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VATI Pharm, Pharmacology 2019 ATI, RN VATI Pharmacology 2019, Pharmacology ATI Proctored Exam Bank. Q&A.

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VATI Pharm, Pharmacology 2019 ATI, RN VATI Pharmacology 2019, Pharmacology ATI Proctored Exam Bank.Q&A. A nurse is providing teaching to a pt prescribed cipro what is an adverse effect the nurse should include in the teaching? ANS- phototoxicity. avoid direct sunlight, wear sunglasses and protective clothing. discontinue ASAP is phototoxicity occurs. Tendon rupture is another adverse effect a nurse is giving diclofenac sodium to a pt with chronic bursitis which of the following action should the nurse take ANS- give the med with food. Diclofenac is an NSAID and can cause gastric irritation a nurse is planning care for a pt who is scheduled for surgery with a latex allergy which action should the nurse take ANS- place monitoring cords and tubes in a stokinette. to avoid exposure to skin which of the following increases the pts risk for developing as aspirin induced ulcer? ANS- Cigarette smoking can increase the risk for developing a gastric ulcer in the client who is receiving aspirin therapy. The nurse should inform the client that smoking reduces secretion of gastric bicarbonate and increases gastric emptying, transporting more acid into the duodenum. a post menopausal pt is prescribed raloxifene what is it used for ANS- to prevent breast cancer and reduces the amount of fractures related to osteoporosis a nurse is providing teaching to a pt with a hx of DM and has a new prescription for hydrochlorothiazide what should the nurse include in the teaching? ANS- hydrochlorothiazide can elevate your blood sugar what should the nurse monitor for the pt taking acetazolamide ANS- electrolyte imbalances. teaching for pt taking zidovudine ANS- limit exposure to people who have infections. zidovudine is use to treat HIV, hep B and epstein barr allopurinol ANS- decreases the production of uric acid increase fluid consumption while taking to prevent kidney injury what should the nurse report to the provider when a pt is taking codeine ANS- agitation can lead to neurotoxicity caused by over use what is the nurses immediate priority in post op ANS- monitor respiratory status adverse effect of pseduoephedrine for allergic rhinitis ANS- hypertension acyclovir ANS- assess for an increase in creatinine. acyclovir is an antiviral agent used to treat herpes simplex and varicella zoster. causes irreversible nephrotoxicity a pt is taking clopidogrel after coronary artery stenting what should the nurse report to the HCP ANS- pt taking ginkgo biloba which labs should be used to determine the effectiveness of epoetin alpha ANS- hemoglobin and iron adverse effect of spirinolactone ANS- muscle weakness pt taking danazol for endometriosis what is an adverse effect ANS- edema beclomethasone teaching ANS- gargle with water after to prevent oral candidias pt ingested a toxic amount of acetaminophen what are s/s ANS- diaphoresis abdominal discomfort increased ALT pt taking ethinyl estradiol and norethindrone for contraception what are adverse effect ANS- break through bleeding antidote for warfarin ANS- vitamin K if giving IV push dilute and give slowly to prevent cardiovascular collapse pt taking warfarin should have INR of 2-3 paclitaxel for ovarian cancer tx signs and symptoms ANS- bradycardia ondansetron to control n/v during chemo teaching ANS- additional meds can be required. contraindication for prescribing pregabalin for diabetic nerve pain ANS- allergy to gabapentin after giving clonidine instead of the prescribed clonazepam after checking BP what should the nurse do next ANS- review adverse effects of clonidine which routine dx screen should be done for pt with chronic RA taking hydroxychloroquine ANS- eye exam anaphylaxis to antibiotic s/s ANS- angioedema of face, oral cavity, larynx and airway resulting in bronchospasm and decreased airflow oral abulterol what to monitor ANS- Tachycardia Albuterol is a beta2-agonist, which can cause excessive stimulation of cardiac and skeletal muscle beta cells. Therefore, the nurse should monitor the client for tachycardia and dysrhythmias. contraindication for sumatriptam ANS- angina pectoris sumatriptan is a vasoconstrictor that can cause angina contraindication for metformin ANS- alcohol use disorder which med is a common cause of orthostatic hypotension ANS- lasix amioderone ANS- have liver enzyme testing periodically. amioderone is liver toxic report jaundice to HCP what lab do you monitor for heparin ANS- PTT what lab is important to monitor with corticosteroid ANS- glucose what adverse effect should be monitored with ipratropium inhaler ANS- xerostomia - dry mouth teaching for esomeprazole ANS- take 60 mins before meal whaat do you assess before giving meperdine ANS- respiratory rate nursing action when giving alteplase ANS- monitor for change in LOC teaching for cromolyn for asthma ANS- use med everyday even when you have no symptoms can be taken 3-4 times a day also used 1 hour before exercise to reduce bronchospasm pt taking levodopa carbidopa has tremors and