ATI PHARMACOLOGY PRACTICE B 2023
QUESTIONS AND ANSWERS
Aanurseaisamonitoringaaaclientaafteraadministeringatheiraprescribedamedications
2000:Clientaisaalertatoaperson,aplace,atime,aandasituation.aClientareportsaheadacheaandaocc
asionalaanxiety.
Clientareportsanausea.aAbdomenasoftaandarounded,anon-
distended.aBowelasoundsaareanormoactiveainaalla4aquadrants.
Bladderanon-distended;acontinent.aUrineaoutputaofa25amL/hr.
Skinacool,adryaandaintact.
Smallapinpointapetechiaeaisapresentaonabilateralaextremities.
1600:Temperaturea37.7°aCa(99.9°aF)Heartaratea100/minRespiratoryaratea20/
minBloodapressurea134/64ammaHgOxygenaSaturationa96%aonaroomaair2000:Temperature
a38.4°aCa(101.2°aF)Heartaratea106/minRespiratoryaratea20/
minBloodapressurea140/64ammaHgOxygenaSaturationa97%aonaroomaair
Enoxaparina40amgaSubcutaneousadaily
Clickatoahighlightatheafindingsafromatheaclient'samedicalarecordathataindicatesaaapotentialaad
verseareactionatoatheiraprescribedamedicationaandarequiresatheanurseatoa-aans--
theaclient'sareportaofaheadache,anausea,aandasmallapinpointapetechiaeaisapresentaonabilater
alaextremities
Aanurseaisacaringaforaaaclientainaaaclinicaandaisareviewingatheiraelectronicamedicalarecorda(E
MR).
3amonthsaago:Clientawasaprescribedaatorvastatinabyaprovider.aClientawasaeducatedatoacont
inueaeatingaaadietalowainasaturatedafatsaandatoaparticipateainaregularaexercise.aClientaisatoare
turnatoatheaofficeaina3amonthsaforaaafollow-upavisit.Today:Clientahereaforaaafollow-
upavisit.aClientareportsalastabowelamovementawasa1adayaago,aincreasedaappetite,aandadarka
urineauponaurination.aClientareportsahavingasomeamuscleaweaknessawhenaworkingaoutside
.aSkinaisawarm,adry,aandaintact.aColoraconsistentawithageneticabackground.aClientastates,a"Ia
amasleepingasoamuchabetteraandaseematoahaveaincreasedaenergy,abutaIasometimesagetaligh
theaded."aClientadeniesaheadache.aWillareportaassessmentafindingsatoatheaprovider.
3amonthsaago:Atorvastatina40amgaonceadailyabyamouth
Foraeachabodyasystemabelow,aclickatoaspecifyatheaclient'saassessmentafinda-aans--
theanurseashouldaidentifyathatatheafindingsaofatheaclient'saurineacharacteristics,amuscleawea
kness,aandadizziness
Theanurseaisacaringaforaaaclientainaaamentalahealthaclinic.
, 1230:
BupropionaXRa150amgadailyaonceadailyainaAMaforathreeadaysathenaincreaseatoa150amgatwice
adaily.
1200:
Clientahereaforascheduledavisitatoadiscussamood.aClientareportsatheyawereapreviouslyaprescr
ibedasertralineaforadepression,ahoweverataperedaoffathatamedicationa6amonthsaago.aClienta
statesa"Itamadeameagainaweightaandaitacompletelyatookaawayamyasexadrive,asoaIastoppedatak
ingait."aTheaclientareportsa"Myadepressionahasajustagottenasoabad.aIahaveabeenaseeingaaacou
nseloraandatheyaencouragedameatoaseeaaaprovideraaboutatryingaaadifferentamedication."123
0:
ProvideraPrescriptionsareceived.aVisitasummaryareviewedawithaclientatoadiscussatheanewlya
prescribedamedication.aClientahasaaafollow-
upavisitawithaprovideraina3aweeksaandacontinuesawithaweeklyacounseling.
Foraeachabodyasystemabelow,aclickatoaspecifyatheaadverseaeffectathatatheanurseashouldaincl
udeawhenapa-aans--
Commonaadverseaeffectsaofathisamedicationaincludeachangesainalibido,aconstipation,aandaw
eightaloss
Aanurseaisacaringaforaaaclientainaanaoutpatientaclinic.
