ATI PN Pharmacology Proctored Exam
Terms in this set (313)
-Medical record number
Patient identifiers
-home telephone number
■ Urinalysis
☐ Hematuria, proteinuria, and alterations in specific
gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr
for acute renal
failure (ARF)
- Gradual increase over months to years for chronic
renal failure (CRF)
exceeding 4 mg/dL
What lab values should a
■ Blood urea nitrogen (BUN)
nurse monitor for a patient
- 80 to 100 mg/dL within 1 week with ARF
with chronic renal failure?
- Gradual increase with elevated serum creatinine over
months to years for
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased
potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
- Decreased hemoglobin
What food should you -increased amounts of potassium-rich foods (e.g.,
increase when taking Lasix? bananas, prunes, raisins, and orange juice)
Patient reports IV color and temperature
discomfort, what is your first
action?
, pain, tightness, pressure, or heaviness in the chest,
Sumatriptan (treats migraine throat, neck, and/or jaw
headaches) adverse effect
slow or difficult speech
-• Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
Know about Transdermal
at night).
patch
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
http://www.atitesting.com/ati_next_gen/FocusedReview/
data/datacontext/RM%20AMS%20RN%208.0%20Chp%20
RBC Blood transfusion
44.pdf (prime with normal saline and infuse with sodium
chloride).
What to understand about -they don't cure disease, they slow the process.
Parkinson's Meds?
NEUPOGEN (filgrastim)- administered by subcutaneous injection or IV infusion
what is the appropriate
route of this med?
Lisinopril therapeutic effect blood pressure answer (e.g. 120/80)
Medication for risperidone, Risperdal
Schizophrenia
Macrodantin medication used to treat or prevent certain urinary tract infections
,Haldol-inform if you are -benzodiazepine class of anti-anxiety drugs (all ending
taking ____________ medication. with "pam") and even, Xanax.
same as-Alendronate is used for treating osteoporosis in
Fosomax
men and postmenopausal women.
-lowers cholesterol in blood, "statins". Reduce LDL and
Lipitor
total cholesterol. Raise HDL.
Antibiotic that is toxic to the kidney, injected for
Garamycin-
radiology studies.
-Fatigue
-Bradycardia
Digoxin side effects
-Anorexia
-Nausea/Vomiting
used before exercise to prevent breathing problems
Singulair
during exercise (bronchospasm).
What medication to acetylcysteine (Mucomyst) must be given IV
administer with Tylenol
overdose?
Human Papilloma Virus (HPV2, HPV4) - -Three doses
should be given over a 6 month
-interval for females at 11 to 12 years of age (minimum
age is 9 years).
HPV vaccine -The second dose should be administered 2 months
after the first dose, and the third dose should be
administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of
age.
Opioid toxicity-what to oxygen saturation
check first
Valporic Acid lab liver
Lithium report immediately slurred speech
Prednisone report sore throat
, Food to avoid when taking -salty foods
Lithium -alcoholic beverages
Periodic determination of serum electrolytes to detect
Labs for patients taking
possible electrolyte imbalance should be done at
hydrothiazide
appropriate intervals.
1) A nurse is caring for a 3. Calcitonin (Miacalcin)
client with Rationale:
hyperparathyroidism and The normal serum calcium level is 8.6 to 10.0 mg/dL. This
notes that the client's serum client is experiencing hypercalcemia. Calcium gluconate
calcium level is 13 mg/dL. and calcium chloride are medications used for the
Which medication should treatment of tetany, which occurs as a result of acute
the nurse prepare to hypocalcemia. In hypercalcemia, large doses of vitamin
administer as prescribed to D need to be avoided. Calcitonin, a thyroid hormone,
the client? decreases the plasma calcium level by inhibiting bone
1. Calcium chloride resorption and lowering the serum calcium
2. Calcium gluconate concentration.
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D
2.) Oral iron supplements 4. Orange juice
are prescribed for a 6-year- Rationale:
old child with iron Vitamin C increases the absorption of iron by the body.
deficiency anemia. The The mother should be instructed to administer the
nurse instructs the mother medication with a citrus fruit or a juice that is high in
to administer the iron with vitamin C. Milk may affect absorption of the iron. Water
which best food item? will not assist in absorption. Orange juice contains a
1. Milk greater amount of vitamin C than apple juice.
2. Water
3. Apple juice
4. Orange juice
Terms in this set (313)
-Medical record number
Patient identifiers
-home telephone number
■ Urinalysis
☐ Hematuria, proteinuria, and alterations in specific
gravity
☐ Serum creatinine
- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr
for acute renal
failure (ARF)
- Gradual increase over months to years for chronic
renal failure (CRF)
exceeding 4 mg/dL
What lab values should a
■ Blood urea nitrogen (BUN)
nurse monitor for a patient
- 80 to 100 mg/dL within 1 week with ARF
with chronic renal failure?