twitching what med should be given ANS- amantadine pt getting topotecan for ovarian cancer which med is given to control adverse effects of topotecan ANS- granisetron via transdermal patch antiemetic to control n/v heart rhythm for digoxin ANS- second degree heart block adverse effect of atenolol ANS- light headed med for hydromorphone toxicity ANS- naloxone med for alcohol withdrawl ANS- diazepam adverse effect of long term prednisone use ANS- osteoporosis which lab does nurse monitor for -statins ANS- ALT at risk for liver damage didanosine therapy use ANS- HIV expected outcome of mannitol ANS- improved UO Tamoxifen side effects ANS- monitor calcium level at risk for hypercalcemia monitor for pulmonary emboli get routine eye exams hot flashes therapeutic effect of somatropin ANS- monitor height monthly treats growth hormone deficiency haloperidol adverse effect ANS- can expereicne EPS parkinsonism and muscle rigidity within 5 days of starting treatment for schizophrenia rifamin teaching ANS- causes harmless red organge discoloration of feces, sputum tears and sweat A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain. Which of the following information should the nurse include in the teaching? ANS- Decreased respirations might occur A nurse is preparing to administer ciprofloxacin 15/mg/kg PO every 12 hr to a child who weighs 44 lb. How many mg should the nurse administer per dose? ANS- 300 A nurse is reviewing the health history of a client who has diabetes mellitus and will being taking insulin. which of the following findings should the nurse identify as a factor that might cause the client to have difficulty safely self-administering insulin? ANS- macular degeneration A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following instructions should the nurse include? ANS- report yellowing of the skin A nurse is planning to teach about the use of a spacer to a child who has a new prescription for a fluticasone inhaler to treat chronic asthma. the nurse should include that the spacer decreases the risk for which of the following adverse effects of the medication. ANS- Oral candidiasis A nurse is assessing a client after administering a second dose of cefazolin IV. The nurse notes that the client has anxiety, hypotension, and dyspnea. Which of the following medications should the nurse administer first? ANS- Epinephrine A nurse is teaching about a new prescription for ciprofloxacin to an older adult who has a urinary tract infection. The nurse should identify which of the following statements as an indication that the client understands the teaching? ANS- I will report any signs of tendon pain or swelling 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? ANS- Determine apical pulse prior to administering A nurse is providing teaching to a client who is to start therapy with digoxin. for which of the following adverse effects should the nurse instruct the client to monitor and report to the provider? ANS- Yellow- tinged vision A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking. Which of the following findings should the nurse identify as an adverse effect of the medication? ANS- Insomnia A nurse is teaching a client who has a new prescription for docusate sodium about the medication's mechanism of action. Which of the following information should the nurse include in the teaching? ANS- Docusate sodium reduces the surface tension of the stools to change their consistency A nurse is providing discharge teaching to a client who has a new prescription for furosemide twice daily. The nurse should include which of the following instructions in the teaching? ANS- increase intake Monitor for muscle Dangle your legs A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise- induced asthma. Which of the following medications should the nurse plan to instruct the client to use prior to physical activity? ANS- Cromolyn A nurse is providing follow-up care to a client who is taking lisinopril. Which of the following manifestations should the nurse instruct the client to report as an adverse effect of lisinopril? ANS- Persistent cough A nurse is teaching a client about warfarin. The clients asks if she can take aspirin while the warfarin. Which of the following responses should the nurse make? ANS- Aspirin will increase the risk of bleeding A nurse is providing teaching to a client who is to begin taking oxybutynin for urinary incontinence. