ATI Pharmacology: Expert Solutions from Leading
Educators Worldwide with Elite University-Level
Explanations
A nurse is working in the emergency department is admitting a client who has a gastric
ulcer and gastrointestinal bleeding. Which of the following factors in the client's medical
history should the nurse report to the provider?
a. Arthritis treated with ibuprofen every eight hours as needed
b. The previous tobacco smoking was cessation five years ago
c. Negative age pylori breath test one year prior
d. Prescribed bismuth subsalicylate as needed for GI upset - CORRECT ANSWER- -a-
Arthritis treated with ibuprofen every eight hours as needed
Ibuprofen is an NSAID and can cause gastrointestinal bleeding and is contraindicated for
clients of ulcer disease. They inhibit prostaglandin secretion which decreases blood flow in
the GI tract and decreases bicarbonate and mucus secretion, this environment promotes
the secretion of gastric acid and needs to be reported to the provider
An 18 month old toddler who has Kawasaki disease. The child is receiving IV immune
globulin. The guardian asked if the nurse to administer the child scheduled measles
mumps and rubella MMR vaccine before discharge. Which of the following responses
should the nurse provide?
a. Your child will not be able to receive the MMR vaccine for at least three months after
discharge
b. I cannot administer routine vaccines to children while they are in the hospital
c. Your child can receive the MMR vaccine once his fever is gone
d. I can administer the measles and rubella vaccines but I cannot administer the mumps
vaccine - CORRECT ANSWER- -a-your child will not be able to receive the MMR vaccine for
at least three months after discharge
explain to the guardian that IVIG given for the treatment of Kawasaki disease contains
antibodies that can interfere with the action of live virus vaccines like MMR. The vaccine
should be postponed for three to six months
,A nurse is teaching a client who is experiencing age-related vaginal atrophy and has a
prescription for estradiol cream. Which of the following statements should the nurse
include in the teaching?
a. This medication should be used daily
b. This medication should be applied externally
c. This medication has fewer systemic effects than oral estrogen
d. This medication can increase your risk of bone loss - CORRECT ANSWER- -c-this
medication has fewer systemic effects than oral estrogen
b/c it is applied topically
A nurse is reviewing the medical record of a client who has post menopausal osteoporosis
and a prescription for Raloxifene. Which of the following findings in the client's medical
records should the nurse identify as a contraindication to receiving this medication?
a. Breast cancer
b. History of deep vein thrombosis
c. Allergy to calcitonin
d. Current diagnosis of Cholecystitis - CORRECT ANSWER- -b-history of deep vein
thrombosis
identified that a history of DVT is a current or indication for receiving Raloxifene because
this medication can cause DVT and patients who have prior history. Notify the provider of
this finding and request an alternative medication prescription for the client
A nurse is caring for a client who received spinal anesthesia 30 minutes ago. The client
reports feeling dizzy, and the nurse notes that the client's blood pressure is mm.Hg.
Which of the following actions should the nurse take?
a. Place the client in a head down position
b. Assess the placement of the catheter
c. Prepared to administer an IV reversal agent
, d. Assist the client in passive range of motion movements - CORRECT ANSWER- -a-place
the client in a head down position
identify an adverse effect from misfeeding the spinal anesthesia. Hypotension is the
common adverse effect of spinal anesthesia due to the loss of venous tone and decreased
venous return to the heart. A 10-to-15-degree head down position will rapidly promote
venous return to the heart which increased his client's blood pressure
A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension.
The nurse should plan to monitor the client for which of the following adverse effects?
a. Thrombophlebitis
b. Hyperactive reflexes
c. Muscle weakness
d. Hypoglycemia - CORRECT ANSWER- -C -muscle weakness
chlorothiazide is a diuretic that promotes the excretion of water sodium and potassium and
can cause hypokalemia. Manifestations of hypokalemia include muscle weakness muscle
cramps and dysrhythmias
A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse
should highlight that which of the following conditions is a contraindication to this
medication?
a. Hyperthyroidism
b. Intestinal obstruction
c. glaucoma
d. low blood pressure - CORRECT ANSWER- -b-intestinal obstruction
metoclopramide reduces nausea and vomiting by increasing gastric motility and promoting
gastric emptying it is contraindicated for a client who has an intestinal obstruction or
perforation
Educators Worldwide with Elite University-Level
Explanations
A nurse is working in the emergency department is admitting a client who has a gastric
ulcer and gastrointestinal bleeding. Which of the following factors in the client's medical
history should the nurse report to the provider?
