PHARMACOLOGY ATI PROCTORED
A nurse contacts a client's provider on the telephone to obtain a prescription for
pain medication. Which actions should the nurse take when writing down names
the nurse in not familiar with? - ANS> The nurse should ask the provider to
spell out the name of the medication if the stated name is one the nurse is not
familiar with.
a nurse is caring for a client with abnormally high magnesium levels, what should
be given to the client? - ANS> The nurse should expect to administer IV calcium
gluconate to the client and prepare to provide ventilatory support. This client is at
risk for respiratory depression and cardiac dysrhythmias
A nurse is preparing a client's medications. The nurse is responsible for gaining
and maintaining knowledge about which of the following medication information?
- ANS> Adverse Effects
Mechanism of Action
Contraindications
Use knowledge of the therapeutic effect and common adverse effects of
medications to compare expected outcomes with actual findings
A nurse is preparing to administer hydrochlorothiazide to a client actions should
the nurse take prior to administering this medication - ANS> HCTZ is a thiazide
diuretic administered to promote urine output and reduce blood pressure and
edema. The nurse should obtain the client's blood pressure prior to
administration of the medication.
A nurse is preparing to complete an incident report for a medication error. What
information (4 things) should the nurse include in the report? - ANS> Time of
the incident
who was notified of the incident
actions taken following the incident
client identification
A nurse is providing teaching with a client, who has schizophrenia, about
strategies to minimize the anticholinergic effects of fluphenazine. Which of the
,following instructions should the nurse suggest for the client? - ANS> Chew
sugarless gum to moisten the mouth.
When taking action, the nurse should instruct the client who is taking
fluphenazine and is experiencing anticholinergic effects to chew sugarless gum.
This instruction would provide moisture to the client's mouth and decrease the
severity of dry mouth which is an anticholinergic adverse effect.
Acetazolamide adverse effects - ANS> Paresthesia, Weakness, fatigue, rash,
anorexia, nausea, urinary frequency, renal calculi, bone marrow suppression,
weight loss
adverse effects of fentanyl patches - ANS> Respiratory Depression
Hypotension
Constipation
Nausea or Vomiting
Adverse effects of haloperidol - ANS> extrapyrimidal symptoms
Adverse effects of Hydrochlorothiazide - ANS> Dizziness, vertigo, orthostatic
hypotension, nausea, anorexia, vomiting, dry mouth, diarrhea, polyuria, nocturia,
muscle cramps, or spasms. (think: LOWERS BP)
adverse effects of isotretinoin - ANS> Teratogenic
Can elevate triglycerides
Can be hepatotoxic
May be linked to depression and suicide
adverse effects of nitroglycerin - ANS> headache, orthostatic hypotension,
reflex tachycardia
Adverse effects of oxybutynin - ANS> Anticholinergic effects
(dry mouth, eyes,)
blurred vision
Hypotension
peripheral edema
QT interval prolongation
adverse effects of Tamoxifen - ANS> Hot flashes
Fluid retention
Vaginal discharge
, Nausea and vomiting
Menstrual irregularities
Endometrial cancer
Teratogenic
Amitriptyline adverse effects - ANS> anticholinergic effects such as urinary
retention
Antidote for acetaminophen toxicity - ANS> acetylcysteine
aspirin adverse effects - ANS> Bleeding, tinnitus, gastric ulceration, nausea and
heartburn *IF HYPERVENTILATION IS PRESENT, immediately notify provider
aspirin toxicity - ANS> -Overdose initially causes hyperventilation and
respiratory alkalosis, but transitions to mixed metabolic acidosis-respiratory
alkalosis.
Atropine eye drops - ANS> used to dilate pupils for eye procedures
causes blurred vision and photosensitivty
Baclofen therapeutic use - ANS> decrease in flexor and extensor spasticity in tx
of Spinal Cord Injury
Bromocriptine - ANS> dopamine agonist
BUN - ANS> blood urea nitrogen
Bupropion adverse effects - ANS> Agitation, anxiety, nausea, vomiting,
seizures, headaches, insomnia, rash
capnography - ANS> A noninvasive method to quickly and efficiently provide
information on a patient's ventilatory status, circulation, and metabolism;
effectively measures the concentration of carbon dioxide in expired air over time.
captopril adverse effects - ANS> Persistent nonproductive cough, angioedema,
rash, hypotension, neutropenia, and dyspnea. hyperkalemia
captopril teaching - ANS> The client should report a sore throat to the provider
because this can indicate neutropenia, a serious adverse effect of captopril.
