ATI Capstone Pharmacology 1 & 2
A nurse is caring for a client who is receiving morphine, what assessment is priority? -
Respiratory rate
A nurse is assessing a client who has been using beclomethasone for 2 weeks to
manage her asthma, what is the priority to report to the provider? - Bronchospasma
A nurse is providing teaching to a client who has a new prescription for beclomethasone
inhaler to use with an albuterol inhaler for asthma maintenance, what should the nurse
instruct? - You should gargle with water after each use of this inhaler
A nurse is planning a staff education session on AE of meds, what information should
the nurse discuss about anticholinergic adverse effects? - -Blurred vision
-Tachycardia
-Constipation
A nurse is providing teaching to a client who has a new prescription for guaifenesin,
what information regarding the action of guaifenesin should the nurse include in the
teaching? - Guaifenesin increases cough production
A nurse is preparing to administer verapamil to a client who is 2 days postmyocardial
infarction. The nurse should monitor the client for which of the following outcomes as
therapeutic response to the medication? - Decreased anginal pain
A nurse is providing teaching to a client who has a new prescription for levothyroxine,
which statement indicates understanding of the teaching? - "I might not realize the full
effect of the medication for several weeks."
Take on empty stomach with a glass of water, first thing in the morning 30-60 minutes
prior to breakfast
A nurse is assessing a client who has HF and is taking digoxin. The nurse should
monitor the client for which of the following manifestations as an indication of digoxin
toxicity to report to the provider? - Vomiting
(N/V, anorexia, blurred vision)
A nurse is providing teaching for a patient with a prescription for oral metronidazole,
what is the priority teaching point? - You should report a rash to your provider
(Fatal disorder Stevens-Johnson syndrome)
, A nurse is providing discharge instructions to a client who has a new prescription for
codeine for cough suppression, what is the priority instruction? - Move slowly when
standing from a lying down position
(R/F orthostatic hypotension
A nurse is reviewing the medical record of a client who received his medications 1 hour
ago, the patient reports chest pain, this can be an AE of what medication? - Albuterol
(Beta 2 agonist, controls bronchospasms for asthma- can cause tremors, chest pain,
tachycardia, dysrhythmias)
A nurse is teaching a patient who has a new prescription for brimonidine to treat open-
angle glaucoma, what indicates an understanding of the instructions? - "I can expect to
feel some irritation when I put these drops in my eyes."
A nurse is caring for a female client who has osteoporosis and a new prescription for
raloxifene, what should the nurse assess prior to initiating therapy? - Pregnancy status
(Category X)
A nurse is teaching a patient to use TD nitroglycerin patches to treat angina pectoris,
what instructions should the nurse include? - Apply a new patch every morning
(Effects begin 30-60 minutes after application and last 14 hours)
A nurse is providing teaching to a patient who has a new prescription for allopurinol to
treat gout, what should the nurse include? - Increase your fluid intake
A nurse is providing teaching to a client who has a neuropathic pain and a new
prescription for amitriptyline once per day, what should the nurse include? - Increase
fluids while on this med
(Urine turns blue/green, sedation is an adverse effect)
A nurse is caring for a client who has a prescription for vancomycin 1g IV intermittent
infusion over 30 minutes every 12 hours, what should the nurse take? - Contact the
provider for prescription clarification
(Administer over 60 minutes or more to reduce risk of infusion reaction- hypotension,
flushing)
A nurse is providing teaching to a male patient who has a new prescription for folic acid,
the client tells the nurse he heard that the medication is prescribed for women during
pregnancy, what statements should the nurse make? - "Folic acid is important for the
building of blood cells for adults and children."
(Tx megaloblastic and macrocytic anemias)
A nurse is caring for a client who has HIV-1 and is starting therapy with ritonavir and
zidovudine. The client asks why she has to take both medications, which explanation
should the nurse provider? - "Taking the two meds together keeps you from becoming
resistant to either of them."
