 Pharm Final Exam Questions and Answers rated A+ guara
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nteed success latest update 2022
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,ATI NR293 Pharm Final Exam Questions and Answers rated A+ guara
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b) ACE inhibitors k
c) Opiates
d) Calcium channel blockers k k
• Which of the following are adverse reactions related to the use of CELECOXIB? Select all that apply
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a) Rhinitis
b) Neutropen
iac) k kkkkkk Oligur
ia d) Stomatit
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is
• A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intrave
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nous rifampintherapy. The nurse should instruct the client that this medication can cause which of the f
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ollowing adverse effects? k k
a) Constipation
b) Black colored stools k k
c) Staining of teeth k k
ATI NR293 Pharm Final Exam Questions and Answers rated A+ guara
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nteed success latest update 2022
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,ATI NR293 Pharm Final Exam Questions and Answers rated A+ guara
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d) Body secretions turning a red-orange color
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i) Rationale: Rifampin is used in combination with other medicines to treat TB. Rifampin
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will cause theurine, stool, saliva
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• A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refu
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sed breakfastand is complaining of nausea and weakness. Which of the following actions should the
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nurse take first?k k
a) A. Check the client's vital signs.
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i) Rationale: It is possible that the client's nausea is secondary to digoxin toxicity. Assess for br
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adycardia, a symptom of digoxin toxicity. The nurse should withhold the medication and call
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k the provider if the client'sheart rate is less than 60 bpm.
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b) Request a dietitian consult. k k k
c) Suggest that the client rests before eating the meal.
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d) Request an order for an antiemetic. k k k k k
• A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-
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coated aspirin POonce daily. The client asks if the medication can be crushed to make it easier to sw
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allow. Which of the following responses should the nurse provide?
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a) "Crushing the medication might cause you to have a stomachache or indigestion.
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i) Rationale: The pill is enteric- k k k k
coated to prevent breakdown in the stomach and decrease the possibility ofGI distress. Cru
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shing destroys protection. k k
b) "Crushing the medication is a good idea, and I can mix it in some ice cream for you.”
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c) "Crushing the medication would release all the medication at once, rather than over time."
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ATI NR293 Pharm Final Exam Questions and Answers rated A+ guara
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nteed success latest update 2022
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, ATI NR293 Pharm Final Exam Questions and Answers rated A+ guara
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d) "Crushing is unsafe, as it destroys the ingredients in the medication."
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• A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusi
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on. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the foll
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owing responses should thenurse give?
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a) "It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level."
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b) "A pharmacist is the person to answer that question."
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c) "Heparin does not dissolve clots. It stops new clots from forming."
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i) Rationale: This statement accurately answers the client's question.
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d) "The oral medication you will take after this IV will dissolve the clot.
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• A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before
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administeringthe medication, the nurse should check to see that which of the following tests have
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been completed? k
a) Thyroid hormone assay k k
i) Rationale: Thyroid testing is important because long- k k k k k k
term use of lithium may lead to thyroid dysfunction.
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b) Liver function tests: k k
i) Rationale: LFTs must be monitored before and during valproic acid therapy
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c) Erythrocyte sedimentation rate k k
i) Rationale: This is not a necessary test related to lithium therapy.
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d) Brain natriuretic peptide k k
• A nurse caring for a client who has hypertension and asks the nurse about a prescription for proprano
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lol. The nurse should inform the client that this medication is contraindicated in clients who have a h
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ATI NR293 Pharm Final Exam Questions and Answers rated A+ guara
k k k k k k k k k k
nteed success latest update 2022 k k k k k
k k k k k k k k k k
nteed success latest update 2022
k k k k k
• A patient is starting warfarin (Coumadin) therapy as part of treatment for atrial fibrillation. T
k k k k k k k k k k k k k k
he nurse willfollow which principles of warfarin therapy? (Select all that apply.)
k k k k k k k k k k k k
a) Teach proper subcutaneous administration
k k k
b) Administer the oral dose at the same time every day
k k k k k k k k k
c) Assess carefully for excessive bruising or unusual bleeding
k k k k k k k
d) Monitor laboratory results for a target INR of 2 to 3
k k k k k k k k k k
e) Monitor laboratory results for a therapeutic aPTT value of 1.5 to 2.5 times the control value
k k k k k k k k k k k k k k k
• Atorvastatin can elevate LFT k k k
a) Baseline total cholesterol, LDL and HDL level, triglycerides, and liver and renal function test obta
k k k k k k k k k k k k k k
ined and thenmonitored periodically throughout treatment
k k k k k k
• The nurse teaches a client who is recovering from acute kidney disease to avoid which type of medicatio
k k k k k k k k k k k k k k k k k
n?
a) NSAIDS
i) NSAIDs may be nephrotoxic to a client with acute kidney disease, and should be
k k k k k k k k k k k k k k
avoided. ACE inhibitors are used for treatment of hypertension and to protect th
k k k k k k k k k k k k
e kidneys, especiallyin the diabetic client, from progression of kidney disease. O
k k k k k k k k k k k k
piates may be used by clients with kidney disease if severe pain is present; howe
k k k k k k k k k k k k k k
ver, excretion may be delayed. Calcium channel blockers can improve the glome
k k k k k k k k k k k
rular filtration rate and blood flow within the kidney.
