ATI NR 293 PHARMACOLOGY FINAL EXAM QUESTIONS AND ANSWERS 2023/2024 Graded A+

ATI NR 293 PHARMACOLOGY FINAL EXAM QUESTIONS AND ANSWERS 2023/2024 Graded A+. A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first? a. A. Check the client's vital signs. i. Rationale: It is possible that the client's nausea is secondary to digoxin toxicity. Assess for bradycardia, a symptom of digoxin toxicity. The nurse should withhold the medication and call the provider if the client's heart rate is less than 60 bpm. b. Request a dietitian consult. c. Suggest that the client rests before eating the meal. d. Request an order for an antiemetic. 15. A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed? a. Thyroid hormone assay i. Rationale: Thyroid testing is important because long-term use of lithium may lead to thyroid dysfunction. b. Liver function tests: i. Rationale: LFTs must be monitored before and during valproic acid therapy c. Erythrocyte sedimentation rate i. Rationale: This is not a necessary test related to lithium therapy. d. Brain natriuretic peptide 16. A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give? a. "It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level." b. "A pharmacist is the person to answer that question." c. "Heparin does not dissolve clots. It stops new clots from forming."Rationale: This statement accurately answers the client's question. d. "The oral medication you will take after this IV will dissolve the clot. 17. Suspension --vigorously shake for 5 minutes , room temp 18. A nurse caring for a client who has hypertension and asks the nurse about a prescription for propranolol. The nurse should inform the client that this medication is contraindicated in clients who have a history of which of the following conditions? a) Asthma 1. Rationale: Propranolol, a beta-blocker, is contraindicated in clients who have asthma because it can cause bronchospasms. Propranolol blocks the sympathetic stimulation, which prevents smooth muscle relaxation. b) Glaucoma c) Depression Migraines 19. A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include? a. "Take this medication with food if nausea develops." b. B. "Monitor for muscle pain." i. Rationale: This medication can cause rhabdomyolysis. The client should monitor and report muscle pain. c. "Expect to have increased bruising." d. "Increase your intake of grapefruit juice” 20. A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client? a. "If the medicine causes an upset stomach, take an antacid at the same time." b. "Limit your daily fluid intake while taking this medication." c. "This medication can cause photophobia, so be sure to wear sunglasses outdoors." d. "You should report any tendon discomfort you experience while taking this medication." i. Rationale: The nurse should instruct the client to report any tendon discomfort as well as swelling or inflammation of the tendons due to the risk of tendon rupture. 21. A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client? a. "If the medicine causes an upset stomach, take an antacid at the same time." b. "Limit your daily fluid intake while taking this medication." c. "This medication can cause photophobia, so be sure to wear sunglasses outdoors." d. "You should report any tendon discomfort you experience while taking this medication." i. Rationale: The nurse should instruct the client to report any tendon discomfort as well as swelling or inflammation of the tendons due to the risk of tendon rupture. 22. 17. A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea. For which of the following adverse effects should the nurse monitor? ATI NR 293 PHARMACOLOGY FINAL REVIEW 100% VERIFIED QUESTIONS AND ANSWERS/2023,VSU a. Headache Rationale: Headache is a common adverse effect of ondansetron. Analgesic relief is often required. b. Dependent edema c. Polyuria. d. Photosensitivity 23. A nurse is preparing to administer verapamil by IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication? a. Hyperthermia b. Hypotension i. Rationale: Verapamil, a calcium channel blocker, can be used to control supraventricular tachyarrhythmias. It also decreases blood pressure and acts as a coronary vasodilator and antianginal agent. A major adverse effect of verapamil is hypotension; therefore, blood pressure and pulse must be monitored before and during parenteral administration. c. Ototoxicity d. Muscle pain 24. A nurse is providing teaching to a client who has renal failure and an elevated