11amonthsaago:
Clientareportsabilateralakneeapainaforamanyayearsaforawhichatheyahaveatakenaibuprofena800a
mgaupatoafouratimesaperadayaasaneededaforathealastayear.aItaisanoalongeraeffectiveaforapain.aR
eportsapainatodayaasa7aonaaa0atoa10ascale.
6amonthsaago:
Clientareportsa5aonaaa0atoa10ascaleaforarightaupperaquadrantaabdominalapainaandadyspepsia
aforathealasta3amonths.aAppetiteadecreasedadueatoaoccasionalanausea.Abdomen:aSoft,aslig
htlyadistended,anontender,abowelasoundsapresentainaallafouraquadrantsEsophagogastrodu
odenoscopya(EGD)aprescribed.Today:Clientareportsanoadyspepsia,anausea,aoraabdominala
painawithacontinuedauseaofaomeprazole.aKneeapainaisareportedaasa2aonaaa0atoa10ascaleawitha
continuedauseaofanaproxen.
5amonthsaago:
Esophagogastroduodenoscopya(EGD)arevealsapepticaulcerainaproximaladuodenum.
11amonthsaago:
Diclofenaca50amgabyamouthathreeatimesadaily5amonthsa-aans--
Theanurseaisareviewingatheaclient'samedicalarecord,awhichaofatheafollowingaisatheaclientaataris
kaforadevelopingahypomagnesemiaadoatoaomeprazole
Aanurseainaanaoutpatientaclinicaisacaringaforaaaclient.
Initialavisit:Temperaturea36.5°aCa(97.7°aF)Heartaratea72/
minBloodapressurea118/74ammaHgRespiratoryaratea15/minSpO2a99%aonaroomaairFollow-
upavisit:Temperaturea36.7°aCa(98.1°aF)Heartaratea92/
minBloodapressurea132/88ammaHgRespiratoryaratea18/minSpO2a98%aonaroomaair
Initialavisit:Clientapresentsaforaevaluationaofaanaincreaseainaheadachesaoverapastaseveralam
onths.aClientareportsaheadachesaoccurathreeatoasixatimesaperamonthaandatypicallyalastaaafe
wahoursatoathreeadays.aHeadachesaareaoftenaaccompaniedabyaneckapainaandanausea.aClie
ntareportsaworkingafull-
QUESTIONS AND ANSWERS
Aanurseaisamonitoringaaaclientaafteraadministeringatheiraprescribedamedications
2000:Clientaisaalertatoaperson,aplace,atime,aandasituation.aClientareportsaheadacheaandaocc
asionalaanxiety.
Clientareportsanausea.aAbdomenasoftaandarounded,anon-
distended.aBowelasoundsaareanormoactiveainaalla4aquadrants.
Bladderanon-distended;acontinent.aUrineaoutputaofa25amL/hr.
Skinacool,adryaandaintact.
Smallapinpointapetechiaeaisapresentaonabilateralaextremities.
1600:Temperaturea37.7°aCa(99.9°aF)Heartaratea100/minRespiratoryaratea20/
minBloodapressurea134/64ammaHgOxygenaSaturationa96%aonaroomaair2000:Temperature
a38.4°aCa(101.2°aF)Heartaratea106/minRespiratoryaratea20/
minBloodapressurea140/64ammaHgOxygenaSaturationa97%aonaroomaair
Enoxaparina40amgaSubcutaneousadaily
Clickatoahighlightatheafindingsafromatheaclient'samedicalarecordathataindicatesaaapotentialaad
verseareactionatoatheiraprescribedamedicationaandarequiresatheanurseatoa-aans--
theaclient'sareportaofaheadache,anausea,aandasmallapinpointapetechiaeaisapresentaonabilater
alaextremities
Aanurseaisacaringaforaaaclientainaaaclinicaandaisareviewingatheiraelectronicamedicalarecorda(E
MR).
3amonthsaago:Clientawasaprescribedaatorvastatinabyaprovider.aClientawasaeducatedatoacont
inueaeatingaaadietalowainasaturatedafatsaandatoaparticipateainaregularaexercise.aClientaisatoare
turnatoatheaofficeaina3amonthsaforaaafollow-upavisit.Today:Clientahereaforaaafollow-
upavisit.aClientareportsalastabowelamovementawasa1adayaago,aincreasedaappetite,aandadarka
urineauponaurination.aClientareportsahavingasomeamuscleaweaknessawhenaworkingaoutside
.aSkinaisawarm,adry,aandaintact.aColoraconsistentawithageneticabackground.aClientastates,a"Ia
amasleepingasoamuchabetteraandaseematoahaveaincreasedaenergy,abutaIasometimesagetaligh
theaded."aClientadeniesaheadache.aWillareportaassessmentafindingsatoatheaprovider.