A nurse contacts a client's provider on the telephone to obtain a prescription for
pain medication. Which actions should the nurse take when writing down names
the nurse in not familiar with? - ANS> The nurse should ask the provider to
spell out the name of the medication if the stated name is one the nurse is not
familiar with.
a nurse is caring for a client with abnormally high magnesium levels, what should
be given to the client? - ANS> The nurse should expect to administer IV calcium
gluconate to the client and prepare to provide ventilatory support. This client is at
risk for respiratory depression and cardiac dysrhythmias
A nurse is preparing a client's medications. The nurse is responsible for gaining
and maintaining knowledge about which of the following medication information?
- ANS> Adverse Effects
Mechanism of Action
Contraindications
Use knowledge of the therapeutic effect and common adverse effects of
medications to compare expected outcomes with actual findings
A nurse is preparing to administer hydrochlorothiazide to a client actions should
the nurse take prior to administering this medication - ANS> HCTZ is a thiazide
diuretic administered to promote urine output and reduce blood pressure and
edema. The nurse should obtain the client's blood pressure prior to
administration of the medication.
A nurse is preparing to complete an incident report for a medication error. What
information (4 things) should the nurse include in the report? - ANS> Time of
the incident
who was notified of the incident
actions taken following the incident
client identification
A nurse is providing teaching with a client, who has schizophrenia, about
strategies to minimize the anticholinergic effects of fluphenazine. Which of the
,following instructions should the nurse suggest for the client? - ANS> Chew
sugarless gum to moisten the mouth.
When taking action, the nurse should instruct the client who is taking
fluphenazine and is experiencing anticholinergic effects to chew sugarless gum.
This instruction would provide moisture to the client's mouth and decrease the
severity of dry mouth which is an anticholinergic adverse effect.
Acetazolamide adverse effects - ANS> Paresthesia, Weakness, fatigue, rash,
anorexia, nausea, urinary frequency, renal calculi, bone marrow suppression,
weight loss
adverse effects of fentanyl patches - ANS> Respiratory Depression
Hypotension
Constipation
Nausea or Vomiting
Adverse effects of haloperidol - ANS> extrapyrimidal symptoms
Adverse effects of Hydrochlorothiazide - ANS> Dizziness, vertigo, orthostatic
hypotension, nausea, anorexia, vomiting, dry mouth, diarrhea, polyuria, nocturia,
muscle cramps, or spasms. (think: LOWERS BP)
adverse effects of isotretinoin - ANS> Teratogenic
Can elevate triglycerides
Can be hepatotoxic
May be linked to depression and suicide
adverse effects of nitroglycerin - ANS> headache, orthostatic hypotension,
reflex tachycardia
Adverse effects of oxybutynin - ANS> Anticholinergic effects
(dry mouth, eyes,)
blurred vision
Hypotension
peripheral edema
QT interval prolongation
adverse effects of Tamoxifen - ANS> Hot flashes
Fluid retention
Vaginal discharge
, Nausea and vomiting
Menstrual irregularities
Endometrial cancer
Teratogenic
Amitriptyline adverse effects - ANS> anticholinergic effects such as urinary
retention
Antidote for acetaminophen toxicity - ANS> acetylcysteine
aspirin adverse effects - ANS> Bleeding, tinnitus, gastric ulceration, nausea and
heartburn *IF HYPERVENTILATION IS PRESENT, immediately notify provider
aspirin toxicity - ANS> -Overdose initially causes hyperventilation and
respiratory alkalosis, but transitions to mixed metabolic acidosis-respiratory
alkalosis.
Atropine eye drops - ANS> used to dilate pupils for eye procedures
causes blurred vision and photosensitivty
Baclofen therapeutic use - ANS> decrease in flexor and extensor spasticity in tx
of Spinal Cord Injury
Bromocriptine - ANS> dopamine agonist
BUN - ANS> blood urea nitrogen
Bupropion adverse effects - ANS> Agitation, anxiety, nausea, vomiting,
seizures, headaches, insomnia, rash
capnography - ANS> A noninvasive method to quickly and efficiently provide
information on a patient's ventilatory status, circulation, and metabolism;
effectively measures the concentration of carbon dioxide in expired air over time.
captopril adverse effects - ANS> Persistent nonproductive cough, angioedema,
rash, hypotension, neutropenia, and dyspnea. hyperkalemia
captopril teaching - ANS> The client should report a sore throat to the provider
because this can indicate neutropenia, a serious adverse effect of captopril.