- Gradual increase with elevated serum creatinine over
months to years for
CRF
- 180-200 mg/dL with (CRF)
■ Serum electrolytes
- Decreased sodium (dilutional) and calcium, increased
potassium,
phosphorus, and magnesium
■ Complete blood count (CBC)
- Decreased hemoglobin
What food should you -increased amounts of potassium-rich foods (e.g.,
increase when taking Lasix? bananas, prunes, raisins, and orange juice)
Patient reports IV color and temperature
discomfort, what is your first
action?
, pain, tightness, pressure, or heaviness in the chest,
Sumatriptan (treats migraine throat, neck, and/or jaw
headaches) adverse effect
slow or difficult speech
-• Apply at the same time once each day,
preferably in the morning. Keep patch on
for 12 to 14 hr each day.
• Remove the patch at night to reduce
the risk of developing tolerance to
nitroglycerin. Be medication-free a
minimum of 10 to 12 hr each day (usually
Know about Transdermal
at night).
patch
• Do not cut patches to ensure appropriate
dosage.
• Place the patch on a hairless area of skin
(chest, back, or abdomen) and rotate sites
to prevent skin irritation.
• Wash skin with soap and water and dry
thoroughly before applying new patch.
http://www.atitesting.com/ati_next_gen/FocusedReview/
data/datacontext/RM%20AMS%20RN%208.0%20Chp%20
RBC Blood transfusion
44.pdf (prime with normal saline and infuse with sodium
chloride).
What to understand about -they don't cure disease, they slow the process.
Parkinson's Meds?
NEUPOGEN (filgrastim)- administered by subcutaneous injection or IV infusion
what is the appropriate
route of this med?
Lisinopril therapeutic effect blood pressure answer (e.g. 120/80)
Medication for risperidone, Risperdal
Schizophrenia
Macrodantin medication used to treat or prevent certain urinary tract infections
,Haldol-inform if you are -benzodiazepine class of anti-anxiety drugs (all ending
taking ____________ medication. with "pam") and even, Xanax.
same as-Alendronate is used for treating osteoporosis in
Fosomax
men and postmenopausal women.
-lowers cholesterol in blood, "statins". Reduce LDL and
Lipitor
total cholesterol. Raise HDL.
Antibiotic that is toxic to the kidney, injected for
Garamycin-
radiology studies.
-Fatigue
-Bradycardia
Digoxin side effects
-Anorexia
-Nausea/Vomiting
used before exercise to prevent breathing problems
Singulair
during exercise (bronchospasm).
What medication to acetylcysteine (Mucomyst) must be given IV
administer with Tylenol
overdose?
Human Papilloma Virus (HPV2, HPV4) - -Three doses
should be given over a 6 month
-interval for females at 11 to 12 years of age (minimum
age is 9 years).
HPV vaccine -The second dose should be administered 2 months
after the first dose, and the third dose should be
administered 6 months after the first dose.
-HPV4 may be given to males starting at age 9 years of
age.
Opioid toxicity-what to oxygen saturation
check first
Valporic Acid lab liver
Lithium report immediately slurred speech
Prednisone report sore throat
, Food to avoid when taking -salty foods
Lithium -alcoholic beverages
Periodic determination of serum electrolytes to detect
Labs for patients taking
possible electrolyte imbalance should be done at
hydrothiazide
appropriate intervals.
1) A nurse is caring for a 3. Calcitonin (Miacalcin)
client with Rationale:
hyperparathyroidism and The normal serum calcium level is 8.6 to 10.0 mg/dL. This
notes that the client's serum client is experiencing hypercalcemia. Calcium gluconate
calcium level is 13 mg/dL. and calcium chloride are medications used for the
Which medication should treatment of tetany, which occurs as a result of acute
the nurse prepare to hypocalcemia. In hypercalcemia, large doses of vitamin
administer as prescribed to D need to be avoided. Calcitonin, a thyroid hormone,
the client? decreases the plasma calcium level by inhibiting bone
1. Calcium chloride resorption and lowering the serum calcium
2. Calcium gluconate concentration.
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D
2.) Oral iron supplements 4. Orange juice
are prescribed for a 6-year- Rationale:
old child with iron Vitamin C increases the absorption of iron by the body.
deficiency anemia. The The mother should be instructed to administer the
nurse instructs the mother medication with a citrus fruit or a juice that is high in
to administer the iron with vitamin C. Milk may affect absorption of the iron. Water
which best food item? will not assist in absorption. Orange juice contains a
1. Milk greater amount of vitamin C than apple juice.
2. Water
3. Apple juice
4. Orange juice
