ATI Pharmacology 2019 B

ATI Pharmacology 2019 B Nurse contacts a pt's provider on telephone to obtain prescription for pain med. Which of following actions should nurse take? Ans- Have the provider spell out the unfamiliar medication names. The nurse should ask the provider to spell out the name of the medication if the stated name is one the nurse is not familiar with. Nurse in clinic is caring for a pt who is taking aspirin for Tx of arthritis. Nurse should identify which of following findings as indication that pt is beginning to exhibit salicylism? Ans- Tinnitus Tinnitus is a manifestation of aspirin toxicity, also called salicylism. Other manifestations include sweating, headache, and dizziness. Circulating nurse is planning care for pt who is schedule for surgery and has latex allergy. Which of following actions should nurse include in plan of care? Ans- Place monitoring cords and tubes in a stockinet. The nurse should place monitoring devices in a stockinet to prevent direct contact with the client's skin. Nurse is assessing pt who is receiving epoetin alfa to Tx anemia. Which of following findings should nurse monitor? Ans- Increased blood pressure The therapeutic effect of epoetin alfa is an increase in hematocrit levels, which can result in an increase in a client's blood pressure. If the client's hematocrit level rises too rapidly, hypertension and seizures can result. The nurse should monitor the client's blood pressure and ensure hypertension is controlled prior to administering the medication. Nurse is preparing to administer hydrochlorothiazide to pt. Which of following actions should nurse take prior to administering the med? Ans- Obtain the client's blood pressure. HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure and edema. The nurse should obtain the client's blood pressure prior to administration of the medication. Nurse is caring for pt who is receiving Tx for opioid use disorder. Which of following medications should nurse expect to administer? Ans- Methadone The nurse should expect to administer methadone for treatment of opioid use disorder. Methadone can be administered for withdrawal and to assist with maintenance and suppressive therapy. The nurse should administer bupropion to assist the client with smoking cessation. The nurse should administer disulfiram as an aversion therapy to assist with maintaining abstinence from alcohol. The nurse should administer modafinil to assist with the fatigue and prolonged sleep from methamphetamine withdrawal. Nurse is reviewing medical record of pt who has HTN. Nurse should identify which of following findings as contraindication for receiving propranolol? Ans- Asthma Asthma is a contraindication for receiving propranolol. Propranolol is an adrenergic antagonist which blocks the beta2 receptors in the lungs, causing bronchoconstriction and leading to serious airway resistance and possibly respiratory arrest. Nurse is caring for pt who has pneumonia. Pt tells nurse she is pregnant and that she hasn't told provider yet. Nurse should identify that pregnancy is contraindicated for receiving which of following meds? Ans- Doxycycline Doxycycline is a tetracycline antibiotic. The nurse should identify that doxycycline can cause teratogenic effects such as staining of the infant's teeth when exposed to this medication. Therefore, this medication is contraindicated for the client. Nurse is teaching about self-administration of transdermal medication w/ male pt who has new prescription for nitroglycerin. Nurse should identify that which of following statements by pt indicates understanding of teaching? Ans- "I will remove the patch after 14 hours." The client should remove the patch after 12 to 14 hr to prevent tolerance of the medication. Nurse is administering cefotetan via intermitten IV bolus to pt who suddenly develop dyspnea and widespread hives. Which of following actions should nurse take 1st? Ans- Discontinue the medication IV infusion. The greatest risk to the client is respiratory arrest from anaphylaxis. Therefore, the first action the nurse should take is to discontinue the medication IV infusion to prevent the client from receiving more medication. However, the nurse should not remove the IV catheter. Instead, the nurse should change the tubing and administer 0.9% sodium chloride by continuous IV infusion. Nurse administers ceftazidime to pt who has severe penicillin allergy. Nurse should identify which of following pt findings as indication that she should complete incident report? Ans- The client reports shortness of breath. A severe penicillin allergy is a contraindication for taking ceftazidime, a cephalosporin antibiotic, due to the potential for cross-sensitivity. Shortness of breath can indicate the client is developing anaphylaxis. Nurse is preparing newly licensed nurse who is caring for 4 pts. Nurse should complete incident report for which of following actions by newly licensed nurse? Ans- Administers isosorbide mononitrate to a client who has BP 82/60 mm Hg Isosorbide mononitrate is a nitrate used for clients with angina. Taking isosorbide mononitrate leads to vasodilation, which can result in hypotension. The nurse should withhold the medication and notify the provider if the client's systolic blood pressure is below the expected reference range of 120/80. Nurse is planning to teach about inhalant meds to pt who has new Dx of exercise-indused asthma. Which of following weds should nurse plan to instruct pt to use prior to physical activity? Ans- Cromolyn Cromolyn sodium stabilizes mast cells, which inhibit the release of histamine and other inflammatory mediators. The client should use cromolyn 10 to 15 min before planning to exercise to prevent bronchospasms. Nurse is caring for pt who is taking atorvastatin for hyperlipidemia. Which of following client lab values should nurse monitor? Ans- Creatinine kinase The client who is taking atorvastatin can develop an adverse effect called rhabdomyolysis, which causes muscle weakness or pain and can progress to myositis. Creatinine kinase levels rise in response to enzymes released with muscle injury. Nurse is preparing to mix and administer dantrolene via IV bolus to pt who had developed MH during surgery. Which of following actions should nurse take? Ans- Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent. The nurse should dilute the medication with 60 mL of sterile water without a bacteriostatic agent and inject rapidly. Nurse is providing teaching to pt who is to start therapy w/ digoxin. For which of following adverse effects should nurse instruct pt to monitor and report to provider? Ans- Yellow-tinged vision The nurse should instruct the client to monitor for and report yellow-tinged vision, which is a sign of digoxin toxicity. Other manifestations of digoxin toxicity include nausea, vomiting, loss of appetite, and fatigue. As the digoxin levels increase, the client can experience cardiac dysrhythmias. Nurse is providing teaching to pt who is to start taking sumatriptan. Which of following adverse effects should nurse instruct pt to monitor for and report to Dr? Ans- Chest pressure Sumatriptan is an antimigraine agent which can cause coronary vaso