ATI Capstone Pharmacology
1 puff MDI, 2 puff albuterol, what is the correct order - ANS-have pt take one puff of albuterol
pt rests for one min
take 2nd puff of albuterol
have pt rest for 5 min
have pt take one puff of fluticasone
\a charge nurse is orienting a newly licensed nurse to the unit-dose med system, what info
should the nurse include? - ANS-the pharmacist restocks the med drawer every day
\a nurse in ICU is monitoring a pt who has cardiogenic shock and is receiving a continuous IV
infusion of dopamine. what requires an immediate intervention by the nurse? - ANS-infiltration of
the peripheral IV
\a nurse in the PACU is caring for a client who has received GA and has a manifestations of
malignant hyperthermia, the nurse should expect to administer which of the following meds? -
ANS-dantrolene
\a nurse in the PACU is caring for a pt who has received GA and has a manifestation of
malignant hyperthermia, the nurse should expect to administer what med? - ANS-dantrolene
\a nurse is administering bumetanide to a pt who has ascites, the nurse should monitor for what
as an expected therapeutic effect of this med - ANS-increased urinary output
(loop diuretic)
\a nurse is administering timolol to a pt being treated for open-angle glaucoma, after
administration the nurse should monitor what AE - ANS-blurred vision, bradycardia, conjuntivitis
\a nurse is assessing a client after administering paclitaxel for the tx of ovarian cancer, the nurse
should identify what findings as a priority - ANS-bradycardia
(r/f 3rd deg HB, and MI)
\a nurse is assessing a client who has been using beclomethasone for 2 weeks to manage her
asthma, what is the priority to report to the provider - ANS-bronchospasms
\a nurse is assessing a client who has HF is taking digoxin. the nurse should monitor the client
for which of the following manifestations as an indication of digoxin toxicity to report to the
provider? - ANS-vomiting
(n/v, anorexia, blurred vision)
\a nurse is assessing a client who is receiving gemfibrozil, the nurse should identify what finding
as an AE of this med? - ANS-muscle tenderness
(--> myopathy, rhabdomyolysis)
\a nurse is assessing a pt who has DI and is starting intranasal desmopressin, what can indicate
to the nurse that the med is effective? - ANS-the client's urine output is 1.256ml/24 hours
\a nurse is assessing a pt who has open angle glaucoma and a new prescription for timolol, the
nurse should monitor for what AE - ANS-hypoglycemia
, \a nurse is assessing a pt who is in preterm labor and is receiving mg sulfate via continuous IV
infusion, what findings should the nurse identify as the priority - ANS-deep tendon reflexes 1+
(indicates depressed CNS and possible mg sulf toxicity)
\a nurse is assessing a pt who is taking ondansetron, what is a therapeutic effect? -
ANS-suppressed emesis
\a nurse is caring for 4 clients who have peptic ulcer disease, the nurse should recognize that
misoprostol is contraindicated for which of the following clients? - ANS-a client who might be
pregnant
(category X, can cause spontaneous abortion)
\a nurse is caring for a client who has a prescription for metoclopramide, what outcomes should
the nurse use to evaluate the effectiveness of this med? - ANS-reduced nausea
\a nurse is caring for a client who has a prescription for vancomycin 1g IV intermittent infusion
over 30min every 12 hours, what should the nurse take? - ANS-contact the provider for
prescription clarification
(administer over 60min or more to reduce risk of infusion reaction--hypotension, flushing)
\a nurse is caring for a client who has a systemic fugal infection and is receiving IV amphotericin
B deoxycholate, during previous infusions the pt developed a fever and chills, what should the
nurse take - ANS-administer diphenhydramine prior to administration
(admin an antipyretic, corticosteroid, antihistamine, or antiemetic prior to to minimize the effects)
\a nurse is caring for a client who has an infection and is starting to take gentamicin, what lab
test should the nurse monitor to detect an AE of the med? - ANS-creatinine
(Cr, BUN, U.O.)
\a nurse is caring for a client who has HF and a prescription for acetazolamide. prior to
administration of the first dose, the nurse should ask the client if she has allergy to what meds?
