ATI Pharmacology 2019 B questions and answers 100% guaranteed success.

ATI Pharmacology 2019 B questions and answers 100% guaranteed success. A nurse contacts a client's provider on the telephone to obtain prescription for pain medication. Which of following actions should nurse take? A. Write the order on a prescription pad designated for the client's provider B. Have the provider spell out the unfamiliar medication names C. Read the prescription back to the provider using abbreviations D. Consult with a second nurse for any questions regarding dosage - correct answers.Have the provider spell out the unfamiliar medication names. Rationale: The nurse should ask the provider to spell out the name of the medication if the stated name is one the nurse is not familiar with. Nurse in clinic is caring who is taking aspirin for the treatment of arthritis. The nurse should identify which of following findings as indication that the client is beginning to exhibit salicylism? A. Gastric distress B. Oliguria C. Excessive bruising D. Tinnitus - correct answers.Tinnitus Rationale: Tinnitus is a manifestation of aspirin toxicity, also called salicylism. Other manifestations include sweating, headache, and dizziness. Circulating nurse is planning care for a client who is scheduled for surgery and has latex allergy. Which of following actions should nurse include in plan of care? A. Schedule the client for the last surgery of the day B. Place monitoring cords and tubes in a stockinet C. Choose rubber injection ports for fluid administration D. Ensure phenytoin IV is readily available - correct answers.Place monitoring cords and tubes in a stockinet. Rationale: The nurse should place monitoring devices in a stockinet to prevent direct contact with the client's skin. Nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of following findings should nurse monitor? A. Paresthesia B. Increased blood pressure C. Fever D. Respiratory depression - correct answers.Increased blood pressure Rationale: The therapeutic effect of epoetin alfa is an increase in hematocrit levels, which can result in an increase in a client's blood pressure. If the client's hematocrit level rises too rapidly, hypertension and seizures can result. The nurse should monitor the client's blood pressure and ensure hypertension is controlled prior to administering the medication. Nurse is preparing to administer hydrochlorothiazide (HCTZ) to a client. Which of following actions should nurse take prior to administering the medication? A. Ask the client to drink 8oz of water B. Review the client's most recent Hgb level C. Obtain the client's blood pressure D. Determine if the client is allergic to NSAIDs - correct answers.Obtain the client's blood pressure. Rationale: HCTZ is a thiazide diuretic administered to promote urine output and reduce blood pressure and edema. The nurse should obtain the client's blood pressure prior to administration of the medication. A nurse is caring for a client who is to receive treatment for opioid use disorder. Which of following medications should nurse expect to administer? A. Bupropion B. Disulfiram C. Methadone D. Modafinil - correct answers.Methadone Rationale: The nurse should expect to administer methadone for treatment of opioid use disorder. Methadone can be administered for withdrawal and to assist with maintenance and suppressive therapy. The nurse should administer bupropion to assist the client with smoking cessation. The nurse should administer disulfiram as an aversion therapy to assist with maintaining abstinence from alcohol. The nurse should administer modafinil to assist with the fatigue and prolonged sleep from methamphetamine withdrawal. A nurse is reviewing medical record of a client who has hypertension. The nurse should identify which of following findings as a contraindication for receiving propranolol? A. Cholelithiasis B. Asthma C. Angina pectoris D. Tachycardia - correct answers.Asthma Rationale: Asthma is a contraindication for receiving propranolol. Propranolol is an adrenergic antagonist which blocks the beta2 receptors in the lungs, causing bronchoconstriction and leading to serious airway resistance and possibly respiratory arrest. A nurse is caring for a client who has pneumonia. The client tells the nurse she is pregnant and that she hasn't told provider yet. The nurse should identify that pregnancy is a contraindication for receiving which of following medications? A. Acetaminophen B. Ipatropium C. Benzonatate D. Doxycycline - correct answers.Doxycycline Rationale: Doxycycline is a tetracycline antibiotic. The nurse should identify that doxycycline can cause teratogenic effects such as staining of the infant's teeth when exposed to this medication. Therefore, this medication is contraindicated for the client. A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin. The nurse should identify that which of following statements by the client indicates an understanding of the teaching? A. "I can apply the patch to a chest area that has hair." B. "I can take this medication while using an erectile dysfunction product." C. "I will remove the patch after 14 hours." D. "I need to apply a new patch to the same area every day." - correct answers."I will remove the patch after 14 hours." Rationale: The client should remove the patch after 12 to 14 hours to prevent tolerance of the medication. Nurse is administering cefotetan via intermittent IV bolus to a