N180 FINAL ATI Pharmacology Final Exam
Questions and Answers 100% Pass
A nurse is planning to administer diltiazem via IV bolus to a client who has A Fib. When assessing the
client, the nurse should recognize that which of the following findings is a contraindication to administer
diltiazem?
Hypotension
Tachycardia
Decreased level of consciousness
History of diuretic use - ✔✔Hypotension
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.
.
Diltiazem can be a treatment option for essential hypertension. This medication will lower blood pressure
and is contraindicated for a client who is hypotensive. The nurse should teach the client to self-monitor
blood pressure and keep a record of the readings.
A nurse is planning to administer epoetin alfa to a client who has chronic kidney failure. Which of the
following data should the nurse plan to review prior to administration of this medication?
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Blood pressure
Temperature
Blood glucose levels
Total protein level - ✔✔Blood pressure
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.
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epoetin alfa can cause hypertension, which can lead to stroke or cardio problems.
Monitor the BP & notify if it increases.
A nurse is providing discharge teaching to a pt who has HF & a prescription for digoxin 0.125 mg PO
daily & furosemide 20 mg PO daily. Which of the following statements by the pt indicates and
understanding of the teaching?
a. "I know that blurred vision is something I will expect to happen while taking digoxin."
b. "I will measure my urine output each day and document it in my diary."
c. "I will skip a dose of my digoxin if my resting heart rate is below 72 beats per minute."
d. "I will eat fruits and vegetables that have high potassium content every day." - ✔✔d.
Hypokalemia is an adverse effect of diuretic therapy.
Maintain potassium between 3.5 to 5.0 to avoid digoxin toxicity.
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A nurse is preparing to administer iron dextran IV to a pt. Which of the following actions should the
nurse plan to take?
a. Administer a small test dose before giving the full dose.
b. Infuse the medication over 30 seconds.
c. Monitor the client closely for hypertension after the infusion.
d. Administer cyanocobalamin as an antidote if iron dextran toxicity occurs. - ✔✔a.
iron dextran adverse effect = anaphylaxis
test small dose over 5 min before giving full dose
A nurse is administering insulin glulisine 10 units subQ at 0730 to an adolescent pt who has Type 1
diabetes. The nurse should anticipate onset of action of the insulin at which of the following times?
0800
0745
0900
1030 - ✔✔0745
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.
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