a. Arthritis treated with ibuprofen every eight hours as needed
b. The previous tobacco smoking was cessation five years ago
c. Negative age pylori breath test one year prior
d. Prescribed bismuth subsalicylate as needed for GI upset - CORRECT ANSWER- -a-
Arthritis treated with ibuprofen every eight hours as needed
Ibuprofen is an NSAID and can cause gastrointestinal bleeding and is contraindicated for
clients of ulcer disease. They inhibit prostaglandin secretion which decreases blood flow in
the GI tract and decreases bicarbonate and mucus secretion, this environment promotes
the secretion of gastric acid and needs to be reported to the provider
An 18 month old toddler who has Kawasaki disease. The child is receiving IV immune
globulin. The guardian asked if the nurse to administer the child scheduled measles
mumps and rubella MMR vaccine before discharge. Which of the following responses
should the nurse provide?
a. Your child will not be able to receive the MMR vaccine for at least three months after
discharge
b. I cannot administer routine vaccines to children while they are in the hospital
c. Your child can receive the MMR vaccine once his fever is gone
d. I can administer the measles and rubella vaccines but I cannot administer the mumps
vaccine - CORRECT ANSWER- -a-your child will not be able to receive the MMR vaccine for
at least three months after discharge
explain to the guardian that IVIG given for the treatment of Kawasaki disease contains
antibodies that can interfere with the action of live virus vaccines like MMR. The vaccine
should be postponed for three to six months
,A nurse is teaching a client who is experiencing age-related vaginal atrophy and has a
prescription for estradiol cream. Which of the following statements should the nurse
include in the teaching?
a. This medication should be used daily
b. This medication should be applied externally
c. This medication has fewer systemic effects than oral estrogen
d. This medication can increase your risk of bone loss - CORRECT ANSWER- -c-this
medication has fewer systemic effects than oral estrogen
b/c it is applied topically
A nurse is reviewing the medical record of a client who has post menopausal osteoporosis
and a prescription for Raloxifene. Which of the following findings in the client's medical
records should the nurse identify as a contraindication to receiving this medication?
a. Breast cancer
b. History of deep vein thrombosis
c. Allergy to calcitonin
d. Current diagnosis of Cholecystitis - CORRECT ANSWER- -b-history of deep vein
thrombosis
identified that a history of DVT is a current or indication for receiving Raloxifene because
this medication can cause DVT and patients who have prior history. Notify the provider of
this finding and request an alternative medication prescription for the client
A nurse is caring for a client who received spinal anesthesia 30 minutes ago. The client
reports feeling dizzy, and the nurse notes that the client's blood pressure is mm.Hg.
Which of the following actions should the nurse take?
a. Place the client in a head down position
b. Assess the placement of the catheter
c. Prepared to administer an IV reversal agent
, d. Assist the client in passive range of motion movements - CORRECT ANSWER- -a-place
the client in a head down position
identify an adverse effect from misfeeding the spinal anesthesia. Hypotension is the
common adverse effect of spinal anesthesia due to the loss of venous tone and decreased
venous return to the heart. A 10-to-15-degree head down position will rapidly promote
venous return to the heart which increased his client's blood pressure
A nurse is caring for a client who has a prescription for chlorothiazide to treat hypertension.
The nurse should plan to monitor the client for which of the following adverse effects?
a. Thrombophlebitis
b. Hyperactive reflexes
c. Muscle weakness
d. Hypoglycemia - CORRECT ANSWER- -C -muscle weakness
chlorothiazide is a diuretic that promotes the excretion of water sodium and potassium and
can cause hypokalemia. Manifestations of hypokalemia include muscle weakness muscle
cramps and dysrhythmias
A nurse is providing teaching to a newly licensed nurse about metoclopramide. The nurse
should highlight that which of the following conditions is a contraindication to this
medication?
a. Hyperthyroidism
b. Intestinal obstruction
c. glaucoma
d. low blood pressure - CORRECT ANSWER- -b-intestinal obstruction
metoclopramide reduces nausea and vomiting by increasing gastric motility and promoting
gastric emptying it is contraindicated for a client who has an intestinal obstruction or
perforation