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication? ANS- dry mouth blurred vision dry eyes A nurse is caring for a client who is receiving cefazolin IV. the nurse should identify that which of the following medications can potentiate nephrotoxicity if administered of administered concurrently? ANS- Gentamicin A nurse is collecting a medication history from client who has a new prescription for lithium. The nurse should identify that the client should discontinue which of the following over-the-counter medications? ANS- Ibuprofen A nurse is reviewing laboratory results for a client who is to receive a dose of ceftazadime via intermittent IV bolus. Which of the following laboratory findings is the priority for the nurse to report to the provider before administering the medication? ANS- Creatinine 2.6 mg/dl A nurse is teaching a client who has TB about the adverse effects of isoniazide. The nurse should instruct the client to report to the provider which of the following findings as an adverse effect of the medication? ANS- Yellow skin tones A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effects of the medication and report to the provider? ANS- Blood in the urine A nurse is assessing a client who is taking amitriptyline for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? ANS- Dry mouth A nurse is teaching a group of unit nurses about medication reconciliation. Which of the following information should the nurse include in the teaching? ANS- A transition in care requires the nurse to conduct medication reconciliation A nurse is assessing a client who is receiving alfa to treat anemia. Which of the following findings should the nurse monitor? ANS- Increased blood pressure A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicated an understanding of the teaching? ANS- I will take the patch off right after my evening meal A nurse is reviewing laboratory results for a client who is receiving heparin via continuous IV infusion for deep- vein thrombosis. The nurse should discontinue the medication infusion for which of the following client findings? ANS- Platelet 96,000/mm3 A nurse is caring for a client who is receiving oprelvekin. Which of the following findings should the nurse document to indicate the effectiveness of the therapy? ANS- Increased platelet count A nurse is teaching a client who is starting to take diltiazem. Which of the following statements should the nurse identify as an indication that the client understands the teaching? ANS- I will check my heart rate before I take the medication A nurse is providing teaching to a client who had depression and has a new prescription for fluoxetine. Which of the following statements by the client indicated an understanding of the teaching? ANS- I should take acetaminophen instead of ibuprofen for my headaches while taking this medication A nurse is caring for a client who has acute acetaminophen toxicity. the nurse should anticipate administering which of the following medications? ANS- Acetylcysteine A nurse is teaching about neural tube defects to a client who is planing a pregnancy. Which of the following vitamins should the nurse instruct the client to start taking before becoming pregnant? ANS- Folic Acid A nurse is providing teaching to a client who has a prescription for ergotamine sublingual to treat migraine headaches. Which of the following information should the nurse include in her instructions? ANS- Take one tablet at onset of migraine A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. for which of the following adverse effects should the nurse monitor? ANS- sedation A nurse in the emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis. Which of the following medications should the nurse plan to administer? ANS- Atropine A nurse is providing care for a client who is postoperative following an open cholecystectomy with the placement of a closed suction drain and is receiving morphine via patient- controlled analgesia for pain. Which of the following assessments is the nurse's priority? ANS- Respiratory rate A nurse is providing teaching for a client who has MS and a new prescription for methylprednisolone. Which of the following instructions should the nurse include? ANS- Blood glucose Avoid contact Grapefruit juice A nurse is caring for a client who recently began taking oral amoxicillin/clavulanate and reports urticaria. Which of the following actions should the nurse take? ANS- Request a change in the type of the antibiotic A nurse on the acute care unit is caring for a client who is receiving gentamicin IV. The nurse should report which of the following findings to the provider as an adverse effect of the medication? ANS- Tinnitus A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide? ANS- Prevent delirium tremens A nurse is assessing a client 1 hr after administering morphine for pain. The nurse should identify which of the following findings as the best indication the morphine has been effective? ANS- The client rates the pain at a 3 on a scale from 0 to 10 A nurse is administering donepezil to a client who has Alzheimer's disease. Which of the following findings should the nurse report to the provider immediately? ANS- Dyspnea A nurse is planning care for a client who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects? ANS- Bibasilar crackles A nurse is teaching a client who is taking allopurinol for the treatment of gout. Which of the following information should the nurse include in the teaching? ANS- Drink 2 L of water a day A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following lab values should the nurse monitor? ANS- Creatinine kinase A nurse is providing teaching to a client who has peptic ulcer disease and is to start a new prescription for sucralfate. Which f the following actions of sucralfate should the nurse include in the teaching? ANS- Forms a protective barrier over ulcers A nurse is caring for a client who is