ATI PROCTORED EXAM FUNDAMENTALS 2023/2024

ATI PROCTORED EXAM FUNDAMENTALS 2023/2024 Luminal (seizures) - CORRECT ANSWER-long half life: take once a day trough blood draw - CORRECT ANSWER-immediately before next dose peak blood draw - CORRECT ANSWER-IV - 30 minutes after completion meds have to bind with... - CORRECT ANSWER-receptors med dosages meed to be decreased... - CORRECT ANSWER-if in liver failure or concurrent use of meds metabolized by the same pathway eye drop administration - CORRECT ANSWER-surgical aseptic technique nurse legal responsibilites - CORRECT ANSWER-skill competency monitor adverse effects safe guard meds patient refuses meds - CORRECT ANSWER-determine reason provide info of the risks notify MD document nurse notes MD has doubled previous dose - CORRECT ANSWER-check w/MD meds given on regular schedule - CORRECT ANSWER-routine order red line on affected extremity palpable, hard mass or band on insertion site pain at site - CORRECT ANSWER-phlebitis catheter embolism - CORRECT ANSWER-small portion of catheter breaks off and enter venous system minimize risk of catheter embolism - CORRECT ANSWER-once in vein, never put stylet back through the catheter symptoms of fluid overload - CORRECT ANSWER-shortness of breath crackles in lungs distended neck veins concurrent use of coumadin and aspirin..... - CORRECT ANSWER-increases risk of bleeding first dose of penicillin, client says rash developed last time they took it.... - CORRECT ANSWER-withhold and notify MD when administering antihypertensives, teach the client,,, - CORRECT ANSWER-change positions slowly (orthostatic hypotension) fewer protein-binding sites (infant)... - CORRECT ANSWER-medication effects will be increase w/greater potential of toxicity breastfeeding mom does not want to take antimicrobial medication because it may harm her baby. Teach... - CORRECT ANSWER-taking the medication immediately after breastfeeding will mimize effects on the baby reduced hepatic funtion... - CORRECT ANSWER-prolongs half life of a medication and increases length of response antidote for benzodiazepine - CORRECT ANSWER-Flumazinel (Romazicon) effective teaching of benzodiapines... - CORRECT ANSWER-I will not stop taking the drug abruptly Buspirone (Buspar) is unique because... - CORRECT ANSWER-does not cause physical or psychological dependence a client taking Buspar for 3 days calls and says not helping to sleep or w anxiety. Nurse response... - CORRECT ANSWER-initial response to Buspar takes 1 week. Several weeks to reach therapeutic peak client taking Paxil complains of teeth grinding (Bruxism). Nurse response... - CORRECT ANSWER-add Buspar use a mouthguard any SSRI caused bruxism, so change class client taking Nardil for depression should be monitored for... - CORRECT ANSWERorthostatic hypotension (all MAOIs can cause orthostatic hypotension) side effects of Elavil - CORRECT ANSWER-orthostatic hypotension dry mouth drug glass that interacts with tyramines - CORRECT ANSWER-MAOIs adverse affect of Prozac - CORRECT ANSWER-sexual dysfuntion signs of seratonin sydrome - CORRECT ANSWER-change in mental status, tremors, hyperreflexia lithium level - CORRECT ANSWER-0.4 - 1.0 NSAIDs interact with... - CORRECT ANSWER-lithium teaching client to avoid lithium toxicity... - CORRECT ANSWER-avoid activities that could cause sodium/water depletion adverse affect of lithium - CORRECT ANSWER-tremors client taking Depakote, monitor these labs (3) - CORRECT ANSWER-thrombocyte count amylasel level liver function schizophrenia positive symptoms relate to: - CORRECT ANSWER-behavior, thought, speech schizophrenia negative symptoms relate to: - CORRECT ANSWER-social withdrawal, lack of emotion, lack of energy client taking Thorazine would have improvement in which symptoms... - CORRECT ANSWER-positive symptoms client taking Proloxin c/o anticholinergic effects - CORRECT ANSWER-chew gum sip liquids suck hard candy several hours after administering a typical antipsychotic monitor: - CORRECT ANSWER-acute dystonia (neck spasms) client taking Clozaril, nurse should monitor this lab - CORRECT ANSWER-WBC (agranulocytosis) clients taking SSRI (Prozac) should be monitored for.... - CORRECT ANSWER-fever, hyperreflexia, agitation, hallucinations with in the first 2-72 hours (Seratonin Syndrome) adverse effects of Elavil (Tricyclic) - CORRECT ANSWER-photophobia (anticholinergic effect) Strattera adverse effects - CORRECT ANSWER-liver damage Concerta (ADHD) - CORRECT ANSWER-long acting, take once daily Inderal treats... - CORRECT ANSWER-alcohol withdrawal/cravings short term management of alchol withdrawal... - CORRECT ANSWER-ativan valium Dilantin side effects - CORRECT ANSWER-gingival hyperplasia Zarontin Depakote treat... - CORRECT ANSWER-absence seizures levodopa food interaction... - CORRECT ANSWER-avoid high protein meals (amino acids) Mirapex (Parkinson's Disease) side effects - CORRECT ANSWER-hallucinations after instilling eye drops press... - CORRECT ANSWER-nasolacrimal duct w/a gloved hand and clean tissue for 30 to 60 seconds Alphagan (opthamalic) - CORRECT ANSWER-take contact lens out and wait 15 minutes to avoid interaction angle-closure glaucoma... - CORRECT ANSWER-halos around lights client diagnosed with malignant hyperthermia caused by (Anectine) succinylcholine should be given... - CORRECT ANSWER-Dantrium, to slow the metabolic activity of the muscles K+ levels - CORRECT ANSWER-3.5 - 5.0 abrupt withdrawal from baclofen cause...s - CORRECT ANSWER-seizures Ditropan treats: - CORRECT ANSWER-urge to void nocturia Valium - CORRECT ANSWER-monitor for respiratory depression Intal - CORRECT ANSWER-prophylactic treatment of asthma for long term control take on a fixed dose schedule not used to abort an asthma attack QVAR (glucocorticoid) tx: asthma - CORRECT ANSWER-use a spacer