A nurse is caring for a client who is receiving morphine, what assessment is priority? -
Respiratory rate
A nurse is assessing a client who has been using beclomethasone for 2 weeks to
manage her asthma, what is the priority to report to the provider? - Bronchospasma
A nurse is providing teaching to a client who has a new prescription for beclomethasone
inhaler to use with an albuterol inhaler for asthma maintenance, what should the nurse
instruct? - You should gargle with water after each use of this inhaler
A nurse is planning a staff education session on AE of meds, what information should
the nurse discuss about anticholinergic adverse effects? - -Blurred vision
-Tachycardia
-Constipation
A nurse is providing teaching to a client who has a new prescription for guaifenesin,
what information regarding the action of guaifenesin should the nurse include in the
teaching? - Guaifenesin increases cough production
A nurse is preparing to administer verapamil to a client who is 2 days postmyocardial
infarction. The nurse should monitor the client for which of the following outcomes as
therapeutic response to the medication? - Decreased anginal pain
A nurse is providing teaching to a client who has a new prescription for levothyroxine,
which statement indicates understanding of the teaching? - "I might not realize the full
effect of the medication for several weeks."
Take on empty stomach with a glass of water, first thing in the morning 30-60 minutes
prior to breakfast
A nurse is assessing a client who has HF and is taking digoxin. The nurse should
monitor the client for which of the following manifestations as an indication of digoxin
toxicity to report to the provider? - Vomiting
(N/V, anorexia, blurred vision)
A nurse is providing teaching for a patient with a prescription for oral metronidazole,
what is the priority teaching point? - You should report a rash to your provider
(Fatal disorder Stevens-Johnson syndrome)
, A nurse is providing discharge instructions to a client who has a new prescription for
codeine for cough suppression, what is the priority instruction? - Move slowly when
standing from a lying down position
(R/F orthostatic hypotension
A nurse is reviewing the medical record of a client who received his medications 1 hour
ago, the patient reports chest pain, this can be an AE of what medication? - Albuterol
(Beta 2 agonist, controls bronchospasms for asthma- can cause tremors, chest pain,
tachycardia, dysrhythmias)
A nurse is teaching a patient who has a new prescription for brimonidine to treat open-
angle glaucoma, what indicates an understanding of the instructions? - "I can expect to
feel some irritation when I put these drops in my eyes."
A nurse is caring for a female client who has osteoporosis and a new prescription for
raloxifene, what should the nurse assess prior to initiating therapy? - Pregnancy status
(Category X)
A nurse is teaching a patient to use TD nitroglycerin patches to treat angina pectoris,
what instructions should the nurse include? - Apply a new patch every morning
(Effects begin 30-60 minutes after application and last 14 hours)
A nurse is providing teaching to a patient who has a new prescription for allopurinol to
treat gout, what should the nurse include? - Increase your fluid intake
A nurse is providing teaching to a client who has a neuropathic pain and a new
prescription for amitriptyline once per day, what should the nurse include? - Increase
fluids while on this med
(Urine turns blue/green, sedation is an adverse effect)
A nurse is caring for a client who has a prescription for vancomycin 1g IV intermittent
infusion over 30 minutes every 12 hours, what should the nurse take? - Contact the
provider for prescription clarification
(Administer over 60 minutes or more to reduce risk of infusion reaction- hypotension,
flushing)
A nurse is providing teaching to a male patient who has a new prescription for folic acid,
the client tells the nurse he heard that the medication is prescribed for women during
pregnancy, what statements should the nurse make? - "Folic acid is important for the
building of blood cells for adults and children."
(Tx megaloblastic and macrocytic anemias)
A nurse is caring for a client who has HIV-1 and is starting therapy with ritonavir and
zidovudine. The client asks why she has to take both medications, which explanation
should the nurse provider? - "Taking the two meds together keeps you from becoming
resistant to either of them."