- ANS-sulfa-based meds
\a nurse is caring for a client who has HIV-1 and is starting therapy with ritonavir and
zidovudine. the client asks why she has to take both medications, which explanation should the
nurse provide? - ANS-taking the 2 meds together keeps you from becoming resistant to either of
them
\a nurse is caring for a client who has prescription for terazosin, the nurse should identify that
this medication is indicated for which of the following disorders? - ANS-hypertension
BPH
\a nurse is caring for a client who has recurrent lower UTIs which of the following meds should
the nurse expect to administer? - ANS-nitrofuratoin
ab for lower recurrent UTIs
\a nurse is caring for a client who has varicella zoster, what med should the nurse administer -
ANS-acyclovir
\a nurse is caring for a client who is receiving morphine, what assessment is priority - ANS-RR
1 puff MDI, 2 puff albuterol, what is the correct order - ANS-have pt take one puff of albuterol
pt rests for one min
take 2nd puff of albuterol
have pt rest for 5 min
have pt take one puff of fluticasone
\a charge nurse is orienting a newly licensed nurse to the unit-dose med system, what info
should the nurse include? - ANS-the pharmacist restocks the med drawer every day
\a nurse in ICU is monitoring a pt who has cardiogenic shock and is receiving a continuous IV
infusion of dopamine. what requires an immediate intervention by the nurse? - ANS-infiltration of
the peripheral IV
\a nurse in the PACU is caring for a client who has received GA and has a manifestations of
malignant hyperthermia, the nurse should expect to administer which of the following meds? -
ANS-dantrolene
\a nurse in the PACU is caring for a pt who has received GA and has a manifestation of
malignant hyperthermia, the nurse should expect to administer what med? - ANS-dantrolene
\a nurse is administering bumetanide to a pt who has ascites, the nurse should monitor for what
as an expected therapeutic effect of this med - ANS-increased urinary output
(loop diuretic)
\a nurse is administering timolol to a pt being treated for open-angle glaucoma, after
administration the nurse should monitor what AE - ANS-blurred vision, bradycardia, conjuntivitis
\a nurse is assessing a client after administering paclitaxel for the tx of ovarian cancer, the nurse
should identify what findings as a priority - ANS-bradycardia
(r/f 3rd deg HB, and MI)
\a nurse is assessing a client who has been using beclomethasone for 2 weeks to manage her
asthma, what is the priority to report to the provider - ANS-bronchospasms
\a nurse is assessing a client who has HF is taking digoxin. the nurse should monitor the client
for which of the following manifestations as an indication of digoxin toxicity to report to the
provider? - ANS-vomiting
(n/v, anorexia, blurred vision)
\a nurse is assessing a client who is receiving gemfibrozil, the nurse should identify what finding
as an AE of this med? - ANS-muscle tenderness
(--> myopathy, rhabdomyolysis)
\a nurse is assessing a pt who has DI and is starting intranasal desmopressin, what can indicate
to the nurse that the med is effective? - ANS-the client's urine output is 1.256ml/24 hours
\a nurse is assessing a pt who has open angle glaucoma and a new prescription for timolol, the
nurse should monitor for what AE - ANS-hypoglycemia
, \a nurse is assessing a pt who is in preterm labor and is receiving mg sulfate via continuous IV
infusion, what findings should the nurse identify as the priority - ANS-deep tendon reflexes 1+
(indicates depressed CNS and possible mg sulf toxicity)
\a nurse is assessing a pt who is taking ondansetron, what is a therapeutic effect? -
ANS-suppressed emesis
\a nurse is caring for 4 clients who have peptic ulcer disease, the nurse should recognize that
misoprostol is contraindicated for which of the following clients? - ANS-a client who might be
pregnant
(category X, can cause spontaneous abortion)
\a nurse is caring for a client who has a prescription for metoclopramide, what outcomes should
the nurse use to evaluate the effectiveness of this med? - ANS-reduced nausea
\a nurse is caring for a client who has a prescription for vancomycin 1g IV intermittent infusion
over 30min every 12 hours, what should the nurse take? - ANS-contact the provider for
prescription clarification
(administer over 60min or more to reduce risk of infusion reaction--hypotension, flushing)
\a nurse is caring for a client who has a systemic fugal infection and is receiving IV amphotericin
B deoxycholate, during previous infusions the pt developed a fever and chills, what should the
nurse take - ANS-administer diphenhydramine prior to administration
(admin an antipyretic, corticosteroid, antihistamine, or antiemetic prior to to minimize the effects)
\a nurse is caring for a client who has an infection and is starting to take gentamicin, what lab
test should the nurse monitor to detect an AE of the med? - ANS-creatinine
(Cr, BUN, U.O.)
\a nurse is caring for a client who has HF and a prescription for acetazolamide. prior to
administration of the first dose, the nurse should ask the client if she has allergy to what meds?
- ANS-sulfa-based meds
\a nurse is caring for a client who has HIV-1 and is starting therapy with ritonavir and
zidovudine. the client asks why she has to take both medications, which explanation should the
nurse provide? - ANS-taking the 2 meds together keeps you from becoming resistant to either of
them
\a nurse is caring for a client who has prescription for terazosin, the nurse should identify that
this medication is indicated for which of the following disorders? - ANS-hypertension
BPH
\a nurse is caring for a client who has recurrent lower UTIs which of the following meds should
the nurse expect to administer? - ANS-nitrofuratoin
ab for lower recurrent UTIs
\a nurse is caring for a client who has varicella zoster, what med should the nurse administer -
ANS-acyclovir
\a nurse is caring for a client who is receiving morphine, what assessment is priority - ANS-RR
