ATI Pharm Practice B Questions and Answers with Complete Solutions.

ATI Pharm Practice B Questions and Answers with Complete Solutions. A nurse is reviewing the medication administration record for a client who has a new prescription for tobramycin to treat a pulmonary infection. Which of the following medications should the nurse identify as increasing the risk for ototoxicity while taking tobramycin? A. Furosemide B. Propranolol C. Gabapentin D. Guaifenesin Correct ans - A. Furosemide Rationale: Tobramycin is an aminoglycoside antibiotic that can cause ototoxicity. Furosemide is a diuretic that also can cause ototoxicity. The client's risk for hearing loss is increased if receiving both of these medications at the same time. B. Propranolol - Propranolol is a beta blocker that does not interact with tobramycin. C. Gabapentin - Gabapentin is an anticonvulsant that does not interact with tobramycin. D. Guaifenesin - Guaifenesin is an expectorant that does not interact with tobramycin. A nurse is reinforcing teaching with a client who is newly diagnosed with HTN and is taking metoprolol. The nurse should instruct the client to report which of the following manifestations to the provider as an AE of this medication? A. Tachycardia B. Tinnitus C. Peripheral edema D. Urinary retention Correct ans - C. Peripheral edema Rationale: The nurse should instruct the client to monitor for and report the development of peripheral edema because this can be an indication of heart failure, which is an adverse effect of metoprolol. A. Tachycardia - Bradycardia B. Tinnitus - Blurred vision D. Urinary retention ATI Pharm Practice B with Complete Solution - Urinary frequency A nurse is caring for a client who has schizophrenia and is to start therapy with risperidone. For which of the following manifestations should the nurse monitor to determine whether the tx is effective? A. Improved social interactions B. Decreased obsessive-compulsive thoughts C. Decreased hand tremors D. Improved urinary control Correct ans - A. Improved social interactions Rationale: Clients who have schizophrenia typically have difficulty interacting with others and maintaining relationships. Manifestations can include dull affect and speech deficiency. Risperidone is an atypical antipsychotic that can minimize these manifestations, improving social interactions with others. B. Decreased obsessive-compulsive thoughts - Risperidone does not decrease obsessive-compulsive thoughts. Clients who have obsessive-compulsive disorder might take an SSRI, such as fluoxetine, to decrease obsessive-compulsive thoughts. C. Decreased hand tremors - Risperidone does not decrease hand tremors. Clients who have bipolar disorder might take a beta-adrenergic blocking agent, such as propranolol, to decrease hand tremors. D. Improved urinary control - Risperidone does not improve urinary control. Clients who have an overactive bladder might take oxybutynin to reduce urinary urgency and frequency, nocturia, and urge incontinence.