client who suddenly develops dyspnea and widespread hives. Which of following actions should nurse take first? A. Administer epinephrine 0.5 mL via IV bolus B. Discontinue the medication IV infusion C. Elevate the client's legs above the level of the heart D. Collect a blood specimen for ABGs - correct answers.Discontinue the medication IV infusion. Rationale: The greatest risk to the client is respiratory arrest from anaphylaxis. Therefore, the first action the nurse should take is to discontinue the medication IV infusion to prevent the client from receiving more medication. However, the nurse should not remove the IV catheter. Instead, the nurse should change the tubing and administer 0.9% sodium chloride by continuous IV infusion. Nurse administers ceftazidime to a client who has a severe penicillin allergy. The nurse should identify which of following client findings as an indication that she should complete incident report? A. The client reports shortness of breath B. The client is also taking lisinopril C. The client's pulse rate is 60/min/. D. The client's WBC count is 14,000/mm^3 - correct answers.The client reports shortness of breath. Rationale: A severe penicillin allergy is a contraindication for taking ceftazidime, a cephalosporin antibiotic, due to the potential for cross-sensitivity. Shortness of breath can indicate the client is developing anaphylaxis. Nurse is preparing newly licensed nurse who is caring for 4 pts. Nurse should complete incident report for which of following actions by newly licensed nurse? A. Administers isosorbide mononitrate to a client who has BP 82/60 mm Hg B. Administers digoxin to a client who has a heart rate of 92/min C. Administers regular insulin to a client who has a blood glucose of 250 mg/dL D. Administers heparin to a client who has an aPTT of 70 seconds - correct answers.Administers isosorbide mononitrate to a client who has BP 82/60 mm Hg Rationale: Isosorbide mononitrate is a nitrate used for clients with angina. Taking isosorbide mononitrate leads to vasodilation, which can result in hypotension. The nurse should withhold the medication and notify the provider if the client's systolic blood pressure is below the expected reference range of 120/80. Nurse is planning to teach about inhalant meds to pt who has new Dx of exercise-indused asthma. Which of following weds should nurse plan to instruct pt to use prior to physical activity? A. Cromolyn B. Beclomethasone C. Budesonide D. Tiotropium - correct answers.Cromolyn Cromolyn sodium stabilizes mast cells, which inhibit the release of histamine and other inflammatory mediators. The client should use cromolyn 10 to 15 min before planning to exercise to prevent bronchospasms. Nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of following client laboratory values should the nurse monitor? A. Creatinine kinase B. Erythrocyte sedimentation rate C. International normalized ratio D. Potassium - correct answers.Creatinine kinase Rationale: The client who is taking atorvastatin can develop an adverse effect called rhabdomyolysis, which causes muscle weakness or pain and can progress to myositis. Creatinine kinase levels rise in response to enzymes released with muscle injury. Nurse is preparing to mix and administer dantrolene via IV bolus to a client who has developed malignant hyperthermia during surgery. Which of following actions should nurse take? A. Administer the reconstituted medication slowly over 5 min. B. Store the reconstituted medication in the refrigerator C. Use the reconstituted medication within 12 hr D. Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent - correct answers.Reconstitute the initial dose with 60 mL of sterile water without a bacteriostatic agent. The nurse should dilute the medication with 60 mL of sterile water without a bacteriostatic agent and inject rapidly. Nurse is providing teaching to a client who is to start therapy with digoxin. For which of following adverse effects should nurse instruct client to monitor and report to provider? A. Dry cough B. Pedal edema C. Bruising D. Yellow-tinged vision - correct answers.Yellow-tinged vision The nurse should instruct the client to monitor for and report yellow-tinged vision, which is a sign of digoxin toxicity. Other manifestations of digoxin toxicity include nausea, vomiting, loss of appetite, and fatigue. As the digoxin levels increase, the client can experience cardiac dysrhythmias. A nurse is providing teaching to a client who is to start taking sumatriptan. Which of following adverse effects should nurse instruct the client to monitor for and report to the provider? A. Chest pressure B. White patches on the tongue C. Brusing D. Insomnia - correct answers.Chest pressure Rationale: Sumatriptan is an antimigraine agent which can cause coronary vasospasms, resulting in angina. The client should report chest pressure or heavy arms to the provider. Nurse is planning discharge teaching for a client who has prescription for furosemide. The should plan to include which of following statements in teaching? A. "This medication increases your risk for hypertension." B. "Avoid potassium-rich foods in your diet." C. "Take each dose of medication in the evening before bed." D. "Drink a glass of milk with each dose of medication." - correct answers."Drink a glass of milk with each dose of medication." Rationale: The client should take furosemide with food or milk to reduce gastric irritation.