VATI Pharmacology Post-Study Quiz
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1. A nurse is reviewing a client's new prescription for piperacillin/tazobactam.
The client has an allergy to penicillin documented in their medical record.
Which of the following actions should the nurse take?
A. Consult the pharmacist for an alternative medication.
B. Hold the medication and clarify the prescription.
C. Administer the medication at a reduced flow rate.
D. Administer the medication using the Five Rights of Medication Administra-
tion.: B. Hold the medication and clarify the prescription.
Piperacillin/tazobactam is in the penicillin family. The client would likely have a similar
response to piperacillin as to penicillin. Confusion over drug names or not identifying
the same category of medications accounts for many medication errors and adverse
drug events.
2. A nurse is caring for a client who has a prescription for citalopram. Which of
the following supplements on the client's home medication record increases
the risk of serotonin syndrome?
A. St. John's wort
B. Ginkgo biloba
C. Vitamin C
D. Fish oil: A. St. John's wort
Combined use of an SSRI and St. John's wort can increase the risk for serotonin
syndrome, which can be life-threatening.
3. A nurse is caring for a client who is taking atorvastatin. Which of the
following manifestations should the nurse identify as the priority to report to
the provider?
A. Muscle aches
B. Nausea
C. Headache
D. Insomnia: A. Muscle aches
The greatest risk to this client is myopathy, which can progress to rhabdomyolysis, a
potentially life-threatening condition. Indications of myopathy include muscle aches,
pain, and tenderness. Therefore, the nurse should identify that muscle aches are
the priority manifestation to report to the provider.
1/9
, VATI Pharmacology Post-Study Quiz
Study online at https://quizlet.com/_ewo8c2
4. A nurse is preparing to administer a new prescription for a beta blocker to
a client who has hypertension. Which of the following adverse effects should
the nurse monitor the client for?
A. Elevated BUN
B. Bradycardia
C. Migraine headache
D. Increase salivation: B. Bradycardia
This is an anticipated adverse effect of beta blockade therapy. Anticipating adverse
drug reactions can help minimize their effects.
5. A nurse is providing teaching to a client who has a new prescription for
furosemide. Which of the following client statements indicates an understand-
ing of the teaching?
A. "I should avoid eating food that is high in potassium."
B. "I will take this medication with food."
C. "I will take this medicine before I go to bed."
D. "I should take ibuprofen if I experience muscle aches.": B. "I will take this
medication with food."
The client should take furosemide with food to minimize gastric upset. The client
should increase their intake of high potassium foods because furosemide is a
potassium-wasting diuretic. Examples of high potassium foods include bananas,
potatoes, dried fruit nuts, spinach, and citrus fruit. The client should not take nons-
teroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, while they are taking
furosemide because this will decrease the effectiveness of furosemide.
6. A nurse is providing teaching to a client who has a new prescription for
clopidogrel. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will stop taking this medication 2 days prior to a scheduled surgical
procedure."
B. "I will have my bleeding times checked daily for the first 5 days of taking
this medication."
C. "This medication might cause me to become constipated."
D. "I should notify my provider if I notice any unexplained bruising.": D. "I
should notify my provider if I notice any unexplained bruising."
2/9
Study online at https://quizlet.com/_ewo8c2
1. A nurse is reviewing a client's new prescription for piperacillin/tazobactam.
The client has an allergy to penicillin documented in their medical record.
Which of the following actions should the nurse take?
A. Consult the pharmacist for an alternative medication.
B. Hold the medication and clarify the prescription.
C. Administer the medication at a reduced flow rate.
D. Administer the medication using the Five Rights of Medication Administra-
tion.: B. Hold the medication and clarify the prescription.
Piperacillin/tazobactam is in the penicillin family. The client would likely have a similar
response to piperacillin as to penicillin. Confusion over drug names or not identifying
the same category of medications accounts for many medication errors and adverse
drug events.
2. A nurse is caring for a client who has a prescription for citalopram. Which of
the following supplements on the client's home medication record increases
the risk of serotonin syndrome?
A. St. John's wort
B. Ginkgo biloba
C. Vitamin C
D. Fish oil: A. St. John's wort
Combined use of an SSRI and St. John's wort can increase the risk for serotonin
syndrome, which can be life-threatening.
3. A nurse is caring for a client who is taking atorvastatin. Which of the
following manifestations should the nurse identify as the priority to report to
the provider?
A. Muscle aches
B. Nausea
C. Headache
D. Insomnia: A. Muscle aches
The greatest risk to this client is myopathy, which can progress to rhabdomyolysis, a
potentially life-threatening condition. Indications of myopathy include muscle aches,
pain, and tenderness. Therefore, the nurse should identify that muscle aches are
the priority manifestation to report to the provider.
1/9
, VATI Pharmacology Post-Study Quiz
Study online at https://quizlet.com/_ewo8c2
4. A nurse is preparing to administer a new prescription for a beta blocker to
a client who has hypertension. Which of the following adverse effects should
the nurse monitor the client for?
A. Elevated BUN
B. Bradycardia
C. Migraine headache
D. Increase salivation: B. Bradycardia
This is an anticipated adverse effect of beta blockade therapy. Anticipating adverse
drug reactions can help minimize their effects.
5. A nurse is providing teaching to a client who has a new prescription for
furosemide. Which of the following client statements indicates an understand-
ing of the teaching?
A. "I should avoid eating food that is high in potassium."
B. "I will take this medication with food."
C. "I will take this medicine before I go to bed."
D. "I should take ibuprofen if I experience muscle aches.": B. "I will take this
medication with food."
The client should take furosemide with food to minimize gastric upset. The client
should increase their intake of high potassium foods because furosemide is a
potassium-wasting diuretic. Examples of high potassium foods include bananas,
potatoes, dried fruit nuts, spinach, and citrus fruit. The client should not take nons-
teroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, while they are taking
furosemide because this will decrease the effectiveness of furosemide.
6. A nurse is providing teaching to a client who has a new prescription for
clopidogrel. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will stop taking this medication 2 days prior to a scheduled surgical
procedure."
B. "I will have my bleeding times checked daily for the first 5 days of taking
this medication."
C. "This medication might cause me to become constipated."
D. "I should notify my provider if I notice any unexplained bruising.": D. "I
should notify my provider if I notice any unexplained bruising."
2/9
