VATI RN Pharmacology Actual Exam Question Bank with Complete Frequently Tested Questions & Answers (All Verified)

VATI RN Pharmacology Actual Exam Question Bank with Complete Frequently Tested Questions & Answers (All Verified)-A nurse is caring for a client who ingested a toxic amount of acetaminophen 36 hr ago. For which of the following findings should the nurse monitor? Select all that apply a. elevated troponin level b. diaphoresis c. hyperglycemia d. abdominal discomfort e. increased alanine aminotransferase (ALT) level - b. Diaphoresis is correct. The nurse should monitor the client for early manifestations of acetaminophen toxicity, which includes diaphoresis. Later manifestations of toxicity include liver failure, which manifest 48 to 72 hr following ingestion of the toxic dose. d. Abdominal discomfort is correct. The nurse should monitor the client for early manifestations of acetaminophen toxicity, which include abdominal discomfort, nausea, vomiting, and diarrhea. e. Increased alanine aminotransferase (ALT) level is correct. The nurse should monitor ALT levels because these enzymes may elevate with liver inflammation from acetaminophen overdose. A nurse is assessing a client who has a prescription for oral albuterol for the long-term management of asthma. For which of the following adverse effects should the nurse monitor? a. Nystagmus b. Tachycardia c. Drowsiness d. Oral fungal infections - b. Tachycardia Albuterol is a beta2-agonist, which can cause excessive stimulation of cardiac and skeletal muscle beta cells. Therefore, the nurse should monitor the client for tachycardia and dysrhythmias. A nurse is planning care for a client who has asthma and a prescription for methylprednisolone. Which of the following lab values should the nurse monitor? a. Aspartate aminotransferase (AST) b. Fibrin split products c. BUN d. Glucose - d. Glucose Methylprednisolone therapy increases the synthesis of glucose and decreases the uptake of glucose by the muscles and adipose tissues, resulting in increased circulating glucose. Therefore, it is important for the nurse to regularly monitor blood glucose levels while clients are receiving corticosteroid therapy. A nurse planning care for a client who has a prescription for acetazolamide. Which of the following findings should the nurse plan to monitor for as an adverse effect of this medication? a. Bronchospasm b. Constipation c. Diplopia d. Electrolyte imbalance - d. Electrolyte imbalance Acetazolamide promotes renal excretion of sodium and potassium and reduces the formation of bicarbonate, increasing the client's risk of electrolyte and acid-base imbalances. Therefore, the nurse should monitor the client for findings of electrolyte imbalance. A nurse is caring for a client who reports an increase in migraine headaches over the past 2 weeks and asks if sumatriptan might be helpful. Which of the following conditions from the client's medical history should the nurse recognize as a contraindication for this medication? a. Gastrointestinal reflux b. Angina pectoris c. Routine acetylsalicylic acid use d. Eczema - b. Angina pectoris Sumatriptan is a vasoconstrictor and can cause angina from coronary vasospasm. The nurse should identify uncontrolled hypertension, coronary artery disease, ischemic heart disease, and angina pectoris as contraindications for receiving sumatriptan.