k k k k k k k k
ATI NR293 Pharm Final Exam Questions and Answers rated A+ guara
k k k k k k k k k k
nteed success latest update 2022
k k k k k
,ATI NR293 Pharm Final Exam Questions and Answers rated A+ guara
k k k k k k k k k k
nteed success latest update 2022
k k k k k
b) ACE inhibitors k
c) Opiates
d) Calcium channel blockers k k
• Which of the following are adverse reactions related to the use of CELECOXIB? Select all that apply
k k k k k k k k k k k k k k k k
a) Rhinitis
b) Neutropen
iac) k kkkkkk Oligur
ia d) Stomatit
k k
is
• A nurse is caring for a client who has active pulmonary tuberculosis (TB) and is to be started on intrave
k k k k k k k k k k k k k k k k k k k
nous rifampintherapy. The nurse should instruct the client that this medication can cause which of the f
k k k k k k k k k k k k k k k k k
ollowing adverse effects? k k
a) Constipation
b) Black colored stools k k
c) Staining of teeth k k
ATI NR293 Pharm Final Exam Questions and Answers rated A+ guara
k k k k k k k k k k
nteed success latest update 2022
k k k k k
,ATI NR293 Pharm Final Exam Questions and Answers rated A+ guara
k k k k k k k k k k
nteed success latest update 2022
k k k k k
d) Body secretions turning a red-orange color
k k k k k
i) Rationale: Rifampin is used in combination with other medicines to treat TB. Rifampin
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will cause theurine, stool, saliva
k k k k k
• A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refu
k k k k k k k k k k k k k k k k k k k
sed breakfastand is complaining of nausea and weakness. Which of the following actions should the
k k k k k k k k k k k k k k k k
nurse take first?k k
a) A. Check the client's vital signs.
k k k k k
i) Rationale: It is possible that the client's nausea is secondary to digoxin toxicity. Assess for br
k k k k k k k k k k k k k k k
adycardia, a symptom of digoxin toxicity. The nurse should withhold the medication and call
k k k k k k k k k k k k k
k the provider if the client'sheart rate is less than 60 bpm.
k k k k k k k k k k k
b) Request a dietitian consult. k k k
c) Suggest that the client rests before eating the meal.
k k k k k k k k
d) Request an order for an antiemetic. k k k k k
• A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-
k k k k k k k k k k k k k k k
coated aspirin POonce daily. The client asks if the medication can be crushed to make it easier to sw
k k k k k k k k k k k k k k k k k k k
allow. Which of the following responses should the nurse provide?
k k k k k k k k k
a) "Crushing the medication might cause you to have a stomachache or indigestion.
k k k k k k k k k k k
i) Rationale: The pill is enteric- k k k k
coated to prevent breakdown in the stomach and decrease the possibility ofGI distress. Cru
k k k k k k k k k k k k k k
shing destroys protection. k k
b) "Crushing the medication is a good idea, and I can mix it in some ice cream for you.”
k k k k k k k k k k k k k k k k k
c) "Crushing the medication would release all the medication at once, rather than over time."
k k k k k k k k k k k k k
ATI NR293 Pharm Final Exam Questions and Answers rated A+ guara
k k k k k k k k k k
nteed success latest update 2022
k k k k k
, ATI NR293 Pharm Final Exam Questions and Answers rated A+ guara
k k k k k k k k k k
nteed success latest update 2022 k k k k k
d) "Crushing is unsafe, as it destroys the ingredients in the medication."
k k k k k k k k k k
• A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusi
k k k k k k k k k k k k k k k k k
on. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the foll
k k k k k k k k k k k k k k k k k k k k k
owing responses should thenurse give?
k k k k k
a) "It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level."
k k k k k k k k k k k k k k k
b) "A pharmacist is the person to answer that question."
k k k k k k k k
c) "Heparin does not dissolve clots. It stops new clots from forming."
k k k k k k k k k k
i) Rationale: This statement accurately answers the client's question.
k k k k k k k
d) "The oral medication you will take after this IV will dissolve the clot.
k k k k k k k k k k k k
• A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before
k k k k k k k k k k k k k k k k k k k k
administeringthe medication, the nurse should check to see that which of the following tests have
k k k k k k k k k k k k k k k k
been completed? k
a) Thyroid hormone assay k k
i) Rationale: Thyroid testing is important because long- k k k k k k
term use of lithium may lead to thyroid dysfunction.
k k k k k k k k
b) Liver function tests: k k
i) Rationale: LFTs must be monitored before and during valproic acid therapy
k k k k k k k k k k
c) Erythrocyte sedimentation rate k k
i) Rationale: This is not a necessary test related to lithium therapy.
k k k k k k k k k k
d) Brain natriuretic peptide k k
• A nurse caring for a client who has hypertension and asks the nurse about a prescription for proprano
k k k k k k k k k k k k k k k k k
lol. The nurse should inform the client that this medication is contraindicated in clients who have a h
k k k k k k k k k k k k k k k k k
ATI NR293 Pharm Final Exam Questions and Answers rated A+ guara
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nteed success latest update 2022 k k k k k
