ATI Pharmacology 2023 Assessment B
1. The nurse is caring for a client in a mental health clinic.Provider Prescriptions 1230:
Bupropion XR 150 mg daily once daily in AM for three days then increase to 150 mg
twice daily.
Assessment 1200:
Client here for scheduled visit to discuss mood. Client reports they were previously
prescribed sertraline for depression, however tapered off that medication 6 months ago.
Client states "It made me gain weight and it completely took away my sex drive, so I stopped
taking it." The client reports "My depression has just gotten so bad. I have been seeing a
counselor and they encouraged me to see a provider about trying a different medication."
1230:
Provider Prescriptions received. Visit summary reviewed with client to discuss the newly
prescribed medication. Client has a follow-up visit with provider in 3 weeks and continues
with weekly counseling.
For each body system below, click to specify the adver: Genitourinary- changes in libido
GI- constipation metabolic- wt loss
Rationale:
When taking action, the nurse should educate the client about potential adverse effects
of bupropion. Common adverse effects of this medication include changes in libido,
constipation, and weight loss.
2. A nurse is caring for a client in a clinic.
Nurses' Notes
3 months ago:
Client was educated on non-pharmacological interventions to lower blood pressure such
as exercise and a low-fat, low-sodium diet with fresh fruits and vegetables. Client to
return to office for a follow-up visit in 3 months.
Today:
Blood pressure is still elevated. Provider notified and prescription given to the client. The
client was educated on the medication. Vital Signs
, ATI Pharmacology 2023 Assessment B
3 months ago:
Temperature 36.7° C (98° F)
Pulse 75/min
Respiratory Rate 16/min
Blood Pressure 130/81 mm Hg Oxygen
Saturation 99% on room air
Today:
Temperature 36.4° C (97.5° F)
Pulse 77/min
Respiratory Rate 16/min
Blood Pressure 148/90 mm Hg
Oxygen Saturation 98% on room air
Provider Prescriptions Today:
Captopril 12.5 mg twice a day by mouth
Which client statements indicate an understanding of the teaching? Click to specify if the
client statement indicates an underst: "I will notify my provider if I feel sick."-
Understanding
"I will eat foods high in potassium."
-Need for further education
"I should take this medication with meals."
-Need for further education
"Coughing is expected while taking this medication."-Need for
further education "I should take acetaminophen instead of
ibuprofen for a headache." -Understanding
, ATI Pharmacology 2023 Assessment B
Rationale:
When evaluating outcomes, the nurse should identify that the client's statements: "I will
notify my provider if I feel sick" and "I should take acetaminophen instead of ibuprofen for
a headache" indicate an understanding of teaching. Captopril can cause neutropenia. If a
client develops manifestations of infection such as a fever or sore throat, the provider
should be notified. NSAIDS such as ibuprofen may reduce the effectiveness of captopril and
should be avoided. The nurse should identify that the client's statements: "I will eat foods
high in potassium," "Coughing is expected while taking this medication," and "I should take
this medication with meals indicate a need for further education. Hyperkalemia is an
adverse effect of captopril. The client should avoid potassium supplements and potassium-
sparing supplements. Coughing is an adverse effect of captopril and the nurse should notify
the provider. Captopril should be given one hour before meals or two hours after meals.
3. A nurse is caring for a client in a clinic and is reviewing their electronic medical record
(EMR).
Nurses' Notes
3 months ago:
Client was prescribed atorvastatin by provider. Client was educated to continue eating a
diet low in saturated fats and to participate in regular exercise. Client is to return to the
office in 3 months for a follow-up visit.
Today:
Client here for a follow-up visit. Client reports last bowel movement was 1 day ago,
increased appetite, and dark urine upon urination. Client reports having some muscle
weakness when working outside. Skin is warm, dry, and intact. Color consistent with
genetic background. Client states, "I am sleeping so much better and seem to have
increased energy, but I sometimes get lightheaded." Client denies headache. Will report
assessment findings to the provider.
Provider Prescriptions 3
months ago:
, ATI Pharmacology 2023 Assessment B
Atorvastatin 40 mg once daily by mouth
For each body system below, cli: Gastrointestinal/Genitourinary- urine
characteristics Musculoskeletal/Integumentary- muscle weakness
Neurological- dizziness
Rationale:
When recognizing cues for a client who is taking atorvastatin, the nurse should identify
that the findings of the client's urine characteristics, muscle weakness, and dizziness
indicate an adverse reaction to the medication. Atorvastatin can cause dark urine, muscle
pain, muscle spasms, and weakness, which could be an indication of injury to the muscle
tissue. Atorvastatin can also cause neurological symptoms such as dizziness, headache,
confusion, and fatigue.
4. A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has
hyperkalemia. Which of the following actions should the nurse plan to take?
A. Hold the client's other oral medications for 8 hr post administration.
B. Inform the client that this medication can turn stool a light tan color.
C. Keep the client's solution in the refrigerator for up to 72 hr.
D. Monitor the client for constipation.: D. Monitor the client for constipation.
Rationale:
-The nurse should monitor the client for the adverse effect of constipation and report it to
the provider because this can lead to fecal impaction.
-The nurse should hold the client's other oral medications for 6 hr before and after
administration of sodium polystyrene sulfonate.
-Sodium polystyrene sulfonate will not alter the color of the client's stool.
-Sodium polystyrene sulfonate solution is stable for 24 hr when refrigerated.
5. A nurse is planning care for a client who has hypertension and is to start taking
metoprolol. Which of the following interventions should the nurse include in the plan of
care?
