ATI Pharmacology Study Guide
Telephone prescription from provider. The Nurse: - (correct Answer) - Reads the
prescription back to the provider.
Seizure disorder. Patient should: - (correct Answer) - Keep a seizure chart.
Potassium level: - (correct Answer) - 3.5-5 mEq/L
Potassium level less then 3.5 mEq/L: - (correct Answer) - Cardiac monitor for
cardiac dysrhythmias.
Penicillin allergy requires incident report with what symptom: - (correct Answer) -
S.O.B.
Phenytoin (Dilantin) decreases effectiveness of: - (correct Answer) -
Ethinyl/desogestrel (Oral contraceptive)
Ergotamine (Ergostat) SL for migraine headache: - (correct Answer) - 1 SL tablet at
onset of headache.
Digoxin level: - (correct Answer) - 1.0-2.0 ng/mL. Digoxin is toxic at 2.4 give
Digoxin immune fab (Diggibind)
Avoid during metronidazole (Flagyl): - (correct Answer) - Beer can cause
disulfiram-reaction (Hypotension, vomiting, weakness)
Captopril (Capoten) cannot be used: - (correct Answer) - With salt substitue with
meal or potassium.
Mannitol (Osmitrol) achieving therapeutic effect: - (correct Answer) - Decrease
intraocular pressure for acute closure glaucoma.
Simvastatin (Zocor) teaching plan: - (correct Answer) - Report muscle pain, do not
take med with grapefruit juice, minimize alcohol intake, life long therapy, take in
the evening.
Heparin and warfarin client with 4 times aPPT and INR of 2: - (correct Answer) -
Decrease the heparin.
aPPT (Activated partial thromboplastin time) plasma value: - (correct Answer) -
1.5-2 times the normal
INR (International Normalized Ratio) value: - (correct Answer) - 2.0-3.0. Target of
2.5. Higher the number bleeding disorder. Lower the number clotting disorder.
Oxytocin (Pitocin) by continuious IV, piggy backed into maintenance IV solution.
FHR indicates late decelerations. The nurse first: - (correct Answer) - Discontinue
client's IV to reduce contractions.
Bupropion (Zyban) side effects: - (correct Answer) - Insomnia (Stimulant).
Risedronate (Actonel) to treat osteoporosis. Client teaching: - (correct Answer) -
Take in the morning, sit up 30 mins after taking, take with food, swallow whole.
Haloperidol (Haldol) adverse effects (Used for treating vomiting): - (correct
Answer) - Akathisia (Restlessness).
Oprelvekin (Interleukin 11-WBC) effectiveness: - (correct Answer) - Increase
platelet count in chemotherapy patients.
Baclofen (Lioresal) therapeutic outcome: - (correct Answer) - Decrease the
frequency and severity of muscle spasms (MS).
Epoetin Alfa (Procrit) to treat anemia. Nurse should monitor: - (correct Answer) -
Increased blood pressure and seizures if hematocrit rises too quickly.
Tranylcpromine (Parnate) for depression. Client teaching: - (correct Answer) - Move
slowly when changing position because orthrostatic hypotension can result as a side
effect.
Exenatide (Byetta) for type 2 diabetes mellitus. Nurse needs to monitor
immediately: - (correct Answer) - Abdominal pain due to pancreatitis.
Secondary symptom for hyperglycemia: Increased thirst
Hypoglycemia symptoms: - (correct Answer) - Diaphoresis and Irritability.
Prednisone (Deltasone) for chronic asthma. Nurse monitors: - (correct Answer) -
Blood glucose because steroid increase blood sugar.
NHP insulin and Regular insulin in a single syringe: Clear before cloudy. -
(correct Answer) - 1. NPH (Cloudy) insert air
2. Regular (Clear) insert air
3. Draw up regular (Clear)
Telephone prescription from provider. The Nurse: - (correct Answer) - Reads the
prescription back to the provider.
Seizure disorder. Patient should: - (correct Answer) - Keep a seizure chart.
Potassium level: - (correct Answer) - 3.5-5 mEq/L
Potassium level less then 3.5 mEq/L: - (correct Answer) - Cardiac monitor for
cardiac dysrhythmias.
Penicillin allergy requires incident report with what symptom: - (correct Answer) -
S.O.B.
Phenytoin (Dilantin) decreases effectiveness of: - (correct Answer) -
Ethinyl/desogestrel (Oral contraceptive)
Ergotamine (Ergostat) SL for migraine headache: - (correct Answer) - 1 SL tablet at
onset of headache.
Digoxin level: - (correct Answer) - 1.0-2.0 ng/mL. Digoxin is toxic at 2.4 give
Digoxin immune fab (Diggibind)
Avoid during metronidazole (Flagyl): - (correct Answer) - Beer can cause
disulfiram-reaction (Hypotension, vomiting, weakness)
Captopril (Capoten) cannot be used: - (correct Answer) - With salt substitue with
meal or potassium.
Mannitol (Osmitrol) achieving therapeutic effect: - (correct Answer) - Decrease
intraocular pressure for acute closure glaucoma.
Simvastatin (Zocor) teaching plan: - (correct Answer) - Report muscle pain, do not
take med with grapefruit juice, minimize alcohol intake, life long therapy, take in
the evening.
Heparin and warfarin client with 4 times aPPT and INR of 2: - (correct Answer) -
Decrease the heparin.
aPPT (Activated partial thromboplastin time) plasma value: - (correct Answer) -
1.5-2 times the normal
INR (International Normalized Ratio) value: - (correct Answer) - 2.0-3.0. Target of
2.5. Higher the number bleeding disorder. Lower the number clotting disorder.
Oxytocin (Pitocin) by continuious IV, piggy backed into maintenance IV solution.
FHR indicates late decelerations. The nurse first: - (correct Answer) - Discontinue
client's IV to reduce contractions.
Bupropion (Zyban) side effects: - (correct Answer) - Insomnia (Stimulant).
Risedronate (Actonel) to treat osteoporosis. Client teaching: - (correct Answer) -
Take in the morning, sit up 30 mins after taking, take with food, swallow whole.
Haloperidol (Haldol) adverse effects (Used for treating vomiting): - (correct
Answer) - Akathisia (Restlessness).
Oprelvekin (Interleukin 11-WBC) effectiveness: - (correct Answer) - Increase
platelet count in chemotherapy patients.
Baclofen (Lioresal) therapeutic outcome: - (correct Answer) - Decrease the
frequency and severity of muscle spasms (MS).
Epoetin Alfa (Procrit) to treat anemia. Nurse should monitor: - (correct Answer) -
Increased blood pressure and seizures if hematocrit rises too quickly.
Tranylcpromine (Parnate) for depression. Client teaching: - (correct Answer) - Move
slowly when changing position because orthrostatic hypotension can result as a side
effect.
Exenatide (Byetta) for type 2 diabetes mellitus. Nurse needs to monitor
immediately: - (correct Answer) - Abdominal pain due to pancreatitis.
Secondary symptom for hyperglycemia: Increased thirst
Hypoglycemia symptoms: - (correct Answer) - Diaphoresis and Irritability.
Prednisone (Deltasone) for chronic asthma. Nurse monitors: - (correct Answer) -
Blood glucose because steroid increase blood sugar.
NHP insulin and Regular insulin in a single syringe: Clear before cloudy. -
(correct Answer) - 1. NPH (Cloudy) insert air
2. Regular (Clear) insert air
3. Draw up regular (Clear)