receiving haloperidol. the nurse should observe for which of the following findings as an adverse effect of the medication? ANS- Akathisia A nurse in a clinic is caring for a client who is taking aspirin for the treatment of arthritis. The nurse should identify which of the following findings as an indication that they client is beginning to exhibit salicylism ? ANS- Tinnitus A nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed malignant hyperthermia during surgery. Which of the following actions should the nurse take? ANS- Reconstitute the initial dose with 60 ml of sterile water without a bacteriostatic agent A nurse is teaching a client who is to begin taking tamoxifen for the treatment of breast cancer. Which of the following adverse effects should the nurse include in the teaching? ANS- Hot flashes A nurse is providing discharge instructions to a client who has heart failure and new prescription for captopril. which of the following client statements indicated an understanding of the teaching? ANS- I should tell my provider if I develop a sore throat A nurse is preparing to administer a new prescription of amoxicillin/ clavulanic to a client. The client tells the nurse that he is allergic to penicillin. Which of the following actions should the nurse take first? ANS- Withhold the medication A nurse is teaching a client about the use of risedronate for the treatment of osteoporosis. The nurse should identify which of the following statements as an indication that the client understands the teaching? ANS- I should sit up for 30 minutes after taking the risedronate A nurse has administered 2 doses of bethamethasone to a client in preterm labor. After delivery of the newborn, the nurse understands the medication was effective when she observes which of the following? ANS- The newborn has normal respiratory patterns A nurse is caring for a client in the emergency department following a diazepam overdose. Which of the following medications should the nurse anticipate administering to the client? ANS- fluazenil A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves' disease. Which of the following findings should the nurse identify as an indication that the medication has been effective? ANS- Increase in ability to focus A nurse is caring for a client who has heart failure and is prescribed enalapril. The nurse should monitor the client for which of the following findings as an adverse effect of the medication? ANS- Hyperkalemia A nurse is precepting a newly licensed new who is caring for four clients. The nurse should complete a incident report for which of the following actions by the newly licensed nurse? ANS- Administers isosorbide mononirtrate A nurse at a clinic is providing follow-up care to a client who is taking fluoxetine for depression. Which of the following findings should the nurse identify as an adverse effect of the medication? ANS- Sexual dysfunction A nurse is preparing to administer diclofenac to a client who has chronic bursitis. Which of the following actions should the nurse take? a. administer the medication at bedtime b. avoid administering the medication with antacids c. administer the medication with food d. crush the medication prior to administration ANS- Administer the medication with food Diclofenac is an NSAID and can cause gastric irritation. Clients should take NSAIDs with food or milk to minimize gastric nurse should not administer the medication at bedtime because the client should remain upright for 15 to 30 min after administration to prevent esophageal irritation. Diclofenac is available as an enteric-coated tablet for delayed release. Clients should not crush or chew sustained-release medications because doing so will increase gastrointestinal adverse effects and decrease the effectiveness of the medication. A nurse is planning care for a client who has asthma and a prescription for methylprednisolone. Which of the following laboratory values should the nurse monitor while the client is receiving this medication? a. Aspartate aminotransferase (AST) b. Fibrin split products c. BUN d. Glucose ANS- Glucose Methylprednisolone therapy increases the synthesis of glucose and decreases the uptake of glucose by the muscles and adipose tissues, resulting in increased circulating glucose. Therefore, it is important for the nurse to monitor blood glucose levels regularly while clients are receiving corticosteroid therapy. Aspartate aminotransferase is an enzyme that is present in the heart, liver, skeletal muscles, and other highly metabolic tissues. AST levels are increased in conditions that cause cellular injury, such as liver disease; however, methylprednisolone therapy does not affect AST levels. Fibrin split products are present in the serum when thromboses are present. Increased levels of fibrin split products can increase disseminated intravascular coagulation (DIC); however, methylprednisolone therapy does not affect blood clotting. BUN levels reflect kidney function and glomerular filtration. Hydration status and nephrotoxic medications can alter BUN levels; however, methylprednisolone therapy does not affect renal function. >>>>>>>>>>>>Continues.......

