ATI Pharmacology 2019 B

ATI Pharmacology 2019 B 1) A nurse is caring for a pt who is receiving Haloperidol. The nurse should identify which of the following findings as an adverse effect of the med? -Akathisia = CORRECT ANSWER An adverse effect associated with haloperidol is the development of extrapyramidal manifestations such as dystonia, pseudoparkinsonism, and akathisia. -Paresthesia Haloperidol, an antipsychotic neuroleptic medication, can cause CNS adverse effects such as seizures, confusion, and neuroleptic syndrome. However, paresthesia is not an adverse effect of haloperidol. -Excess tear production Haloperidol has anticholinergic properties that can cause sensory adverse effects such as increased intraocular pressure, blurred vision, and dry eyes. -Anxiety Haloperidol can be prescribed to treat severe agitation as well as psychotic manifestations. 2) A nurse is providing teaching to a pt who is to start taking Sumatriptan. Which of the following adverse effects should the nurse instruct the pt to monitor for and report to the provider? -Chest pressure= CORRECT ANSWER Sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in angina. The client should report chest pressure or heavy arms to the provider. -White patches on the tongue White patches on the tongue can indicate a fungal infection, which is not an adverse effect of sumatriptan. -Bruising Ecchymosis can indicate thrombocytopenia, which is not an adverse effect of sumatriptan. -Insomnia Sumatriptan can cause drowsiness and sedation as an adverse effect of the medication. 3) A nurse is teaching a pt who is starting to take Amitriptyline. Which of the following findings should the nurse include in the teaching as an adverse effect of the med? -Diarrhea Constipation is an adverse effect of amitriptyline. -Cough Developing a cough is not an adverse effect of amitriptyline. -Urinary retention = CORRECT ANSWER The nurse should instruct the client that amitriptyline causes the anticholinergic effect of urinary retention. -Increased libido A decrease in libido is an adverse effect of amitriptyline. 4) A nurse is assessing a pt who is taking Tamoxifen to treat breast cancer. Which of the following findings is the priority for the nurse to report to the provider? -Hot flashes The client is at risk for hot flashes as an adverse effect of tamoxifen; however, another finding is the priority to report to the provider. The nurse should encourage the client to avoid caffeine and spicy foods to prevent hot flashes