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Exam (elaborations)

ATI Pharmacology Chapters 1-33 (all the questions from the chapters in the book)

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A charge nurse is planning a staff education session to discuss medications used during the care of a client experiencing alcohol withdrawal. Which of the following medications should the charge nurse include in the discussion? (Select all that apply.) - Ans - Lorazepam Diazepam A nurse assessing a client's IV catheter insertion site notes a hematoma. Which of the following actions should the nurse take? (Select all that apply.) - Ans - Apply warm compress to the insertion site Elevate the client's arm A nurse in a clinic is caring for a group of clients. The nurse should contact the provider about a potential contraindication to a medication for which of the following clients? (Select all that apply.) - Ans - A client who takes prednisone and has a possible fungal infection A client who has chronic liver disease and is taking hydrocodone A client who has a prosthetic heart valve, takes warfarin, and reports a suspected pregnancy A nurse in a provider's of office is instructing a parent of a toddler how to administer ear drops. Which of the following instructions should the nurse include? (Select all that apply.) - Ans - "Place the child on his unaffected side when you are ready to administer the medication." "Warm the medication by gently rolling it between your hands for a few minutes." "Gently shake medication that is in suspension form." "Keep the child on his side for 5 minutes after instillation of the ear drops." A nurse in a provider's of office is monitoring serum electrolytes for four older adult clients who take digoxin. Which of the following electrolyte values increases a client's risk for digoxin toxicity? - Ans - Potassium 3.4 mEq/L A nurse in a provider's of office is reviewing the medical record of a client who is pregnant and is at her first prenatal visit. Which of the following immunizations may the nurse administer safely to this client? - Ans - Inactivated influenza vaccine A nurse in an acute care facility is caring for a client who is receiving IV nitroprusside for hypertensive crisis. The nurse should monitor the client for which of the following adverse reactions to this medication? - Ans - Delirium A nurse in an acute mental health facility is caring for a client who is experiencing withdrawal from opioid use and has a new prescription for clonidine. Which of the following actions should the nurse identify as the priority? - Ans - Obtain baseline vital signs A nurse in an emergency unit is reviewing the medical record of a client who is being evaluated for angle‐closure glaucoma. Which of the following findings are indicative of this condition? - Ans - Severe pain around eyes A nurse in the operating room is caring for a client who received a dose of succinylcholine. During the operation, the client suddenly develops rigidity, and his body temperature begins to rise. The nurse should anticipate a prescription for which of the following medications? - Ans - Dantrolene A nurse in the post‐anesthesia care unit is caring for a client who is experiencing malignant hyperthermia. Which of the following actions should the nurse take? (Select all that apply.) - Ans - Place a cooling blanket on the client. Administer oxygen at 100%. Administer iced 0.9% sodium chloride. Monitor core body temperature. A nurse in the post‐anesthesia recovery unit is caring for a client who received a nondepolarizing neuromuscular blocking agent and has muscle weakness. The nurse should anticipate a prescription for which of the following medications? - Ans - Neostigmine A nurse is administering a dopamine infusion at a low dose to a client who has severe heart failure. Which of the following findings is an expected effect of this medication? - Ans - Increased myocardial contractility A nurse is admitting a patient and completing a preassessment before administering medications. Which of the following data should the nurse include in the preassessment (SATA)? - Ans - Use of herbal teas Current health status Food allergies A nurse is assessing a client during transfusion of a unit of whole blood. The client develops a cough, shortness of breath, elevated blood pressure, and distended neck veins. The nurse should anticipate a prescription for which of the following medications? - Ans - Furosemide A nurse is assessing a client who is taking amiodarone to treat atrial fibrillation. Which of the following findings is a manifestation of amiodarone toxicity? - Ans - Productive cough A nurse is assessing a client who has chronic neutropenia and who has been receiving filgrastim. Which of the following actions should the nurse take to assess for an adverse effect of filgrastim? - Ans - Assess for bone pain A nurse is assessing a client who has taken procainamide to treat dysrhythmias for the last 12 months. The nurse should assess the client for which of the following adverse effects of this medication? (Select all that apply.) - Ans - Widened QRS complex Easy bruising Swollen joints A nurse is assessing a client who is taking digoxin to treat heart failure. Which of the following findings is a manifestation of digoxin toxicity? - Ans - Report of anorexia A nurse is assessing a client who takes lithium carbonate for the treatment of bipolar disorder. The nurse should recognize which of the following findings as a possible indication of toxicity to this medication? - Ans - Coarse tremors

Content preview

ATI Pharmacology Chapters 1-33 (all the
questions from the chapters in the book)
A charge nurse is planning a
staff education session to discuss medications used during the care of a client
experiencing alcohol withdrawal. Which of the following medications should
the charge nurse include in the discussion? (Select all that apply.) - Ans - Lorazepam
Diazepam

A nurse assessing a client's IV catheter insertion site notes a hematoma. Which of the
following actions should the nurse take? (Select all that apply.) - Ans - Apply warm
compress to the insertion site
Elevate the client's arm

A nurse in a clinic is caring for a group of clients. The nurse should contact the provider
about a potential contraindication to a medication for which of the following clients?
(Select all that apply.) - Ans - A client who takes prednisone and has a possible fungal
infection

A client who has chronic liver disease and is taking hydrocodone

A client who has a prosthetic heart valve, takes warfarin, and reports a suspected
pregnancy

A nurse in a provider's of office is instructing a parent of a toddler how to administer ear
drops. Which of the following instructions should the nurse include? (Select all that
apply.) - Ans - "Place the child on his unaffected side when you are ready to administer
the medication."

