RN ATI PHARMACOLOGY FORM A QUESTIONS AND ANSWERS

RN ATI PHARMACOLOGY FORM A QUESTIONS AND ANSWERS 1. A nurse is assessing a client who takes prescribed daily aspirin. Which of the following findings indicates salicylism? a. Tinnitus i. Pg. 197 ii. Salicylism (can occur with aspirin) iii. MANIFESTATIONS: Tinnitus, sweating, headache, dizziness, and respiratory alkalosis iv. CLIENT EDUCATION: Advise clients to notify the provider and stop taking aspirin if manifestations occur. b. Facial edema c. Diplopia d. Joint Pain 2. A nurse is providing teaching to a client who has a new prescription for lithium carbonate. Which of the following instructions should the nurse include? a. “Decrease your daily sodium intake.” i. Maintain adequate fluid and sodium intake (pg 63-64) ii. Patients should not have a salt-free diet when taking this drug, because it reduces lithium excretion. b. “Report swelling of the feet to your provider. i. Strict I&Os ii. Weight should be checked every 3 months. (Davis Drug pg.793) iii. FR Bipolar Disorders: Teaching About Lithium Carbonate (RN QSEN - Safety , Active Learning Template - Medication, RM Pharm RN 7.0 Chp 9) c. “Limit foods containing tyramine.” i. Only for MAOIs d. “Take this medication 2 hours before a meal.” i. Taking Lithium with food can decrease GI distress (pg 64) 3. A nurse is planning to administer nitroglycerin topical ointment to a client who has angina. Which of the following actions should the nurse plan to take? a. Administer the ointment using the index finger. i. Avoid touching ointment with hands (pg 170) ii. Use gloves when applying nitroglycerin paste or ointment to prevent self-administration. b. Rotate the site of application with each dose. i. Rotate sites to prevent skin irritation (pg 170) ii. Davis: Sites of topical application should be rotated to prevent skin irritation. Remove patch or ointment from previous site before application. c. Rub the ointment into the client’s skin. i. Davis: Do not massage or rub in ointment; this will increase absorption and interfere with sustained action. d. Cover the ointment with a gauze dressing. i. Cover with clear plastic wrap (pg 170) 4. A nurse is caring for a client who is receiving IV amphotericin B. Which of the following findings should the nurse identify as an acute infusion reaction? a. Dry cough b. Fever i. Infusion reactions: fever, chills, rigors, and headache for 1-3 hr after initiation ii. Pg. 378 c. Pedal edema d. Hyperglycemia i. REPEAT. GOT Season 2 #54 and Season 3 #18. 5. A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take? a. Slow the infusion rate i. First nursing action: Stop the infusion and remove catheter (pg 31) b. Flush the IV catheter c. Elevate the extremity i. Second nursing action: (pg 31) d. Apply pressure to the IV site 6. A nurse is caring for a client who is receiving ondansetron to treat the adverse effects of chemotherapy. Which of the following findings should indicate to the nurse that the treatment is effective? a. Increased urine output b. Reduced somnolence c. Reduced fever d. Increased appetite i. Ondansetron (antiemetic) ii. Depending on therapeutic intent, effectiveness can be evidenced by absence of nausea and vomiting. 7. A nurse is caring for a client who has received ampicillin/sulbactam via intermittent IV bolus. The nurse should identify which of the following findings as an allergic reaction? a. Decreased blood glucose level b. Audible wheezing c. Phlebitis at the infusion site d. Hyperactive deep-tendon reflexes 8. A nurse is caring for a client who is receiving morphine subcutaneously for pain. The nurse should monitor the client for which of the following adverse effects of this medication? a. Polyuria i. Urinary retention b. Tachypnea i. Respiratory distress c. Diarrhea i. Constipation d. Hypotension i. Pg. 285 ii. Complications: Orthostatic hypotension 9. A nurse is preparing to administer amphotericin B via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take? a. Prime the tubing with 0.9% sodium chloride b. Discard the medication if it is yellow i. Observe solution for precipitation and discard if present (pg 378) c. Administer the medication over 2 hrs. i. Infuse amphotericin B slowly over 2 to 4 hr IV. ii. Pg. 378 d. Use gravity flow set. 10. A nurse is assessing a client who is taking sertraline for serotonin syndrome. Which of the following findings is the priority for the nurse to notify the provider? a. Weight gain i. Pg 50 b. Sexual dysfunction i. Late adverse effect (pg 50) c. Insomnia i. Early adverse effects (pg. 50) d. Hyperthermia i. Serious S/E: Stevens–Johnson syndrome, extreme mania/hypomania, and suicidality (especially in children), abnormal bleeding, extreme psychomotor disturbances, seizures, autonomic instability with possible rapid fluctuations of vital signs, severe hyperthermia, serotonin syndrome (Source: Pharmacology for Nurses) ii. IN RED: Assess autonomic instability [tachycardia, labile BP, hyperthermia] (Source: Davis Drug Guide) 11. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following statements by the client indicates an understanding of the teaching? a. “I can expect fine hand tremors when taking this medication.” b. “I can take two aspirin to treat headaches.” c. “I should avoid dairy products when taking this medication.” d. “I should not take an antacid within 1 hour of taking this medication.” i. Concurrent use of antacids can decrease absorption rate of H2 Receptor antagonists ii. Advise clients not to take an antacid 1 hr before or after taking a histamine2‑receptor antagonist. iii. Pg. 216 12. A nurse is caring for a client who is receiving her first course of doxorubicin to treat ovarian cancer. The nurse should monitor for which of the following manifestations as an indication of toxicity? a. Diaphoresis b. b. Respiratory depression c. c. Blurred vision d. d. Dysrhythmias i. Acute cardiac toxicity, dysrhythmias (pg. 337) 13. A nurse is administering 4mg of hydromorphone to a client by mouth every 4 hrs. The medication is provided as hydromorphone 8mg per tablet. Which of the following actions is appropriate for the nurse to take? a. Place the remaining half of the pill in the unit-dose package b. Return the remaining medication to the facility’s pharmacy c. Store the remaining half of the pill in the automated medication dispensing system. d. Dispose of the remaining medications while another nurse observes 14. A nurse is reviewing the list of current medications for a client who is to start a new prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine? a. Beclomethasone (corticosteroid)