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VATI Pharm, Pharmacology 2019 ATI, RN
VATI Pharmacology 2019, Pharmacology
ATI Proctored Exam Bank.Q&A.
A nurse is providing teaching to a pt prescribed cipro what is an adverse effect the
nurse should include in the teaching? ANS- phototoxicity.
avoid direct sunlight, wear sunglasses and protective clothing.

discontinue ASAP is phototoxicity occurs.

Tendon rupture is another adverse effect

a nurse is giving diclofenac sodium to a pt with chronic bursitis which of the following
action should the nurse take ANS- give the med with food. Diclofenac is an NSAID and
can cause gastric irritation

a nurse is planning care for a pt who is scheduled for surgery with a latex allergy which
action should the nurse take ANS- place monitoring cords and tubes in a stokinette. to
avoid exposure to skin

which of the following increases the pts risk for developing as aspirin induced ulcer?
ANS- Cigarette smoking can increase the risk for developing a gastric ulcer in the client
who is receiving aspirin therapy. The nurse should inform the client that smoking
reduces secretion of gastric bicarbonate and increases gastric emptying, transporting
more acid into the duodenum.

a post menopausal pt is prescribed raloxifene what is it used for ANS- to prevent breast
cancer and reduces the amount of fractures related to osteoporosis

a nurse is providing teaching to a pt with a hx of DM and has a new prescription for
hydrochlorothiazide what should the nurse include in the teaching? ANS-
hydrochlorothiazide can elevate your blood sugar

what should the nurse monitor for the pt taking acetazolamide ANS- electrolyte
imbalances.

teaching for pt taking zidovudine ANS- limit exposure to people who have infections.

zidovudine is use to treat HIV, hep B and epstein barr

allopurinol ANS- decreases the production of uric acid
increase fluid consumption while taking to prevent kidney injury

,what should the nurse report to the provider when a pt is taking codeine ANS- agitation
can lead to neurotoxicity caused by over use

what is the nurses immediate priority in post op ANS- monitor respiratory status

adverse effect of pseduoephedrine for allergic rhinitis ANS- hypertension

acyclovir ANS- assess for an increase in creatinine.

acyclovir is an antiviral agent used to treat herpes simplex and varicella zoster.