3amonthsaago:Atorvastatina40amgaonceadailyabyamouth
Foraeachabodyasystemabelow,aclickatoaspecifyatheaclient'saassessmentafinda-aans--
theanurseashouldaidentifyathatatheafindingsaofatheaclient'saurineacharacteristics,amuscleawea
kness,aandadizziness
Theanurseaisacaringaforaaaclientainaaamentalahealthaclinic.
, 1230:
BupropionaXRa150amgadailyaonceadailyainaAMaforathreeadaysathenaincreaseatoa150amgatwice
adaily.
1200:
Clientahereaforascheduledavisitatoadiscussamood.aClientareportsatheyawereapreviouslyaprescr
ibedasertralineaforadepression,ahoweverataperedaoffathatamedicationa6amonthsaago.aClienta
statesa"Itamadeameagainaweightaandaitacompletelyatookaawayamyasexadrive,asoaIastoppedatak
ingait."aTheaclientareportsa"Myadepressionahasajustagottenasoabad.aIahaveabeenaseeingaaacou
nseloraandatheyaencouragedameatoaseeaaaprovideraaboutatryingaaadifferentamedication."123
0:
ProvideraPrescriptionsareceived.aVisitasummaryareviewedawithaclientatoadiscussatheanewlya
prescribedamedication.aClientahasaaafollow-
upavisitawithaprovideraina3aweeksaandacontinuesawithaweeklyacounseling.
Foraeachabodyasystemabelow,aclickatoaspecifyatheaadverseaeffectathatatheanurseashouldaincl
udeawhenapa-aans--
Commonaadverseaeffectsaofathisamedicationaincludeachangesainalibido,aconstipation,aandaw
eightaloss
Aanurseaisacaringaforaaaclientainaanaoutpatientaclinic.
11amonthsaago:
Clientareportsabilateralakneeapainaforamanyayearsaforawhichatheyahaveatakenaibuprofena800a
mgaupatoafouratimesaperadayaasaneededaforathealastayear.aItaisanoalongeraeffectiveaforapain.aR
eportsapainatodayaasa7aonaaa0atoa10ascale.
6amonthsaago:
Clientareportsa5aonaaa0atoa10ascaleaforarightaupperaquadrantaabdominalapainaandadyspepsia
aforathealasta3amonths.aAppetiteadecreasedadueatoaoccasionalanausea.Abdomen:aSoft,aslig
htlyadistended,anontender,abowelasoundsapresentainaallafouraquadrantsEsophagogastrodu
odenoscopya(EGD)aprescribed.Today:Clientareportsanoadyspepsia,anausea,aoraabdominala
painawithacontinuedauseaofaomeprazole.aKneeapainaisareportedaasa2aonaaa0atoa10ascaleawitha
continuedauseaofanaproxen.
5amonthsaago:
Esophagogastroduodenoscopya(EGD)arevealsapepticaulcerainaproximaladuodenum.
11amonthsaago:
Diclofenaca50amgabyamouthathreeatimesadaily5amonthsa-aans--
Theanurseaisareviewingatheaclient'samedicalarecord,awhichaofatheafollowingaisatheaclientaataris
kaforadevelopingahypomagnesemiaadoatoaomeprazole
Aanurseainaanaoutpatientaclinicaisacaringaforaaaclient.
Initialavisit:Temperaturea36.5°aCa(97.7°aF)Heartaratea72/
minBloodapressurea118/74ammaHgRespiratoryaratea15/minSpO2a99%aonaroomaairFollow-
upavisit:Temperaturea36.7°aCa(98.1°aF)Heartaratea92/
minBloodapressurea132/88ammaHgRespiratoryaratea18/minSpO2a98%aonaroomaair
Initialavisit:Clientapresentsaforaevaluationaofaanaincreaseainaheadachesaoverapastaseveralam
onths.aClientareportsaheadachesaoccurathreeatoasixatimesaperamonthaandatypicallyalastaaafe
wahoursatoathreeadays.aHeadachesaareaoftenaaccompaniedabyaneckapainaandanausea.aClie
ntareportsaworkingafull-
