PHARMACOLOGY ATI PROCTORED ACTUAL EXAM NEWEST VERSION QUESTION AND ANSWERS.

PHARMACOLOGY ATI PROCTORED
ACTUAL EXAM NEWEST VERSION
QUESTION AND ANSWERS


A nurse is providing teaching with a client, who has schizophrenia, about strategies to
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minimize the anticholinergic effects of fluphenazine. Which of the following
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instructions should the nurse suggest for the client? - ANSWER: Chew sugarless
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gum to moisten the mouth.
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When taking action, the nurse should instruct the client who is taking fluphenazine
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and is experiencing anticholinergic effects to chew sugarless gum. This instruction
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would provide moisture to the client's mouth and decrease the severity of dry mouth
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which is an anticholinergic adverse effect.
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Gentamicin - ANSWER: Gentamicin is a narrow-spectrum aminoglycoside antibiotic
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prescribed to treat serious infections caused by aerobic bacilli
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Complications of Gentamicin - ANSWER: Gentamicin can injure cells of the proximal
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renal tubules.
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Naproxen and other NSAIDs can cause renal insufficiency.
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The glomerular filtration rate of the kidneys decreases with advanced age, making this
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client at increased risk for nephrotoxicity.
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What lab values should a nurse monitor for a patient taking Gentamicin? - ANSWER:
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BUN
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Blood creatinine bb



Peak and trough levels of gentamicin
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Specific gravity of urine bb bb bb



Urinalysis

BUN - ANSWER: blood urea nitrogen
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Nursing actions for a client taking gentamicin - ANSWER: Monitor intake and output.
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Notify the provider of low urinary output.
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Ensure that the client is adequately hydrated and monitor for fluid overload.
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Assess for manifestations of ototoxicity.
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A nurse is preparing a client's medications. The nurse is responsible for gaining and
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maintaining knowledge about which of the following medication information? -
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ANSWER: Adverse Effects
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, Mechanism of Action bb bb



Contraindications

Use knowledge of the therapeutic effect and common adverse effects of medications
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to compare expected outcomes with actual findings
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total parenteral nutrition (TPN) - ANSWER: nutrient-complete solution given directly
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into bloodstream when person cannot eat by mouth
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A nurse is preparing to complete an incident report for a medication error. What
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information (4 things) should the nurse include in the report? - ANSWER: Time of the
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incident
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who was notified of the incident
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actions taken following the incident
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client identification bb




Adverse effects of oxybutynin - ANSWER: Anticholinergic effects
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(dry mouth, eyes,)
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blurred vision bb



Hypotension
peripheral edema bb bb



QT interval prolongation
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adverse effects of fentanyl patches - ANSWER: Respiratory Depression
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Hypotension
Constipation bb



Nausea or Vomiting bb bb




Clients who use fentanyl patches will likely need to take what on a daily basis? -
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ANSWER: Take a stool softener on a daily basis. Constipation is an adverse effect of
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opioid use and stool softeners can decrease the severity
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Adverse effects of haloperidol - ANSWER: extrapyrimidal symptoms
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extrapyramidal symptoms - ANSWER: involuntary fine motor tremors, rigidity, bb bb bb bb bb bb bb bb



uncontrollable retlessness, dystonia, pseudoparkinsonism, and akathisia
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When using dopamine to treat heart failure, what are signs to watch indicating the
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medication is effective - ANSWER: Dopamine is an adrenergic that causes a receptor
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specificity effect, which increases cardiac output and improves perfusion. You might
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notice increased urine output as well
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Adverse effects of Hydrochlorothiazide - ANSWER: Dizziness, vertigo, orthostatic
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hypotension, nausea, anorexia, vomiting, dry mouth, diarrhea, polyuria, nocturia,
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muscle cramps, or spasms. (think: LOWERS BP)
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