causes irreversible nephrotoxicity

a pt is taking clopidogrel after coronary artery stenting what should the nurse report to
the HCP ANS- pt taking ginkgo biloba

which labs should be used to determine the effectiveness of epoetin alpha ANS-
hemoglobin and iron

adverse effect of spirinolactone ANS- muscle weakness

pt taking danazol for endometriosis what is an adverse effect ANS- edema

beclomethasone teaching ANS- gargle with water after to prevent oral candidias

pt ingested a toxic amount of acetaminophen what are s/s ANS- diaphoresis
abdominal discomfort
increased ALT

pt taking ethinyl estradiol and norethindrone for contraception what are adverse effect
ANS- break through bleeding

antidote for warfarin ANS- vitamin K if giving IV push dilute and give slowly to prevent
cardiovascular collapse

pt taking warfarin should have INR of 2-3

paclitaxel for ovarian cancer tx signs and symptoms ANS- bradycardia

ondansetron to control n/v during chemo teaching ANS- additional meds can be
required.

contraindication for prescribing pregabalin for diabetic nerve pain ANS- allergy to
gabapentin

,after giving clonidine instead of the prescribed clonazepam after checking BP what
should the nurse do next ANS- review adverse effects of clonidine

which routine dx screen should be done for pt with chronic RA taking
hydroxychloroquine ANS- eye exam

anaphylaxis to antibiotic s/s ANS- angioedema of face, oral cavity, larynx and airway
resulting in bronchospasm and decreased airflow

oral abulterol what to monitor ANS- Tachycardia Albuterol is a beta2-agonist, which can
cause excessive stimulation of cardiac and skeletal muscle beta cells. Therefore, the
nurse should monitor the client for tachycardia and dysrhythmias.

contraindication for sumatriptam ANS- angina pectoris
sumatriptan is a vasoconstrictor that can cause angina

contraindication for metformin ANS- alcohol use disorder

which med is a common cause of orthostatic hypotension ANS- lasix

amioderone ANS- have liver enzyme testing periodically.

amioderone is liver toxic

report jaundice to HCP

what lab do you monitor for heparin ANS- PTT

what lab is important to monitor with corticosteroid ANS- glucose

what adverse effect should be monitored with ipratropium inhaler ANS- xerostomia - dry
mouth

teaching for esomeprazole ANS- take 60 mins before meal

whaat do you assess before giving meperdine ANS- respiratory rate

nursing action when giving alteplase ANS- monitor for change in LOC

teaching for cromolyn for asthma ANS- use med everyday even when you have no
symptoms

can be taken 3-4 times a day

also used 1 hour before exercise to reduce bronchospasm

, pt taking levodopa carbidopa has tremors and twitching what med should be given
ANS- amantadine

pt getting topotecan for ovarian cancer which med is given to control adverse effects of
topotecan ANS- granisetron via transdermal patch

antiemetic to control n/v

heart rhythm for digoxin ANS- second degree heart block

adverse effect of atenolol ANS- light headed

med for hydromorphone toxicity ANS- naloxone

med for alcohol withdrawl ANS- diazepam

adverse effect of long term prednisone use ANS- osteoporosis

which lab does nurse monitor for -statins ANS- ALT at risk for liver damage

didanosine therapy use ANS- HIV

expected outcome of mannitol ANS- improved UO

Tamoxifen side effects ANS- monitor calcium level at risk for hypercalcemia

monitor for pulmonary emboli

get routine eye exams

hot flashes

therapeutic effect of somatropin ANS- monitor height monthly
treats growth hormone deficiency

haloperidol adverse effect ANS- can expereicne EPS
parkinsonism
and muscle rigidity within 5 days of starting treatment for schizophrenia

rifamin teaching ANS- causes harmless red organge discoloration of feces, sputum
tears and sweat

A nurse is teaching a client who is to start taking hydrocodone with acetaminophen
tablets for pain. Which of the following information should the nurse include in the
teaching? ANS- Decreased respirations might occur
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I know how frustrating it can get with all those assignments mate. Nursing Being my main profession line, i have essential guides that are A graded, I am a very friendly person so 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