ATI Pharmacology 2019 Practice Exam A questions and answers verified 100%

ATI Pharmacology 2019 Practice Exam A questions and answers verified 100% A nurse is providing discharge instructions to a client who has heart failure and a new prescription for captopril. Which of the following client statements indicates an understanding of the teaching? a. "I should take this medication with food." b. "I should take naproxen if I develop joint pain." c. "I should tell my provider if I develop a sore throat." d. "I should expect the medication to cause my urine to look orange." - correct answers-c. "I should tell my provider if I develop a sore throat." The client should report a sore throat to the provider because this can indicate neutropenia, a serious adverse effect of captopril. Neutropenia can be reversed if it is identified early and the medication is promptly discontinued. A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which of the following actions of sucralfate should the nurse include in the teaching? a. Decreases stomach acid and secretion b. Neutralizes acid in the stomach c. Forms a protective barrier d. Treats ulcers by eradicating H. pylori - correct answers-C. For a a protective barrier over ulcers Secretions by the parietal chief cells, hydrochloric acid and pepsin, can further irritate the ulcerated areas. Sucralfate, a mucosal protectant, forms a gel-like substance that coats the ulcer, creating a barrier to hydrochloric acid and pepsin. A nurse is providing teaching to a client who has multiple sclerosis and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? (SATA) a. Blood glucose levels will be monitored during therapy b. Avoid contact with people who have known infections c. Take the medication 1 hr before breakfast d. Decrease dietary intake of foods containing potassium e. Grapefruit juice can increase the effects of the medication - correct answers-a. Blood glucose levels will be monitored during therapy b. Avoid contact with people who have known infections e. Grapefruit juice can increase the effects of the medication a. The nurse should monitor the client for hyperglycemia while providing methylprednisolone to the client. Glucocorticoids, such as methylprednisolone, increase serum glucose levels and can require management with insulin or antihyperglycemia. b. The nurse should instruct the client to avoid exposures to infectious agents, such as contact with those who have active infections or illnesses. Glucocorticoids, which as methylprednisolone, depress the immune system, placing the client at an increased risk for developing an infection. e. The nurse should in strict the client that grapefruit and grapefruit juice can increase the level of methylprednisolone in the body. The nurse is providing discharge teaching about handling medication to a client who is to continue taking oral transmucosal fentanyl raspberry-flavored lozenges on a stick. Which of the following information should the nurse include in the teaching? a. Chew on the medication stick to release the medication b. Leave the medication stick in one location of the mouth until melted c. Allow the medication 1 hr for the analgesia effects to begin d. Store unused medication sticks in a storage container - correct answers-d. Store unused medication sticks in a storage container The nurse should instruct the client to store unused, or partially used, medications sticks in the safe storage container that comes in the kit when the medication is initially prescribed. A nurse is reviewing the ECG of a client who is receiving IV furosemide for heart failure. The nurse should identify which of the following findings as an indication of hypokalemia? a. Tall, tented T waves b. Presence of U waves c. Widened QRS complex d. ST elevation - correct answers-b. Presence of U waves A nurse is caring for a client and is taking oral morphine and docusate sodium. The nurse should instruct the client that taking the docusate sodium daily can minimize which of the following adverse effects of morphine? a. Constipation b. Drowsiness c. Facial flushing d. Itching - correct answers-a. Constipation Constipation is a common adverse effect of morphine that can be minimized by taking docusate sodium, a stool softener that promotes easier evacuation of stool by increasing water and fat in the intestine. A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should