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ATI Pharm Midterm Exam Prep Study Guide

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What is an appropriate way to identify a client prior to administering a prescribed drug? asking a client if they are the correct client Checking the client's name on the door Checking the client's name on his or her wristband Asking the client's visitor what the client's name is - Checking the client's name on his or her wristband Which action should a nurse perform after administering a drug to the client? Perform a culture and sensitivity test Check for adverse drug reaction Record symptoms of infection Obtain history of drug allergy - Check for adverse drug reaction A client with type II diabetes has been prescribed methyl prednisone for bronchitis. What should the nurse teach the client? Monitor blood glucose more frequently Monitor liver function tests every day Stop taking this drug immediately if the client notices weight gain Monitor blood pressure five times a day - Monitor blood glucose more frequently The nurse observes that after administration of a drug the client has developed swollen eyelids, lips and mouth. This kind of drug reaction is called angioedema. What would be the nurse's priority action for this client?Notify the provider Assess for circulation, sensation and movement Administer atropine Assess for airway patency - Assess for airway patency What action could a nurse monitor to prevent toxic reactions to drugs in a client? Monitor urination frequency Monitor blood pressure Monitor client's blood level of the drug Monitor seizure activity - Monitor client's blood level of the drug A nurse is educating a client about the adverse effects of acetylsalicylic acid (aspirin). What would the nurse include as an adverse effect? Visual disturbances Breathing difficulties Gastrointestinal bleeding Loss of balance - Gastrointestinal bleeding Which of the following is approved to use in care plans and nurses' notes at accredited health care organizations? IU QD cc Unit - Unit Arrange the steps in pharmacokinetics correctly:Absorption, distribution, elimination, metabolism Absorption, distribution, metabolism, elimination Absorption, metabolism, elimination, distribution Metabolism, absorption, elimination, distribution - Absorption, distribution, metabolism, elimination Which of the following are symptoms of anaphylactic shock? Select all that apply Difficulty speaking, garbled voice Dyspnea Urticaria Hypotension Bradycardia - Difficulty speaking, garbled voice Dyspnea Urticaria Hypotension A client has urticaria and pruritus. The nurse suspects an allergic reaction and immediately assesses the client for more serious symptoms. What question would be a priority to ask the client? Have you noticed any blood in your stool? Do you have a headache? Are you having any difficulty breathing? Are you having difficulty with your vision? - Are you having any difficulty breathing?A nurse is required to administer a drug through the transdermal route. (Patch) Which responsibility should the nurse follow for the client? Check the infusion rate Give small volumes of doses Inject only the inner part of the forearm Rotate the next dose to a new site - Rotate the next dose to a new site A client is administered enteric coated tablets and wants to know when the tablets would disintegrate in the body. Which response by the nurse is most accurate? The drug dissolves into fragments after reaching the small intestine The drug breaks up into pieces in the stomach The medication is quickly absorbed in the venous system The medication will dissolve into body fluids in the gastrointestinal tract - The drug dissolves into fragments after reaching the small intestine Which items are part of the concept known as the six + one rights of drug administration? Select all that apply Right documentation Right prescriber Right route Right drug Right client - Right documentation Right route Right drug Right clientWhen would the nurse correctly document administration of a drug? At the beginning of the shift At the end of the shift When preparing to administer the drug Immediately after giving the drug - Immediately after giving the drug Which actions can a nurse do to help prevent medication errors? Select all that apply Wait until the end of shift to document Practice the 6+1 rights of drug administration Avoid distractions and concentrate on only one task at a time Confirm any questionable orders Always administer the drug before answering any client questions - Practice the 6+1 rights of drug administration Avoid distractions and concentrate on only one task at a time Confirm any questionable orders Which of the following are adverse effects of Prednisone? Select all that apply Mood swings/nervousness Gastrointestinal bleeding/Peptic ulcers Hyperkalemia Delayed or poor wound healing Weight loss - Mood swings/nervousness Gastrointestinal bleeding/Peptic ulcers Delayed or poor wound healing

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