1. The nurse is caring for a client in a mental health clinic.Provider Prescriptions 1230:
Bupropion XR 150 mg daily once daily in AM for three days then increase to 150 mg
twice daily.
Assessment 1200:
Client here for scheduled visit to discuss mood. Client reports they were previously
prescribed sertraline for depression, however tapered off that medication 6 months ago.
Client states "It made me gain weight and it completely took away my sex drive, so I stopped
taking it." The client reports "My depression has just gotten so bad. I have been seeing a
counselor and they encouraged me to see a provider about trying a different medication."
1230:
Provider Prescriptions received. Visit summary reviewed with client to discuss the newly
prescribed medication. Client has a follow-up visit with provider in 3 weeks and continues
with weekly counseling.
For each body system below, click to specify the adver: Genitourinary- changes in libido
GI- constipation metabolic- wt loss
Rationale:
When taking action, the nurse should educate the client about potential adverse effects
of bupropion. Common adverse effects of this medication include changes in libido,
constipation, and weight loss.
2. A nurse is caring for a client in a clinic.
Nurses' Notes
3 months ago:
Client was educated on non-pharmacological interventions to lower blood pressure such
as exercise and a low-fat, low-sodium diet with fresh fruits and vegetables. Client to
return to office for a follow-up visit in 3 months.
Today:
Blood pressure is still elevated. Provider notified and prescription given to the client. The
client was educated on the medication. Vital Signs
, ATI Pharmacology 2023 Assessment B
3 months ago:
Temperature 36.7° C (98° F)
Pulse 75/min
Respiratory Rate 16/min
Blood Pressure 130/81 mm Hg Oxygen
Saturation 99% on room air
Today:
Temperature 36.4° C (97.5° F)
Pulse 77/min
Respiratory Rate 16/min
Blood Pressure 148/90 mm Hg
Oxygen Saturation 98% on room air
Provider Prescriptions Today:
Captopril 12.5 mg twice a day by mouth
Which client statements indicate an understanding of the teaching? Click to specify if the
client statement indicates an underst: "I will notify my provider if I feel sick."-
Understanding
"I will eat foods high in potassium."
-Need for further education
"I should take this medication with meals."
-Need for further education
"Coughing is expected while taking this medication."-Need for
further education "I should take acetaminophen instead of
ibuprofen for a headache." -Understanding
, ATI Pharmacology 2023 Assessment B
Rationale:
When evaluating outcomes, the nurse should identify that the client's statements: "I will
notify my provider if I feel sick" and "I should take acetaminophen instead of ibuprofen for
a headache" indicate an understanding of teaching. Captopril can cause neutropenia. If a
client develops manifestations of infection such as a fever or sore throat, the provider
should be notified. NSAIDS such as ibuprofen may reduce the effectiveness of captopril and
should be avoided. The nurse should identify that the client's statements: "I will eat foods
high in potassium," "Coughing is expected while taking this medication," and "I should take
this medication with meals indicate a need for further education. Hyperkalemia is an
adverse effect of captopril. The client should avoid potassium supplements and potassium-
sparing supplements. Coughing is an adverse effect of captopril and the nurse should notify
the provider. Captopril should be given one hour before meals or two hours after meals.
3. A nurse is caring for a client in a clinic and is reviewing their electronic medical record
(EMR).
Nurses' Notes
3 months ago:
Client was prescribed atorvastatin by provider. Client was educated to continue eating a
diet low in saturated fats and to participate in regular exercise. Client is to return to the
office in 3 months for a follow-up visit.
Today:
Client here for a follow-up visit. Client reports last bowel movement was 1 day ago,
increased appetite, and dark urine upon urination. Client reports having some muscle
weakness when working outside. Skin is warm, dry, and intact. Color consistent with
genetic background. Client states, "I am sleeping so much better and seem to have
increased energy, but I sometimes get lightheaded." Client denies headache. Will report
assessment findings to the provider.
Provider Prescriptions 3
months ago:
, ATI Pharmacology 2023 Assessment B
Atorvastatin 40 mg once daily by mouth
For each body system below, cli: Gastrointestinal/Genitourinary- urine
characteristics Musculoskeletal/Integumentary- muscle weakness
Neurological- dizziness
Rationale:
When recognizing cues for a client who is taking atorvastatin, the nurse should identify
that the findings of the client's urine characteristics, muscle weakness, and dizziness
indicate an adverse reaction to the medication. Atorvastatin can cause dark urine, muscle
pain, muscle spasms, and weakness, which could be an indication of injury to the muscle
tissue. Atorvastatin can also cause neurological symptoms such as dizziness, headache,
confusion, and fatigue.
4. A nurse is preparing to administer PO sodium polystyrene sulfonate to a client who has
hyperkalemia. Which of the following actions should the nurse plan to take?
A. Hold the client's other oral medications for 8 hr post administration.
B. Inform the client that this medication can turn stool a light tan color.
C. Keep the client's solution in the refrigerator for up to 72 hr.
D. Monitor the client for constipation.: D. Monitor the client for constipation.
Rationale:
-The nurse should monitor the client for the adverse effect of constipation and report it to
the provider because this can lead to fecal impaction.
-The nurse should hold the client's other oral medications for 6 hr before and after
administration of sodium polystyrene sulfonate.
-Sodium polystyrene sulfonate will not alter the color of the client's stool.
-Sodium polystyrene sulfonate solution is stable for 24 hr when refrigerated.
5. A nurse is planning care for a client who has hypertension and is to start taking
metoprolol. Which of the following interventions should the nurse include in the plan of
care?