"Warm the medication by gently rolling it between your hands for a few minutes."

"Gently shake medication that is in suspension form."

"Keep the child on his side for 5 minutes after instillation of the ear drops."

A nurse in a provider's of office is monitoring serum electrolytes for four older adult
clients who take digoxin. Which of the following electrolyte values increases a client's
risk for digoxin toxicity? - Ans - Potassium 3.4 mEq/L

A nurse in a provider's of office is reviewing the medical record of a client who is
pregnant and is at her first prenatal visit. Which of the following immunizations may the
nurse administer safely to this client? - Ans - Inactivated influenza vaccine

,A nurse in an acute care facility is caring for a client who is receiving
IV nitroprusside for hypertensive crisis. The nurse should monitor
the client for which of the following adverse reactions to this medication? - Ans -
Delirium

A nurse in an acute mental
health facility is caring for a client who is experiencing withdrawal from opioid use and
has a new prescription for clonidine. Which of the following actions should the nurse
identify as the priority? - Ans - Obtain baseline vital signs

A nurse in an emergency unit is reviewing the medical record of a client who is being
evaluated for angle‐closure glaucoma. Which of the following findings are indicative of
this condition? - Ans - Severe pain around eyes

A nurse in the operating room is caring for a client who received
a dose of succinylcholine. During
the operation, the client suddenly develops rigidity, and his body temperature begins to
rise. The nurse should anticipate a prescription for which of the following medications? -
Ans - Dantrolene

A nurse in the post‐anesthesia care unit is caring for a client who is experiencing
malignant hyperthermia. Which of the following actions should the nurse take? (Select
all that apply.) - Ans - Place a cooling blanket on the client.

Administer oxygen at 100%.

Administer iced 0.9% sodium chloride.

Monitor core body temperature.

A nurse in the post‐anesthesia recovery unit is caring for a client who received a
nondepolarizing neuromuscular blocking agent and has muscle weakness. The nurse
should anticipate a prescription for which of the following medications? - Ans -
Neostigmine

A nurse is administering a dopamine infusion at a low dose to a client who has severe
heart failure. Which of the following findings is an expected effect of this medication? -
Ans - Increased myocardial
contractility

A nurse is admitting a patient and completing a preassessment before administering
medications. Which of the following data should the nurse include in the preassessment
(SATA)? - Ans - Use of herbal teas
Current health status
Food allergies

, A nurse is assessing a client during transfusion of a unit of whole blood. The client
develops a cough, shortness of breath, elevated blood pressure, and distended neck
veins. The nurse should anticipate a prescription for which of the following medications?
- Ans - Furosemide

A nurse is assessing a client who
is taking amiodarone to treat
atrial fibrillation. Which of the following findings is a manifestation of amiodarone
toxicity? - Ans - Productive cough

A nurse is assessing a client who has chronic neutropenia and who has been receiving
filgrastim. Which of the following actions should the nurse take to assess for an adverse
effect of filgrastim? - Ans - Assess for bone pain

A nurse is assessing a client who has taken procainamide to treat dysrhythmias for the
last
12 months. The nurse should assess the client for which of the following adverse effects
of this medication? (Select all that apply.) - Ans - Widened QRS complex
Easy bruising
Swollen joints

A nurse is assessing a client who is taking digoxin to treat heart failure. Which of the
following findings is a manifestation of digoxin toxicity? - Ans - Report of anorexia

A nurse is assessing a client who takes lithium carbonate for the treatment of bipolar
disorder. The nurse should recognize which of the following findings as a possible
indication
of toxicity to this medication? - Ans - Coarse tremors

A nurse is assessing a client's
IV infusion site. Which of the following findings should the nurse identify as an indication
of phlebitis? (Select all that apply.) - Ans - Erythema
Pain

A nurse is assessing a male
client who recently began taking haloperidol. Which of the following findings is the
highest priority to report to the provider? - Ans - Neck spasms

A nurse is caring for a client
who has a new prescription for captopril for hypertension. The nurse should monitor the
client for which of the following adverse effects of this medication? - Ans - Neutropenia

A nurse is caring for a client
who is admitted to undergo a surgical procedure. Which of the following preexisting
conditions can be a contraindication for
the use of ketamine as an intravenous anesthetic? - Ans - Schizophrenia

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