ATI PHARMACOLOGY PROCTORED POST ASSESSMENT 2019

ATI PHARMACOLOGY PROCTORED POST ASSESSMENT 2019 1. A nurse is preparing to administer ipratropium by metered dose inhaler. What adverse effects should the nurse instruct the client to monitor for? Common adverse effects of ipratropium include: upper respiratory infections, urinary tract infections, frequent urge to urinate, bloody or cloudy urine, bladder pain, exacerbation of COPD, wheezing, SOB, cough producing mucus, and tightness in chest. 2. A nurse administering gemfibrozil to a client with elevated cholesterol. What are adverse effects the nurse should monitor for? The nurse should monitor for signs of pancreatitis, dyspepsia, cholelithiasis, cough or hoarseness, fever or chills, UTI symptoms such as frequent urge to urinate, painful urination, bladder pain, and lower back or side pain. More serious, but less common side effects include, black tarry stools, chest pain, severe nausea or vomiting, stomach pain, hives/swelling, and muscle cramps or spasms. 3. A nurse is administering a unit of packed red blood cells (PRBCs) to a client. What symptoms would indicate circulatory overload? Name three (3) clinical manifestations of circulatory overload. What are three (3) interventions the nurse can take action on if overload occurs? Symptoms: orthopnea, cough and tachycardia Manifestations: Hypertension, respiratory distress and flushing Interventions: Stop the infusion immediately, place client in a upright position, treat symptoms with oxygen, diuretics, and other cardiac failure therapy