ATI NCLEX Pharmacology Assessment 1 complete exam and correct Solutions 2023.

1. A nurse is teaching a client who will start using transdermal fentanyl. Which of the following statements should the nurse identify as an indication that the client understands the teaching A. "I can use an electric blanket while in bed" B. "I will replace the patch every day" C. "I should apply the patch to my upper thigh" D. "I can take an oral analgesic for breakthrough pain": D Fentanyl is a transdermal opioid agonist for managing persistent, moderate to severe chronic pain. It takes up to 24 hr after the client applies the patch for medication levels to reach their peak. Use short acting analgesics to treat acute or breakthrough pain -- A, heat causes an increase in the release of the medication from the patch, as well as vasodilation, which can increase the absorption of the medication B, the patch releases the med steadily over 72 hrs, but some times they can change it every 48 hr C, apply the patch to the skin of the upper torso for optimal absorption 2. A nurse is teaching a client who has a new prescription for levodopacarbidopa. Which of the following instructions should the nurse include in the teaching A. Report muscle twitching to your provider B. Reduce your daily fluid intake C. Take the medication with a high protein meal D. Discontinue the medication if your urine turns a dark color: A Levodopa carbidopa can cause dyskinesias with toxicity and to report muscle twitching, tremors, and spastic winking -- B, reducing fluid intake can increase risk of orthostatic hypotension. Drink at least 2-3 L of fluid daily C, protein reduces the absorption of levodopa carbidopa D, urine and sweat can become dark in color, but this is harmless